The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research

Machado-Joseph disease (MJD)/spinocerebellar ataxia type 3 (SCA3) is the most common autosomal dominant ataxia worldwide. MJD is characterized by late-onset progressive cerebellar ataxia associated with variable clinical findings, including pyramidal signs and a dystonic-rigid extrapyramidal syndrom...

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Main Authors: Manuela Lima, Mafalda Raposo, Ana Ferreira, Ana Rosa Vieira Melo, Sara Pavão, Filipa Medeiros, Luís Teves, Carlos Gonzalez, João Lemos, Paula Pires, Pedro Lopes, David Valverde, José Gonzalez, Teresa Kay, João Vasconcelos
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/11/2/247
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author Manuela Lima
Mafalda Raposo
Ana Ferreira
Ana Rosa Vieira Melo
Sara Pavão
Filipa Medeiros
Luís Teves
Carlos Gonzalez
João Lemos
Paula Pires
Pedro Lopes
David Valverde
José Gonzalez
Teresa Kay
João Vasconcelos
author_facet Manuela Lima
Mafalda Raposo
Ana Ferreira
Ana Rosa Vieira Melo
Sara Pavão
Filipa Medeiros
Luís Teves
Carlos Gonzalez
João Lemos
Paula Pires
Pedro Lopes
David Valverde
José Gonzalez
Teresa Kay
João Vasconcelos
author_sort Manuela Lima
collection DOAJ
description Machado-Joseph disease (MJD)/spinocerebellar ataxia type 3 (SCA3) is the most common autosomal dominant ataxia worldwide. MJD is characterized by late-onset progressive cerebellar ataxia associated with variable clinical findings, including pyramidal signs and a dystonic-rigid extrapyramidal syndrome. In the Portuguese archipelago of the Azores, the worldwide population cluster for this disorder (prevalence of 39 in 100,000 inhabitants), a cohort of MJD mutation carriers belonging to extensively studied pedigrees has been followed since the late 1990s. Studies of the homogeneous Azorean MJD cohort have been contributing crucial information to the natural history of this disease as well as allowing the identification of novel molecular biomarkers. Moreover, as interventional studies for this globally rare and yet untreatable disease are emerging, this cohort should be even more important for the recruitment of trial participants. In this paper, we profile the Azorean cohort of MJD carriers, constituted at baseline by 20 pre-ataxic carriers and 52 patients, which currently integrates the European spinocerebellar ataxia type 3/Machado-Joseph disease Initiative (ESMI), a large European longitudinal MJD cohort. Moreover, we summarize the main studies based on this cohort and highlight the contributions made to advances in MJD research. Knowledge of the profile of the Azorean MJD cohort is not only important in the context of emergent interventional trials but is also pertinent for the implementation of adequate interventional measures, constituting relevant information for Lay Associations and providing data to guide healthcare decision makers.
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spelling doaj.art-513d8653e60041f1b9dd1ffddd9262002023-11-16T19:15:23ZengMDPI AGBiomedicines2227-90592023-01-0111224710.3390/biomedicines11020247The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in ResearchManuela Lima0Mafalda Raposo1Ana Ferreira2Ana Rosa Vieira Melo3Sara Pavão4Filipa Medeiros5Luís Teves6Carlos Gonzalez7João Lemos8Paula Pires9Pedro Lopes10David Valverde11José Gonzalez12Teresa Kay13João Vasconcelos14Faculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalInstituto de Biologia Molecular e Celular (IBMC), Universidade do Porto, 4200-135 Porto, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalServiço de Psicologia Clínica, Hospital do Divino Espírito Santo, 9500-370 Ponta Delgada, PortugalUnidade de Psicologia Clínica, Hospital do Santo Espírito da Ilha Terceira, 9700-049 Angra do Heroísmo, PortugalServiço de Neurologia, Hospital do Santo Espírito da Ilha Terceira, 9700-049 Angra do Heroísmo, PortugalServiço de Neurologia, Hospital do Divino Espírito Santo, 9500-370 Ponta Delgada, PortugalServiço de Patologia Clínica, Unidade de Saúde da Ilha das Flores, 9500-370 Santa Cruz das Flores, PortugalAugenarztpraxis Petrescu Wuppertal, Department of Ophthalmology, 42389 Wuppertal, GermanyServiço de Genética Médica, Hospital D. Estefânia, 1169-045 Lisboa, PortugalFaculdade de Ciências e Tecnologia, Universidade dos Açores, 9500-321 Ponta Delgada, PortugalMachado-Joseph disease (MJD)/spinocerebellar ataxia type 3 (SCA3) is the most common autosomal dominant ataxia worldwide. MJD is characterized by late-onset progressive cerebellar ataxia associated with variable clinical findings, including pyramidal signs and a dystonic-rigid extrapyramidal syndrome. In the Portuguese archipelago of the Azores, the worldwide population cluster for this disorder (prevalence of 39 in 100,000 inhabitants), a cohort of MJD mutation carriers belonging to extensively studied pedigrees has been followed since the late 1990s. Studies of the homogeneous Azorean MJD cohort have been contributing crucial information to the natural history of this disease as well as allowing the identification of novel molecular biomarkers. Moreover, as interventional studies for this globally rare and yet untreatable disease are emerging, this cohort should be even more important for the recruitment of trial participants. In this paper, we profile the Azorean cohort of MJD carriers, constituted at baseline by 20 pre-ataxic carriers and 52 patients, which currently integrates the European spinocerebellar ataxia type 3/Machado-Joseph disease Initiative (ESMI), a large European longitudinal MJD cohort. Moreover, we summarize the main studies based on this cohort and highlight the contributions made to advances in MJD research. Knowledge of the profile of the Azorean MJD cohort is not only important in the context of emergent interventional trials but is also pertinent for the implementation of adequate interventional measures, constituting relevant information for Lay Associations and providing data to guide healthcare decision makers.https://www.mdpi.com/2227-9059/11/2/247MJDSCA3spinocerebellar ataxia type 3homogeneous cohortsEuropean Spinocerebellar Ataxia type 3/Machado-Joseph disease Initiative (ESMI)polyglutamine disorders
spellingShingle Manuela Lima
Mafalda Raposo
Ana Ferreira
Ana Rosa Vieira Melo
Sara Pavão
Filipa Medeiros
Luís Teves
Carlos Gonzalez
João Lemos
Paula Pires
Pedro Lopes
David Valverde
José Gonzalez
Teresa Kay
João Vasconcelos
The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
Biomedicines
MJD
SCA3
spinocerebellar ataxia type 3
homogeneous cohorts
European Spinocerebellar Ataxia type 3/Machado-Joseph disease Initiative (ESMI)
polyglutamine disorders
title The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
title_full The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
title_fullStr The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
title_full_unstemmed The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
title_short The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research
title_sort homogeneous azorean machado joseph disease cohort characterization and contributions to advances in research
topic MJD
SCA3
spinocerebellar ataxia type 3
homogeneous cohorts
European Spinocerebellar Ataxia type 3/Machado-Joseph disease Initiative (ESMI)
polyglutamine disorders
url https://www.mdpi.com/2227-9059/11/2/247
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