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Clinical heterogeneity of recessive ataxia in the Mexican population
  1. A Rasmussen1,2,
  2. M Gómez1,
  3. E Alonso2,
  4. S I Bidichandani1
  1. 1Department of Biochemistry & Molecular Biology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
  2. 2Department of Neurogenetics and Molecular Biology, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez (INNN), Mexico City, Mexico
  1. Correspondence to:
 Dr Sanjay I Bidichandani
 Department of Biochemistry and Molecular Biology, University of Oklahoma Health Sciences Center, 975 NE, 10th St, BRC458, Oklahoma City, OK 73104, USA; Sanjay-Bidichandani{at}ouhsc.edu

Abstract

Approximately 75% of Indo-European patients with recessive ataxia are homozygous for frataxin gene (FXN) mutations and have either typical or atypical Friedreich ataxia (FRDA). Our previous analysis of 134 Mexican Mestizo recessive ataxia patients showed that FRDA is relatively uncommon in the Mexican population (10.4%). This article reports the evaluation of the phenotypes of these patients. Over half of the patients with clinical diagnostic criteria for FRDA did not carry FXN mutations, constituting a “FRDA-like” phenotypic subgroup. Analysis of non-FRDA patients revealed a subgroup with early onset recessive cerebellar ataxia and cognitive deficit. These two phenotypic subgroups accounted for approximately 60% of all patients, indicating that the cause for recessive ataxia in the Mexican population is distinct from other populations and remains largely unknown.

  • AOA, ataxia with oculomotor apraxia
  • FRDA, Friedreich ataxia
  • FXN, frataxin gene
  • ILOCA, idiopathic late-onset cerebellar ataxia
  • MSA, multiple-system atrophy

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Footnotes

  • Funding: This work was supported by grants to AR from Consejo Nacional de Ciencia y Tecnología (M30790 and SALUD-2003-C01-028) and to SIB from the National Institutes of Health (NS047596), Muscular Dystrophy Association, Oklahoma Center for the Advancement of Sciences and Technology and Friedreich’s Ataxia Research Alliance.

  • Competing interests: None.

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