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<span>Multiple system atrophy</span>
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<span class="page-url print-only">URL of this page: https://medlineplus.gov/genetics/condition/multiple-system-atrophy/</span>
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<h1>Multiple system atrophy</h1>
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<div class="main">
<div class="mp-exp exp-full" data-bookmark="description">
<h2>Description</h2>
<section><div class="mp-content"><p>Multiple system atrophy is a progressive brain disorder that affects movement and balance and disrupts the function of the autonomic nervous system. The autonomic nervous system controls body functions that are mostly involuntary, such as regulation of blood pressure. The most frequent autonomic symptoms associated with multiple system atrophy are a sudden drop in blood pressure upon standing (<a data-pid="16977" href="https://medlineplus.gov/genetics/condition/orthostatic-hypotension/">orthostatic hypotension</a>), urinary difficulties, and erectile dysfunction in men.</p><p>Researchers have described two major types of multiple system atrophy, which are distinguished by their major signs and symptoms at the time of diagnosis. In one type, known as MSA-P, a group of movement abnormalities called parkinsonism are predominant. These abnormalities include unusually slow movement (bradykinesia), muscle rigidity, tremors, and an inability to hold the body upright and balanced (postural instability). The other type of multiple system atrophy, known as MSA-C, is characterized by <a class="image-modal" data-alt="Healthy brain versus a brain with cerebellar damage. The cerebellum, at the base of the brain, is smaller than that in the healthy brain." data-caption="" data-credit="joshya/Shutterstock.com" data-filepath="images/PX0000UK_PRESENTATION.jpeg" data-imgtype="genetics" data-pix="PX0000UK" data-sourceurl="" data-title="Healthy brain and brain with cerebellar damage leading to ataxia" href="https://medlineplus.gov/images/PX0000UK_PRESENTATION.jpeg" id="PX0000UK_2" title="Show image">cerebellar ataxia<img alt="" aria-hidden="true" class="image-modal-icon" src="https://medlineplus.gov/css/img/icon_camera_small.png"/></a>, which causes problems with coordination and balance. This form of the condition can also include speech difficulties (dysarthria) and problems controlling eye movement.</p><p>Multiple system atrophy usually occurs in older adults; on average, signs and symptoms appear around age 55. The condition worsens with time, and affected individuals survive an average of 10 years after the signs and symptoms first appear.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="frequency">
<h2>Frequency</h2>
<section><div class="mp-content"><p>Multiple system atrophy has a prevalence of 2 to 5 per 100,000 people.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="causes">
<h2>Causes</h2>
<section><div class="mp-content"><p>Multiple system atrophy is a complex condition that is likely caused by the interaction of multiple genetic, environmental, and lifestyle factors. Some of these factors have been identified, but many remain unknown.</p><p>Changes in several genes are being studied as possible risk factors for multiple system atrophy. The genetic risk factors with the most evidence are variants in the <i><a data-pid="17419" href="https://medlineplus.gov/genetics/gene/snca/">SNCA</a></i> and <i><a data-pid="19693" href="https://medlineplus.gov/genetics/gene/coq2/">COQ2</a></i> genes. The <i>SNCA</i> gene provides instructions for making a protein called alpha-synuclein, which is abundant in normal brain cells but whose function is unknown. Studies suggest that several common variations in the <i>SNCA</i> gene are associated with an increased risk of multiple system atrophy in people of European descent. It is unclear whether these variations also affect disease risk in other populations. The <i>COQ2</i> gene provides instructions for making a protein called coenzyme Q2. This enzyme carries out one step in the production of a molecule called coenzyme Q10, which has a critical role in energy production within cells. Variations in the <i>COQ2</i> gene have been associated with multiple system atrophy in people of Japanese descent, but this association has not been found in other populations. It is unclear how changes in the <i>SNCA</i> or <i>COQ2</i> gene increase the risk of developing multiple system atrophy.</p><p>Researchers have also examined environmental factors that could contribute to the risk of multiple system atrophy. Initial studies suggested that exposure to solvents, certain types of plastic or metal, and other potential toxins might be associated with the condition. However, these associations have not been confirmed.</p><p>In all cases, multiple system atrophy is characterized by clumps of abnormal alpha-synuclein protein that, for unknown reasons, build up in cells in many parts of the brain and spinal cord. Over time, these clumps (which are known as inclusions) damage cells in parts of the nervous system that control movement, balance and coordination, and autonomic functioning. The progressive loss of cells in these regions underlies the major features of multiple system atrophy.</p></div>
</section>
<section>
<div class="related-genes mp-exp exp-full">
<h3>Learn more about the genes associated with Multiple system atrophy</h3>
<ul class="relatedmp">
<li><a href="https://medlineplus.gov/genetics/gene/coq2/">COQ2</a></li>
<li><a href="https://medlineplus.gov/genetics/gene/snca/">SNCA</a></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="inheritance">
<h2>Inheritance</h2>
<section><div class="mp- mp-content"><p>Most cases of multiple system atrophy are sporadic, which means they occur in people with no history of the disorder in their family. Rarely, the condition has been reported to run in families; however, it usually does not have a clear pattern of inheritance.</p></div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="synonyms">
<h2>Other Names for This Condition</h2>
<section>
<ul class="bulletlist">
<li>MSA</li> <li>OPCA</li> <li>Progressive autonomic failure with multiple system atrophy</li> <li>SDS</li> <li>Shy-Drager syndrome</li> <li>Sporadic olivopontocerebellar atrophy</li>
</ul>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="resources">
<h2>Additional Information & Resources</h2>
<section>
<div class="mp-content">
<h2>Genetic Testing Information</h2>
<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/gtr/conditions/C3714927/" target="TheNewWin">Genetic Testing Registry: Multiple system atrophy 1, susceptibility to</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Genetic and Rare Diseases Information Center</h2>
<ul>
<li><a href="https://rarediseases.info.nih.gov/diseases/7079/index" target="TheNewWin">Multiple system atrophy</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Patient Support and Advocacy Resources</h2>
<ul>
<li><a href="https://rarediseases.org/" target="TheNewWin">National Organization for Rare Disorders (NORD)</a></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Clinical Trials</h2>
<ul>
<li><a href="https://clinicaltrials.gov/search?cond=%22Multiple system atrophy%22" target="TheNewWin">ClinicalTrials.gov</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Catalog of Genes and Diseases from OMIM</h2>
<ul>
<li><a href="https://omim.org/entry/146500" target="TheNewWin">MULTIPLE SYSTEM ATROPHY 1, SUSCEPTIBILITY TO; MSA1</a></li>
</ul>
</div>
</section>
<section>
<div class="mp-content">
<h2>Scientific Articles on PubMed</h2>
<ul>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/?term=%28Multiple+System+Atrophy%5BMAJR%5D%29+AND+%28multiple+system+atrophy%5BTI%5D%29+AND+english%5Bla%5D+AND+human%5Bmh%5D+AND+%22last+360+days%22%5Bdp%5D" target="TheNewWin">PubMed</a> <span class="desc-text"><img alt="From the National Institutes of Health" title="From the National Institutes of Health" src="https://medlineplus.gov/images/nih.png" class="imgdesc" width="25" height="16"></span></li>
</ul>
</div>
</section>
</div>
<div class="mp-exp exp-full" data-bookmark="references">
<h2>References</h2>
<section>
<div class="mp-content">
<ul>
<li>Al-Chalabi A, Durr A, Wood NW, Parkinson MH, Camuzat A, Hulot JS, Morrison KE,
Renton A, Sussmuth SD, Landwehrmeyer BG, Ludolph A, Agid Y, Brice A, Leigh PN,
Bensimon G; NNIPPS Genetic Study Group. Genetic variants of the alpha-synuclein
gene SNCA are associated with multiple system atrophy. PLoS One. 2009 Sep
22;4(9):e7114. doi: 10.1371/journal.pone.0007114. <a href="https://pubmed.ncbi.nlm.nih.gov/19771175" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743996/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Fanciulli A, Wenning GK. Multiple-system atrophy. N Engl J Med. 2015 Jan
15;372(3):249-63. doi: 10.1056/NEJMra1311488. No abstract available. <a href="https://pubmed.ncbi.nlm.nih.gov/25587949" target="TheNewWin">Citation on PubMed</a></li>
<li>Federoff M, Schottlaender LV, Houlden H, Singleton A. Multiple system atrophy:
the application of genetics in understanding etiology. Clin Auton Res. 2015
Feb;25(1):19-36. doi: 10.1007/s10286-014-0267-5. Epub 2015 Feb 17. <a href="https://pubmed.ncbi.nlm.nih.gov/25687905" target="TheNewWin">Citation on PubMed</a></li>
<li>Gilman S, Wenning GK, Low PA, Brooks DJ, Mathias CJ, Trojanowski JQ, Wood NW,
Colosimo C, Durr A, Fowler CJ, Kaufmann H, Klockgether T, Lees A, Poewe W, Quinn
N, Revesz T, Robertson D, Sandroni P, Seppi K, Vidailhet M. Second consensus
statement on the diagnosis of multiple system atrophy. Neurology. 2008 Aug
26;71(9):670-6. doi: 10.1212/01.wnl.0000324625.00404.15. <a href="https://pubmed.ncbi.nlm.nih.gov/18725592" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2676993/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Low PA, Reich SG, Jankovic J, Shults CW, Stern MB, Novak P, Tanner CM, Gilman
S, Marshall FJ, Wooten F, Racette B, Chelimsky T, Singer W, Sletten DM, Sandroni
P, Mandrekar J. Natural history of multiple system atrophy in the USA: a
prospective cohort study. Lancet Neurol. 2015 Jul;14(7):710-9. doi:
10.1016/S1474-4422(15)00058-7. Epub 2015 May 27. <a href="https://pubmed.ncbi.nlm.nih.gov/26025783" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472464/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Multiple-System Atrophy Research Collaboration. Mutations in COQ2 in familial
and sporadic multiple-system atrophy. N Engl J Med. 2013 Jul 18;369(3):233-44.
doi: 10.1056/NEJMoa1212115. Epub 2013 Jun 12. Erratum In: N Engl J Med. 2014 Jul
3;371(1):94. <a href="https://pubmed.ncbi.nlm.nih.gov/23758206" target="TheNewWin">Citation on PubMed</a></li>
<li>Scholz SW, Houlden H, Schulte C, Sharma M, Li A, Berg D, Melchers A, Paudel R,
Gibbs JR, Simon-Sanchez J, Paisan-Ruiz C, Bras J, Ding J, Chen H, Traynor BJ,
Arepalli S, Zonozi RR, Revesz T, Holton J, Wood N, Lees A, Oertel W, Wullner U,
Goldwurm S, Pellecchia MT, Illig T, Riess O, Fernandez HH, Rodriguez RL, Okun MS,
Poewe W, Wenning GK, Hardy JA, Singleton AB, Del Sorbo F, Schneider S, Bhatia KP,
Gasser T. SNCA variants are associated with increased risk for multiple system
atrophy. Ann Neurol. 2009 May;65(5):610-4. doi: 10.1002/ana.21685. Erratum In:
Ann Neurol. 2010 Feb;67(2):277. Del Sorbo, Francesca [added]; Schneider, Susanne
[added]; Bhatia, Kailash P [added]. <a href="https://pubmed.ncbi.nlm.nih.gov/19475667" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520128/" target="TheNewWin">Free article on PubMed Central</a></li>
<li>Stemberger S, Scholz SW, Singleton AB, Wenning GK. Genetic players in multiple
system atrophy: unfolding the nature of the beast. Neurobiol Aging. 2011
Oct;32(10):1924.e5-14. doi: 10.1016/j.neurobiolaging.2011.04.001. Epub 2011 May
24. <a href="https://pubmed.ncbi.nlm.nih.gov/21601954" target="TheNewWin">Citation on PubMed</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3157605/" target="TheNewWin">Free article on PubMed Central</a></li>
</ul>
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