Spinocerebellar Ataxia 10 (ATXN10)


Dred_IDRD00049
OMIM ID603516
Disease nameSpinocerebellar Ataxia 10
Alternative namesSCA10
CategoryGenetic diseases, Rare diseases, Neuronal diseases, Skin diseases, Eye diseases, Mental diseases, Ear diseases, Metabolic diseases, Fetal diseases, Liver diseases
PhenotypeNIH Rare Diseases: Spinocerebellar ataxia type 10 (SCA10) is a subtype of type I autosomal dominant cerebellar ataxia (ADCA type I; see this term). It is characterized by slowly progressive cerebellar syndrome and epilepsy, sometimes mild pyramidal signs, peripheral neuropathy and neuropsychological disturbances.EpidemiologyPrevalence is unknown. Many kindreds have been found in Mexican and Brazilian populations. SCA10 is the second most common inherited ataxia in these two countries.Clinical descriptionAge of onset ranges from 18 to 45 years (mean age = 32.2 years). The most common type of epilepsy is generalized motor seizures, but partial motor or partial complex seizures can occur.EtiologySCA10 is caused by an ATTCT pentanucleotide repeat expansion in intron 9 of the ATXN10 gene (22q13). Exact pathogenesis has not been determined but RNA processing may be involved.PrognosisPrognosis is poor, especially for patients with refractory epilepsy. Exact disease duration is unknown. However, the mean disease duration can be estimated to be about 13 years.Visit the Orphanet disease page for more resources.

OMIM: The autosomal dominant cerebellar ataxias (ADCAs) are a clinically and genetically heterogeneous group of disorders characterized by ataxia, dysarthria, dysmetria, and intention tremor. All ADCAs involve some degree of cerebellar dysfunction and a varying degree of signs from other components of the nervous system. A commonly accepted clinical classification (Harding, 1993) divides ADCAs into 3 different groups based on the presence or absence of associated symptoms such as brainstem signs or retinopathy. The presence of pyramidal and extrapyramidal symptoms and ophthalmoplegia makes the diagnosis of ADCA I, the presence of retinopathy points to ADCA II, and the absence of associated signs to ADCA III. Genetic linkage and molecular analyses revealed that ADCAs are genetically heterogeneous even within the various subtypes.
MiscellaneouseOMIM: genetic anticipation reduced penetrance age at onset 14 to 44 years patients of brazilian origin have a pure cerebellar atrophy patients of mexican or amerindian origin have a complicated phenotype with additional neurologic features normal alleles have 10 to 29 repeats and pathologic alleles have 400 to 4,500 repeats
PrevalenceN/A [source: MalaCards]
InheritanceAutosomal dominant
AnticipationYes
EvidenceStrong
Gene symbolATXN10
Alias symbolsE46L; SCA10; HUMEEP
Gene nameataxin 10
Gene map locus22q13.31; chr22:45,671,798-45,845,307(+)
Ensembl Gene IDENSG00000130638
Gene expression and Gene OntologyBioGPS
Protein expressionHuman Protein Atlas
Gene sequenceSequence
VariationClinVar,  dbSNP
Gene conservationGene Conservation from UCSC Genome Browser
Gene DescriptionThis gene encodes a protein that may function in neuron survival, neuron differentiation, and neuritogenesis. These roles may be carried out via activation of the mitogen-activated protein kinase cascade. Expansion of an ATTCT repeat from 9-32 copies to 800-4500 copies in an intronic region of this locus has been associated with spinocerebellar ataxia, type 10. Alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2016]
Repeat unitATTCT
Normal repeat copies10-29
Pathogenic repeat copies≥400
GeneATXN10
Repeat locationintron
Chromosome locuschr22:45795355-45795517 (+)
Repeat conservationRepeat Conservation from UCSC Genome Browser
Toxic causeRNA
Possible toxicityWe have recently postulated a toxic RNA-mediated gain of function in the pathogenesis of Spinal Cerebellar Ataxia type 10 (SCA10). The spliced intron-9 RNA containing the expanded AUUCU repeat aggregates in SCA10 cells and sequesters hnRNP K. hnRNP K sequestration triggers the translocation of protein kinase C delta (PKC?) to mitochondria, leading to activation of caspase-3 and apoptosis. To further confirm the toxic RNA mediated gain of function, we generated a new transgenic mouse model in which the expanded pentanucleotide repeats are constructed in 3‘-untranslated regionto ensure transcription without translation of the repeat.the underlying mechanism by which the expansion of this untranslated pentaneucleotide repeat leads to ataxia and seizure is not fully understood.
Pathway annotationReactome, KEGG
PMID22065565
AuthorsWhite M1, Xia G, Gao R, Wakamiya M, Sarkar PS, McFarland K, Ashizawa T
TitleTransgenic mice with SCA10 pentanucleotide repeats show motor phenotype and susceptibility to seizure: a toxic RNA gain-of-function model
JournalJ Neurosci Res. 90(3):706-14
Year2012
PMID 24278426
AuthorsBushara K, Bower M, Liu J, McFarland KN, Landrian I, Hutter D, Teive HA, Rasmussen A, Mulligan CJ, Ashizawa T
TitleExpansion of the Spinocerebellar ataxia type 10 (SCA10) repeat in a patient with Sioux Native American ancestry
JournalPLoS One. 8(11):e81342
Year2013


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