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Spinocerebellar ataxia type 19 (SCA19) is a very rare subtype of type I autosomal dominant cerebellar ataxia (ADCA type I). It is characterized by mild cerebellar ataxia, cognitive impairment, low scores on the Wisconsin Card Sorting Test measuring executive function, myoclonus, and postural tremor.
Features include always present findings: Shrinkage of the cerebellum (cerebellar atrophy) and Gait ataxia; and very common findings: Dysarthria. 17 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Hyporeflexia, Difficulty swallowing (dysphagia), Truncal ataxia |
KCND3 encodes potassium voltage-gated channel subfamily D member 3 (655 aa). Pore-forming (alpha) subunit of voltage-gated A-type potassium channels that mediates transmembrane potassium transport in excitable membranes, in brain and heart. Highest expression in Brain Cerebellar Hemisphere (62.6 TPM) and Brain Cerebellum (56.0 TPM).
Spinocerebellar ataxia type 19/22 is associated with mutations in the KCND3 gene on chromosome 1.
The KCND3 protein participates in KCND tetramer:KCNIP tetramer transport K+ from cytosol to extracellular region pathway.
KCND3 is classified as a druggable target (Druggable Genome and Ion Channel categories) with score 3.3.
Genetic testing for KCND3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 1 very common feature, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
8 publications have been identified in PubMed for spinocerebellar ataxia type 19/22. Research spans Basic Science / Preclinical (50%), Case Report / Case Series (25%), and Review / Meta-Analysis (13%).
Ishibashi K (2026). [PMID: 41686818](https://pubmed.ncbi.nlm.nih.gov/41686818/). *Clin Nucl Med*. [Epidemiology / Natural History]
Ma CY (2026). [PMID: 41554439](https://pubmed.ncbi.nlm.nih.gov/41554439/). *Mech Ageing Dev*. [Basic Science / Preclinical]
Lee CJ (2025). [PMID: 40471914](https://pubmed.ncbi.nlm.nih.gov/40471914/). *Acta Neurol Taiwan*. [Review / Meta-Analysis]
Arancibia F (2025). [PMID: 40140957](https://pubmed.ncbi.nlm.nih.gov/40140957/). *Biol Res*. [Basic Science / Preclinical]
Hsiao CT (2025). [PMID: 40293501](https://pubmed.ncbi.nlm.nih.gov/40293501/). *Cell Mol Life Sci*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 3:06 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Eyes
3 |
Gaze-evoked horizontal nystagmus, Saccadic smooth pursuit interruptions, Nystagmus |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Muscles | 1 | Shrinkage of the cerebellum (cerebellar atrophy) |
Bones and joints | 1 | Postural tremor |
Arms and legs | 1 | Limb ataxia |
Avila-Jaque D (2024). [PMID: 38180701](https://pubmed.ncbi.nlm.nih.gov/38180701/). *Cerebellum*. [Case Report / Case Series]
Reis MC (2024). [PMID: 39180521](https://pubmed.ncbi.nlm.nih.gov/39180521/). *J Cell Mol Med*. [Basic Science / Preclinical]
Contaldi E (2024). [PMID: 37857779](https://pubmed.ncbi.nlm.nih.gov/37857779/). *Cerebellum*. [Case Report / Case Series]