DRPLA ATN1

Dentatorubral pallidoluysian atrophy (DRPLA) is a rare subtype of type I autosomal dominant cerebellar ataxia (ADCA type I). It is characterized by involuntary movements, ataxia, epilepsy, mental disorders, cognitive decline and prominent anticipation¹.

Prevalence

4.5 1,000,000

2-7/1,000,000. More prevalent in Japanese populations; also reported in North America, South America, Europe, and Australia².

Age of Onset Details

Typical: 20-40^3,2. Range: 0⁴- 72².

Locus

hg19

chr12:7045879-7045938

hg38

chr12:6936716-6936775

t2t

chr12:6947903-6947941

Details

Pathogenic expansions (48-93) are fully penetrant with the exception of one documented case of 51 repeats; intermediate alleles (36-47) are associated with a milder phenotype and can expand upon transmission². CAA interruptions have been observed without known clinical association⁵.

Mechanism

GoF

Polyglutamine expansions leading to gain of function².

Year

1994⁶

Location in Gene

Exon 5

Gene Strand

Alleles

Ref. Motif

CAG

Pathogenic (ref.)

CAG

Pathogenic (gene)

AGC

gnomAD

Pathogenic Genotype (%): % of individuals predicted to be affected based on their genotype

References

Direct supporting references for info on this page.

Ontology Lookup Service (OLS)

mondo:0007435

DRPLA

Silvia,Prades, Claudio,Melo de Gusmao, Silvia,Grimaldi, Yael,Shiloh-Malawsky, Thomas,Felton, Henry,Houlden

GeneReviews® · 1993-01-01

genereviews:NBK1491

Familial myoclonus epilepsy and choreoathetosis: hereditary dentatorubral-pallidoluysian atrophy.

H,Naito, S,Oyanagi

Neurology · 1982-08-01

pmid:6808417

Severe infantile dentatorubral pallidoluysian atrophy with extreme expansion of CAG repeats.

Y,Shimojo, Y,Osawa, M,Fukumizu, S,Hanaoka, H,Tanaka, F,Ogata, M,Sasaki, K,Sugai

Neurology · 2001-01-23

pmid:11160976

Comprehensive genetic diagnosis of tandem repeat expansion disorders with programmable targeted nanopore sequencing.

Igor,Stevanovski, Sanjog R,Chintalaphani, Hasindu,Gamaarachchi, James M,Ferguson, Sandy S,Pineda, Carolin K,Scriba, Michel,Tchan, Victor,Fung, Karl,Ng, Andrea,Cortese, Henry,Houlden, Carol,Dobson-Stone, Lauren,Fitzpatrick, Glenda,Halliday, Gianina,Ravenscroft, Mark R,Davis, Nigel G,Laing, Avi,Fellner, Marina,Kennerson, Kishore R,Kumar, Ira W,Deveson

Science advances · 2022-03-04

pmid:35245110

Structure and expression of the gene responsible for the triplet repeat disorder, dentatorubral and pallidoluysian atrophy (DRPLA).

S,Nagafuchi, H,Yanagisawa, E,Ohsaki, T,Shirayama, K,Tadokoro, T,Inoue, M,Yamada

Nature genetics · 1994-10-01

pmid:7842016

Additional Literature

Additional literature related to this locus.

Raw PubMed search results
(All PubMed results returned by searching for this gene, tandem repeats, and disease, in medline format)

Accurate Quantification of Mutant and Wild-Type polyQ Proteins Using Simple Western Capillary Immunoassays.

Bas,Röttgering, Janwillem,Testerink, Rudie,Weij, Chantal,Beekman, Nicole,Datson

Molecular neurobiology · 2025-05-31

pmid:40450087

Approach to Progressive Myoclonic Epilepsies: Clinical Clues for Genetic Testing.

Prasanthi,Aripirala, Sujit Abajirao,Jagtap

Journal of child neurology · 2025-05-08

pmid:40340521

MRI-based brain structural changes in adult-onset dentatorubral-pallidoluysian atrophy.

Mengcheng,Li, Xinyuan,Chen, Ruying,Yuan, Shuping,Fan, Ziqiang,Huang, Zhenyi,Liu, Jiaqi,Weng, Qiaozhen,Zheng, Shirui,Gan, Jianping,Hu

Neuroradiology · 2025-04-29

pmid:40298952

The nuclear export signal mediates mutant atrophin-1-induced neuropathology in a mouse model of DRPLA.

Yideng,Liang, Bo,Ning, Xiaobo,Wang, Hannah,Fuehrer, Masayuki,Nakamura, Frederick C,Nucifora, Russell,Margolis, Christopher A,Ross, Wanli W,Smith

Human molecular genetics · 2025-04-23

pmid:40263757

Natural History and Progression of Dentatorubral-Pallidoluysian Atrophy (DRPLA): A Retrospective Study of 22 Patients.

Hiroshi,Adachi, Katsuya,Nishida, Naonobu,Futamura

Movement disorders clinical practice · 2025-04-16

pmid:40237283

ATXN10 Gene Expansions in Mexican Patients with Ataxia Without Epilepsy.

Aurelio,Jara-Prado, Eukeni,Arias-Capistran, Jorge,Guerrero-Camacho, Adriana,Ochoa-Morales, Marie Catherine,Boll, David,Dávila-Ortíz de Montellano, Astrid,Rasmussen, Tetsuo,Ashizawa, Juan,Fernandez-Ruiz, Petra,Yescas-Gómez, Miguel Ángel,Ramírez-García

Cerebellum (London, England) · 2025-01-16

pmid:39820777

Diagnosis of hereditary ataxias: a real-world single center experience.

Adriana,Meli, Vincenzo,Montano, Giovanni,Palermo, Antonella,Fogli, Anna,Rocchi, Annalisa Lo,Gerfo, Rossella,Maltomini, Ludovica,Cori, Antonio,Siniscalchi, Clara,Bernardini, Giulia,Cecchi, Gabriele,Siciliano, Roberto,Ceravolo, Maria Adelaide,Caligo, Michelangelo,Mancuso, Piervito,Lopriore

Journal of neurology · 2025-01-15

pmid:39812846

Dentatorubral pallidoluysian atrophy with cognitive impairment, epilepsy, movement disorders, and psychosis - a case.

Byong-Kyu,Kim, Jin-Mo,Park

Neurocase · 2025-01-01

pmid:39742457

IRF2BPL-Related Disorder, Causing Neurodevelopmental Disorder with Regression, Abnormal Movements, Loss of Speech and Seizures (NEDAMSS) Is Characterized by Pathology Consistent with DRPLA.

Sunita,Venkateswaran, Jean,Michaud, Yoko,Ito, Michael,Geraghty, Evan C,Lewis, Benjamin,Ellezam, Kym M,Boycott, David A,Dyment, Kristin D,Kernohan

Movement disorders : official journal of the Movement Disorder Society · 2024-09-03

pmid:39224955