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CAG Repeats Determine Brain Atrophy in Spinocerebellar Ataxia 17: A VBM Study

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Listed:
  • Kathrin Reetz
  • Alexandra Kleiman
  • Christine Klein
  • Rebekka Lencer
  • Christine Zuehlke
  • Kathrin Brockmann
  • Arndt Rolfs
  • Ferdinand Binkofski

Abstract

Background: Abnormal repeat length has been associated with an earlier age of onset and more severe disease progression in the rare neurodegenerative disorder spinocerebellar ataxia 17 (SCA17). Methodology/Principal Findings: To determine whether specific structural brain degeneration and rate of disease progression in SCA17 might be associated with the CAG repeat size, observer-independent voxel-based morphometry was applied to high-resolution magnetic resonance images of 16 patients with SCA17 and 16 age-matched healthy controls. The main finding contrasting SCA17 patients with healthy controls demonstrated atrophy in the cerebellum bilaterally. Multiple regression analyses with available genetic data and also post-hoc correlations revealed an inverse relationship again with cerebellar atrophy. Moreover, we found an inverse relationship between the CAG repeat length and rate of disease progression. Conclusions: Our results highlight the fundamental role of the cerebellum in this neurodegenerative disease and support the genotype-phenotype relationship in SCA17 patients. Genetic factors may determine individual susceptibility to neurodegeneration and rate of disease progression.

Suggested Citation

  • Kathrin Reetz & Alexandra Kleiman & Christine Klein & Rebekka Lencer & Christine Zuehlke & Kathrin Brockmann & Arndt Rolfs & Ferdinand Binkofski, 2011. "CAG Repeats Determine Brain Atrophy in Spinocerebellar Ataxia 17: A VBM Study," PLOS ONE, Public Library of Science, vol. 6(1), pages 1-5, January.
  • Handle: RePEc:plo:pone00:0015125
    DOI: 10.1371/journal.pone.0015125
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