Author
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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