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Spinocerebellar ataxia type 29 (SCA29) is a rare subtype of autosomal dominant cerebellar ataxia type I (ADCA type I) characterized by very slowly progressive or non-progressive ataxia, dysarthria, oculomotor abnormalities and intellectual disability.
Features include always present findings: Decreased body weight, Inability to walk, Strabismus, and Dystonia and others; and very common findings: Tremor, Dysmetria, Intention tremor, and Delayed speech and language development and others. 100 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 31 | Inability to walk, Dystonia, Focal impaired awareness seizure |
ITPR1 encodes inositol 1,4,5-trisphosphate receptor type 1 (2,758 aa). Inositol 1,4,5-trisphosphate-gated calcium channel that, upon inositol 1,4,5-trisphosphate binding, mediates calcium release from the endoplasmic reticulum (ER). Highest expression in Artery Tibial (82.0 TPM) and Brain Cerebellum (76.2 TPM).
Spinocerebellar ataxia type 29 is caused by mutations in the ITPR1 gene on chromosome 3.
The ITPR1 protein participates in AHCYL1:NAD+:ITPR1:I(1,4,5)P3 tetramer and VDAC1,2,3 translocate calcium from the cytosol to the mitochondrial intermembrane space pathways.
ITPR1 is classified as a druggable target (Druggable Genome, Ion Channel, Kinase, and Transporter categories) with score 5.8.
Genetic testing for ITPR1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 58 always present features, 7 very common features, 20 common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
4 publications have been identified in PubMed for spinocerebellar ataxia type 29. Research spans Case Report / Case Series (100%).
Ordaz T (2026). [PMID: 40968496](https://pubmed.ncbi.nlm.nih.gov/40968496/). *Am J Med Genet A*. [Case Report / Case Series]
Cardoso-Teixeira P (2026). [PMID: 42165520](https://pubmed.ncbi.nlm.nih.gov/42165520/). *Eur J Ophthalmol*. [Case Report / Case Series]
In Lee J (2024). [PMID: 38860480](https://pubmed.ncbi.nlm.nih.gov/38860480/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Li R (2024). [PMID: 39011359](https://pubmed.ncbi.nlm.nih.gov/39011359/). *Front Neurol*. [Case Report / Case Series]
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 9:41 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
12 |
Generalized hypotonia, Shrinkage of the cerebellum (cerebellar atrophy), Cerebral cortical atrophy |
Eyes | 11 | Gaze-evoked nystagmus, Strabismus, Nystagmus |
Head and neck | 3 | Microcephaly, High palate, Secondary microcephaly |
Arms and legs | 2 | 2-3 toe syndactyly, Limb dysmetria |
Digestive system | 2 | Difficulty swallowing (dysphagia), Feeding difficulties |
Kidneys and urinary system | 1 | Renal hypoplasia |
Growth and development | 1 | Short stature |
Skin | 1 | Thickened nuchal skin fold |
Pregnancy and birth | 1 | Neonatal hypotonia |
AI-curated news mentioning spinocerebellar ataxia type 29
Updated Mar 14, 2026
A new study provides clinical and genetic insights into pediatric-onset spinocerebellar ataxia type 2, highlighting its rare nature and potential implications for diagnosis and treatment. This research contributes to the understanding of the disease's genetic underpinnings.