Ataxia and cerebellar anomalies - narrow panel
Gene: KIF1A
The rating of this gene has been updated to green following NHS Genomic Medicine Service approval.Created: 5 Feb 2023, 5:18 p.m. | Last Modified: 5 Feb 2023, 5:18 p.m.
Panel Version: 3.30
Comment on list classification: There are sufficient cases (>3) with monoallelic KIF1A variants and cerebellar atrophy and/or ataxia to rate as Green on this panel.Created: 5 Aug 2021, 4:12 p.m. | Last Modified: 5 Aug 2021, 4:12 p.m.
Panel Version: 2.226
Comment on mode of inheritance: Cerebellar anomalies associated with recessive KIF1A-related HSP are significantly milder than those observed in individuals with dominant HSP or NESCAV syndrome. There are also only 2 families with biallelic variants who presented with the relevant features, which does not reach the threshold for inclusion under this MOI at this time.
For this reason, the MOI has been set to 'monoallelic' only with the 'watchlist_MOI' tag to monitor future evidence linking biallelic variants with cerebellar ataxia.Created: 5 Aug 2021, 4:12 p.m. | Last Modified: 5 Aug 2021, 4:12 p.m.
Panel Version: 2.225
KIF1A is associated HSP type 30 (MIM# 610357) which can be inherited recessively or dominantly, as well as NESCAV syndrome (MIM# 614255) caused by heterozygous variants in this gene.
Cerebellar signs including: ataxia; dysmetria; and saccadic ocular pursuit, associated with mild cerebellar atrophy, were reported in 2/4 families with recessive HSP (PMID: 21487076; 22258533; 28332297).
Variable ataxic features, cerebellar signs and cerebellar atrophy have been described in multiple cases with the complex forms of dominant KIF1A-related HSP (PMID: 31805580; 32737135), but these features are even more prominent in individuals with NESCAV syndrome (PMID: 25265257; 26125038; 26354034; 32096284; 34121983).
Of note, at least 11 heterozygous cases have been described in which congenital or early onset ataxia with cerebellar signs was the presenting clinical feature (PMID: 26354034; 32737135; 32746806; https://doi.org/10.1016/j.ejpn.2017.04.926)
Sources: LiteratureCreated: 5 Aug 2021, 4:10 p.m.
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes
Spastic paraplegia 30, autosomal dominant, OMIM:610357; Spastic paraplegia 30, autosomal recessive, OMIM:610357; NESCAV syndrome, OMIM:614255
Publications
Tag Q3_21_rating was removed from gene: KIF1A.
Source Expert Review Green was added to KIF1A. Source NHS GMS was added to KIF1A. Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Gene: kif1a has been classified as Amber List (Moderate Evidence).
Mode of inheritance for gene: KIF1A was changed from MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
gene: KIF1A was added gene: KIF1A was added to Ataxia and cerebellar anomalies - narrow panel. Sources: Literature Q3_21_rating, watchlist_moi tags were added to gene: KIF1A. Mode of inheritance for gene: KIF1A was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted Publications for gene: KIF1A were set to 22258533; 28332297; 25265257; 26125038; 26354034; 31805580; 32096284; 32737135; 32746806; 34121983; https://doi.org/10.1016/j.ejpn.2017.04.926 Phenotypes for gene: KIF1A were set to Spastic paraplegia 30, autosomal dominant, OMIM:610357; Spastic paraplegia 30, autosomal recessive, OMIM:610357; NESCAV syndrome, OMIM:614255 Review for gene: KIF1A was set to GREEN