4.6 Article

Lipid Dyshomeostasis and Inherited Cerebellar Ataxia

Journal

MOLECULAR NEUROBIOLOGY
Volume 59, Issue 6, Pages 3800-3828

Publisher

SPRINGER
DOI: 10.1007/s12035-022-02826-2

Keywords

Cerebellar ataxia; Lipid homeostasis; Common signaling pathway; Diagnosis; Treatment

Categories

Funding

  1. intramural program of the Henan Province Mental and Neurological Disease Dominant Discipline Construction Project of Xinxiang Medical University

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Cerebellar ataxia is a type of ataxia caused by dysfunction of the cerebellum, resulting in a loss of voluntary muscle coordination and control of movement. Hereditary ataxia is the most common type, but currently there is no cure for almost all subtypes.
Cerebellar ataxia is a form of ataxia that originates from dysfunction of the cerebellum, but may involve additional neurological tissues. Its clinical symptoms are mainly characterized by the absence of voluntary muscle coordination and loss of control of movement with varying manifestations due to differences in severity, in the site of cerebellar damage and in the involvement of extracerebellar tissues. Cerebellar ataxia may be sporadic, acquired, and hereditary. Hereditary ataxia accounts for the majority of cases. Hereditary ataxia has been tentatively divided into several subtypes by scientists in the field, and nearly all of them remain incurable. This is mainly because the detailed mechanisms of these cerebellar disorders are incompletely understood. To precisely diagnose and treat these diseases, studies on their molecular mechanisms have been conducted extensively in the past. Accumulating evidence has demonstrated that some common pathogenic mechanisms exist within each subtype of inherited ataxia. However, no reports have indicated whether there is a common mechanism among the different subtypes of inherited cerebellar ataxia. In this review, we summarize the available references and databases on neurological disorders characterized by cerebellar ataxia and show that a subset of genes involved in lipid homeostasis form a new group that may cause ataxic disorders through a common mechanism. This common signaling pathway can provide a valuable reference for future diagnosis and treatment of ataxic disorders.

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