Abstract.
Episodic ataxia type 2 (EA-2) is an autosomal dominant neurological disorder, characterized by episodes of ataxia, vertigo, nausea, nystagmus, and fatigue, associated with acetazolamide responsiveness. The disease is caused by mutations in the P/Q-type calcium channel Cav2.1 subunit gene, CACNA1A, located on chromosome 19p13.2. We analyzed a family with 13 affected individuals for linkage to this locus and reached a two-point maximum LOD score of 4.48. A novel CACNA1A mutation, IVS36–2A>G, at the 3′ acceptor splice site of intron 36 was identified by sequencing. It is the first described CACNA1A acceptor splice site mutation and the most C-terminal EA-2-causing mutation reported to date.
References
Baloh RW, Winder A (1991) Acetazolamide-responsive vestibulocerebellar syndrome: clinical and oculographic features. Neurology 41:429–433
Ophoff RA, Terwindt GM, Vergouwe MN, Eijk R van, Oefner PJ, Hoffman SM, Lamerdin JE, Mohrenweiser HW, Bulman DE, Ferrari M, Haan J, Lindhout D, Ommen GJ van, Hofker MH, Ferrari MD, Frants RR (1996) Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell 87:543–552
Denier C, Ducros A, Vahedi K, Joutel A, Thierry P, Ritz A, Castelnovo G, Deonna T, Gerard P, Devoize JL, Gayou A, Perrouty B, Soisson T, Autret A, Warter JM, Vighetto A, Van Bogaert P, Alamowitch S, Roullet E, Tournier-Lasserve E (1999) High prevalence of CACNA1A truncations and broader clinical spectrum in episodic ataxia type 2. Neurology 52:1816–1821
Jodice C, Mantuano E, Veneziano L, Trettel F, Sabbadini G, Calandriello L, Francia A, Spadaro M, Pierelli F, Salvi F, Ophoff RA, Frants RR, Frontali M (1997) Episodic ataxia type 2 (EA2) and spinocerebellar ataxia type 6 (SCA6) due to CAG repeat expansion in the CACNA1A gene on chromosome 19p. Hum Mol Genet 6:1973–1978
Yue Q, Jen JC, Thwe MM, Nelson SF, Baloh RW (1998) De novo mutation in CACNA1A caused acetazolamide-responsive episodic ataxia. Am J Med Genet 77:298–301
Friend KL, Crimmins D, Phan TG, Sue CM, Colley A, Fung VS, Morris JG, Sutherland GR, Richards RI (1999) Detection of a novel missense mutation and second recurrent mutation in the CACNA1A gene in individuals with EA-2 and FHM. Hum Genet 105:261–265 10.1007/s004399900101
Jen J, Yue Q, Nelson SF, Yu H, Litt M, Nutt J, Baloh RW (1999) A novel nonsense mutation in CACNA1A causes episodic ataxia and hemiplegia. Neurology 53:34–37
Scoggan KA, Chandra T, Nelson R, Hahn AF, Bulman DE (2001) Identification of two novel mutations in the CACNA1A gene responsible for episodic ataxia type 2. J Med Genet 38:249–253
Denier C, Ducros A, Durr A, Eymard B, Chassande B, Tournier-Lasserve E (2001) Missense CACNA1A mutation causing episodic ataxia type 2. Arch Neurol 58:292–295
Guida S, Trettel F, Pagnutti S, Mantuano E, Tottene A, Veneziano L, Fellin T, Spadaro M, Stauderman K, Williams M, Volsen S, Ophoff R, Frants R, Jodice C, Frontali M, Pietrobon D (2001) Complete loss of P/Q calcium channel activity caused by a CACNA1A missense mutation carried by patients with episodic ataxia type 2. Am J Hum Genet 68:759–764
Jen J, Wan J, Graves M, Yu H, Mock AF, Coulin CJ, Kim G, Yue Q, Papazian DM, Baloh RW (2001) Loss-of-function EA2 mutations are associated with impaired neuromuscular transmission. Neurology 57:1843–1848
Van Den Maagdenberg AM, Kors EE, Brunt ER, Van Paesschen W, Pascual J, Ravine D, Keeling S, Vanmolkot KR, Vermeulen FL, Terwindt GM, Haan J, Frants RR, Ferrari MD (2002) Episodic ataxia type 2. Three novel truncating mutations and one novel missense mutation in the CACNA1A gene. J Neurol 249:1515–1519 10.1007/s00415–002–0860–8
Matsuyama Z, Murase M, Shimizu H, Aoki Y, Hayashi M, Hozumi I, Inuzuka T (2003) A novel insertion mutation of acetazolamide-responsive episodic ataxia in a Japanese family. J Neurol Sci 210:91–93 10.1016/S0022–510X(03)00008-X
Wheeler DB, Randall A, Sather WA, Tsien RW (1995) Neuronal calcium channels encoded by the alpha 1A subunit and their contribution to excitatory synaptic transmission in the CNS. Prog Brain Res 105:65–78
Virolainen E, Wessman M, Hovatta I, Niemi KM, Ignatius J, Kere J, Peltonen L, Palotie A (2000) Assignment of a novel locus for autosomal recessive congenital ichthyosis to chromosome 19p13.1-p13.2. Am J Hum Genet 66:1132–1137
Lathrop GM, Lalouel JM (1984) Easy calculations of lod scores and genetic risks on small computers. Am J Hum Genet 36:460–465
Jarvelainen HA, Orpana A, Perola M, Savolainen VT, Karhunen PJ, Lindros KO (2001) Promoter polymorphism of the CD14 endotoxin receptor gene as a risk factor for alcoholic liver disease. Hepatology 33:1148–1153 10.1053/jhep.2001.24236
Krawczak M (1992) The mutational spectrum of single base-pair substitutions in mRNA splice junctions of human genes: causes and consequences. Hum Genet 90:41–54
Jouvenceau A, Eunson LH, Spauschus A, Ramesh V, Zuberi SM, Kullmann DM, Hanna MG (2001) Human epilepsy associated with dysfunction of the brain P/Q-type calcium channel. Lancet 358:801–807
Zuberi SM, Eunson LH, Spauschus A, De Silva R, Tolmie J, Wood NW, McWilliam RC, Stephenson JPB, Kullmann DM, Hanna MG (1999) A novel mutation in the human voltage-gated potassium channel gene (Kv1.1) associates with episodic ataxia type 1 and sometimes with partial epilepsy. Brain 122:817–825
Acknowledgements.
This study was supported by funding from the Helsinki University Central Hospital, the Research Foundation of the University of Helsinki (Young Scientist’s Award), the Biomedicum Helsinki Foundation, the Finnish Cultural Foundation, National Institutes of Health (RO1 NS37675–02 to A.P.), the Orion Research Corporation, and the Finnish Neurology Foundation. The authors would like to thank the EA-2 family members for their devoted participation.
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Kaunisto, M.A., Harno, H., Kallela, M. et al. Novel splice site CACNA1A mutation causing episodic ataxia type 2. Neurogenetics 5, 69–73 (2004). https://doi.org/10.1007/s10048-003-0161-0
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DOI: https://doi.org/10.1007/s10048-003-0161-0