RT Journal Article SR Electronic T1 A novel missense mutation in CCDC88C activates the JNK pathway and causes a dominant form of spinocerebellar ataxia JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 590 OP 595 DO 10.1136/jmedgenet-2014-102333 VO 51 IS 9 A1 Ho Tsoi A1 Allen C S Yu A1 Zhefan S Chen A1 Nelson K N Ng A1 Anne Y Y Chan A1 Liz Y P Yuen A1 Jill M Abrigo A1 Suk Ying Tsang A1 Stephen K W Tsui A1 Tony M F Tong A1 Ivan F M Lo A1 Stephen T S Lam A1 Vincent C T Mok A1 Lawrence K S Wong A1 Jacky C K Ngo A1 Kwok-Fai Lau A1 Ting-Fung Chan A1 H Y Edwin Chan YR 2014 UL http://jmg.bmj.com/content/51/9/590.abstract 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.