PT - JOURNAL ARTICLE AU - Ho Tsoi AU - Allen C S Yu AU - Zhefan S Chen AU - Nelson K N Ng AU - Anne Y Y Chan AU - Liz Y P Yuen AU - Jill M Abrigo AU - Suk Ying Tsang AU - Stephen K W Tsui AU - Tony M F Tong AU - Ivan F M Lo AU - Stephen T S Lam AU - Vincent C T Mok AU - Lawrence K S Wong AU - Jacky C K Ngo AU - Kwok-Fai Lau AU - Ting-Fung Chan AU - H Y Edwin Chan TI - A novel missense mutation in <em>CCDC88C</em> activates the JNK pathway and causes a dominant form of spinocerebellar ataxia AID - 10.1136/jmedgenet-2014-102333 DP - 2014 Sep 01 TA - Journal of Medical Genetics PG - 590--595 VI - 51 IP - 9 4099 - http://jmg.bmj.com/content/51/9/590.short 4100 - http://jmg.bmj.com/content/51/9/590.full SO - J Med Genet2014 Sep 01; 51 AB - Background Spinocerebellar ataxias (SCAs) are a group of clinically and genetically diverse and autosomal-dominant disorders characterised by neurological deficits in the cerebellum. At present, there is no cure for SCAs. Of the different distinct subtypes of autosomal-dominant SCAs identified to date, causative genes for only a fraction of them are currently known. In this study, we investigated the cause of an autosomal-dominant SCA phenotype in a family that exhibits cerebellar ataxia and pontocerebellar atrophy along with a global reduction in brain volume. Methods and results Whole-exome analysis revealed a missense mutation c.G1391A (p.R464H) in the coding region of the coiled-coil domain containing 88C (CCDC88C) gene in all affected individuals. Functional studies showed that the mutant form of CCDC88C activates the c-Jun N-terminal kinase (JNK) pathway, induces caspase 3 cleavage and triggers apoptosis. Conclusions This study expands our understanding of the cause of autosomal-dominant SCAs, a group of heterogeneous congenital neurological conditions in humans, and unveils a link between the JNK stress pathway and cerebellar atrophy.