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Two more families supporting the existence of monogenic spinocerebellar ataxia 48

  • Flavia Palombo,
  • Alessandro Vaisfeld,
  • Valentina Concetta Tropeano,
  • Danara Ormanbekova,
  • Isabelle Bacchi,
  • Claudio Fiorini,
  • Adelaide Peruzzi,
  • Luca Morandi,
  • Rocco Liguori,
  • Valerio Carelli,
  • Giovanni Rizzo

摘要

The reduced penetrance of TBP intermediate alleles and the recently proposed possible digenic TBP/STUB1 inheritance raised questions on the possible mechanism involved opening a debate on the existence of SCA48 as a monogenic disorder. We here report clinical and genetic results of two apparently unrelated patients carrying the same STUB1 variant(c.244G > T;p.Asp82Tyr) with normal TBP alleles and a clinical picture fully resembling SCA48, including cerebellar ataxia, dysarthria and mild cognitive impairment. This report provides supportive evidence that this specific ataxia can also occur as a monogenic disease, considering classical TBP allelic ranges.