Spinocerebellar ataxia type 8
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Also known as SCA8spinocerebellar ataxia 8
Summary
Spinocerebellar ataxia type 8 (MONDO:0012116) is a disease with 2 cohort genes and 3 clinical trials. Top therapeutic interventions include troriluzole and rimtuzalcap.
At a glance
- Prevalence: Unknown (Worldwide)
- Cohort genes: 2
- ClinVar variants: 4
- Phenotypes (HPO): 23
- Clinical trials: 3
Clinical features
Signs & symptoms
Clinical features (HPO)
23 HPO clinical features (Orphanet curated; top 23 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000639 | Nystagmus | Frequent (30-79%) |
| HP:0000802 | Impotence | Frequent (30-79%) |
| HP:0001251 | Ataxia | Frequent (30-79%) |
| HP:0001257 | Spasticity | Frequent (30-79%) |
| HP:0001272 | Cerebellar atrophy | Frequent (30-79%) |
| HP:0001332 | Dystonia | Frequent (30-79%) |
| HP:0001347 | Hyperreflexia | Frequent (30-79%) |
| HP:0002063 | Rigidity | Frequent (30-79%) |
| HP:0002066 | Gait ataxia | Frequent (30-79%) |
| HP:0002067 | Bradykinesia | Frequent (30-79%) |
| HP:0002070 | Limb ataxia | Frequent (30-79%) |
| HP:0002172 | Postural instability | Frequent (30-79%) |
| HP:0002317 | Unsteady gait | Frequent (30-79%) |
| HP:0002464 | Spastic dysarthria | Frequent (30-79%) |
| HP:0006855 | Cerebellar vermis atrophy | Frequent (30-79%) |
| HP:0000020 | Urinary incontinence | Occasional (5-29%) |
| HP:0000273 | Facial grimacing | Occasional (5-29%) |
| HP:0000716 | Depression | Occasional (5-29%) |
| HP:0002015 | Dysphagia | Occasional (5-29%) |
| HP:0002495 | Impaired vibratory sensation | Occasional (5-29%) |
| HP:0002835 | Aspiration | Occasional (5-29%) |
| HP:0007772 | Impaired smooth pursuit | Occasional (5-29%) |
| HP:0012110 | Hypoplasia of the pons | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | spinocerebellar ataxia type 8 |
| Mondo ID | MONDO:0012116 |
| OMIM | 608768 |
| Orphanet | 98760 |
| DOID | DOID:0050959 |
| ICD-11 | 1735913595 |
| SNOMED CT | 715753001 |
| UMLS | C1837454 |
| MedGen | 332457 |
| GARD | 0004956 |
| Is cancer (heuristic) | no |
Also known as: SCA8 · spinocerebellar ataxia 8 · spinocerebellar ataxia type 8
Data availability: 4 ClinVar variants · 3 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › autosomal genetic disease › autosomal dominant disease › autosomal dominant cerebellar ataxia › autosomal dominant cerebellar ataxia type I › spinocerebellar ataxia type 8
Related subtypes (29): Machado-Joseph disease, spinocerebellar ataxia type 29, spinocerebellar ataxia type 34, spinocerebellar ataxia type 1, spinocerebellar ataxia type 2, spinocerebellar ataxia type 4, cerebellar ataxia-areflexia-pes cavus-optic atrophy-sensorineural hearing loss syndrome, autosomal dominant cerebellar ataxia, deafness and narcolepsy, spinocerebellar ataxia type 12, spinocerebellar ataxia type 13, spinocerebellar ataxia type 14, spinocerebellar ataxia type 15/16, spinocerebellar ataxia type 17, spinocerebellar ataxia type 19/22, spinocerebellar ataxia type 21, spinocerebellar ataxia type 18, spinocerebellar ataxia type 20, spinocerebellar ataxia type 25, spinocerebellar ataxia type 27, spinocerebellar ataxia type 23, spinocerebellar ataxia type 28, spinocerebellar ataxia type 35, spinocerebellar ataxia type 32, spinocerebellar ataxia type 36, cerebellar dysfunction with variable cognitive and behavioral abnormalities, spinocerebellar ataxia type 37, spinocerebellar ataxia type 40, spinocerebellar ataxia 46, neurodevelopmental disorder with motor abnormalities, seizures, and facial dysmorphism
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
4 retrieved; paginated sample, class counts are floors:
2 likely pathogenic, 1 benign, 1 pathogenic; risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 562101 | NR_002717.2(ATXN8OS):n.1103CTG[(107_127)] | ATXN8 | Pathogenic; risk factor | no assertion criteria provided |
| 3257724 | NR_002717.2:n.894CTA[(3)]CTG[(317_330)] | ATXN8OS | Likely pathogenic | criteria provided, single submitter |
| 3897714 | NR_002717.2:n.894CTA[1]CTG[144_150] | ATXN8OS | Likely pathogenic | criteria provided, single submitter |
| 192 | NR_002717.2(ATXN8OS):n.1103CTG[15_40] | ATXN8 | Benign | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 3 · Orphanet: 2 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| ATXN8 | Moderate | Autosomal dominant | spinocerebellar ataxia type 8 | 2 |
| ATXN8OS | Moderate | Autosomal dominant | spinocerebellar ataxia type 8 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| ATXN8OS | Orphanet:98760 | Spinocerebellar ataxia type 8 |
| ATXN8 | Orphanet:98760 | Spinocerebellar ataxia type 8 |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| ATXN8OS | HGNC:10561 | ENSG00000230223 | P0DMR3 | Putative protein ATXN8OS | gencc,clinvar |
| ATXN8 | HGNC:32925 | ENSG00000288330 | Q156A1 | Ataxin-8 | gencc,clinvar |
Protein-family classification
Druggable: 0 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Other/Unknown | 2 | 1.8× | 0.312 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| ATXN8OS | Other/Unknown | no | ||
| ATXN8 | Other/Unknown | no |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| pleura | 1 |
| primordial germ cell in gonad | 1 |
| bone marrow cell | 1 |
| cortical plate | 1 |
| monocyte | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| ATXN8OS | 110 | marker | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, pleura | |
| ATXN8 | 35 | bone marrow cell, cortical plate, monocyte |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| ATXN8OS | 0 |
| ATXN8 | 0 |
Structural data
PDB: 0 · AlphaFold-only: 2 · No structure: 0
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| ATXN8 | Q156A1 | 97.39 |
| ATXN8OS | P0DMR3 | 38.88 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 0. Enrichment computed across 2 evidence-associated genes (0 with Reactome annotation).
Therapeutics
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 2
Druggability breadth: 0 of 2 evidence-associated genes (0%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| ATXN8OS | 0 | 0 |
| ATXN8 | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 2 | ATXN8OS, ATXN8 |
Undrugged target profiles
2 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| ATXN8OS | 0 | — |
| ATXN8 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 3.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE3 | 1 |
| PHASE2 | 1 |
| Not specified | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03701399 | PHASE3 | ACTIVE_NOT_RECRUITING | Troriluzole in Adult Participants With Spinocerebellar Ataxia |
| NCT04301284 | PHASE2 | WITHDRAWN | Study of CAD-1883 for Spinocerebellar Ataxia |
| NCT01793168 | Not specified | RECRUITING | Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| TRORILUZOLE | 3 | 1 |
| RIMTUZALCAP | 2 | 1 |
Related Atlas pages
- Cohort genes: ATXN8OS, ATXN8
- Drugs: Troriluzole