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X-linked sideroblastic anemia and ataxia

Reviewed April 2009

What is X-linked sideroblastic anemia and ataxia?

X-linked sideroblastic anemia and ataxia is a rare condition characterized by a blood disorder called sideroblastic anemia and movement problems known as ataxia. This condition occurs only in males.

Sideroblastic anemia results when developing red blood cells called erythroblasts do not make enough hemoglobin, which is the protein that carries oxygen in the blood. People with X-linked sideroblastic anemia and ataxia have mature red blood cells that are smaller than normal (microcytic) and appear pale (hypochromic) because of the shortage of hemoglobin. This disorder also leads to an abnormal accumulation of iron in red blood cells. The iron-loaded erythroblasts, which are present in bone marrow, are called ring sideroblasts. These abnormal cells give the condition its name. Unlike other forms of sideroblastic anemia, X-linked sideroblastic anemia and ataxia does not cause a potentially dangerous buildup of iron in the body. The anemia is typically mild and usually does not cause any symptoms.

X-linked sideroblastic anemia and ataxia causes problems with balance and coordination that appear early in life. The ataxia primarily affects the trunk, making it difficult to sit, stand, and walk unassisted. In addition to ataxia, people with this condition often have trouble coordinating movements that involve judging distance or scale (dysmetria) and find it difficult to make rapid, alternating movements (dysdiadochokinesis). Mild speech difficulties (dysarthria), tremor, and abnormal eye movements have also been reported in some affected individuals.

How common is X-linked sideroblastic anemia and ataxia?

X-linked sideroblastic anemia and ataxia is a rare disorder; only a few affected families have been reported.

What genes are related to X-linked sideroblastic anemia and ataxia?

Mutations in the ABCB7 gene cause X-linked sideroblastic anemia and ataxia. The ABCB7 gene provides instructions for making a protein that is critical for heme production. Heme is a component of the hemoglobin protein, which is vital for supplying oxygen to the entire body. The ABCB7 protein also plays a role in the formation of certain proteins containing clusters of iron and sulfur atoms. Overall, researchers believe that the ABCB7 protein helps maintain an appropriate balance of iron (iron homeostasis) in developing red blood cells.

ABCB7 mutations slightly alter the structure of the ABCB7 protein, disrupting its usual role in heme production and iron homeostasis. Anemia results when heme cannot be produced normally, and therefore not enough hemoglobin is made. It is unclear how changes in the ABCB7 gene lead to ataxia and other problems with movement.

Related Gene(s)

Changes in this gene are associated with X-linked sideroblastic anemia and ataxia.

  • ABCB7

How do people inherit X-linked sideroblastic anemia and ataxia?

This condition is inherited in an X-linked recessive pattern. The gene associated with this condition is located on the X chromosome, which is one of the two sex chromosomes. In males (who have only one X chromosome), one altered copy of the gene in each cell is sufficient to cause the condition. In females (who have two X chromosomes), a mutation would have to occur in both copies of the gene to cause the disorder. Because it is unlikely that females will have two altered copies of this gene, males are affected by X-linked recessive disorders much more frequently than females. A characteristic of X-linked inheritance is that fathers cannot pass X-linked traits to their sons.

In X-linked recessive inheritance, a female with one altered copy of the gene in each cell is called a carrier. Carriers of an ABCB7 mutation can pass on the mutated gene but do not develop ataxia or other health problems associated with X-linked sideroblastic anemia and ataxia. However, carriers may have abnormally small, pale red blood cells and related changes that can be detected with a blood test.

Where can I find information about diagnosis or management of X-linked sideroblastic anemia and ataxia?

These resources address the diagnosis or management of X-linked sideroblastic anemia and ataxia and may include treatment providers.

  • Gene Review: X-Linked Sideroblastic Anemia and Ataxia (http://www.ncbi.nlm.nih.gov/books/NBK1321)
  • Genetic Testing Registry: Anemia sideroblastic and spinocerebellar ataxia (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1845028)
  • MedlinePlus Encyclopedia: Anemia (http://www.nlm.nih.gov/medlineplus/ency/article/000560.htm)

You might also find information on the diagnosis or management of X-linked sideroblastic anemia and ataxia in Educational resources (http://ghr.nlm.nih.gov/condition/x-linked-sideroblastic-anemia-and-ataxia/show/Educational+resources) and Patient support (http://ghr.nlm.nih.gov/condition/x-linked-sideroblastic-anemia-and-ataxia/show/Patient+support).

General information about the diagnosis (http://ghr.nlm.nih.gov/handbook/consult/diagnosis) and management (http://ghr.nlm.nih.gov/handbook/consult/treatment) of genetic conditions is available in the Handbook. Read more about genetic testing (http://ghr.nlm.nih.gov/handbook/testing), particularly the difference between clinical tests and research tests (http://ghr.nlm.nih.gov/handbook/testing/researchtesting).

To locate a healthcare provider, see How can I find a genetics professional in my area? (http://ghr.nlm.nih.gov/handbook/consult/findingprofessional) in the Handbook.

Where can I find additional information about X-linked sideroblastic anemia and ataxia?

You may find the following resources about X-linked sideroblastic anemia and ataxia helpful. These materials are written for the general public.

You may also be interested in these resources, which are designed for healthcare professionals and researchers.

What other names do people use for X-linked sideroblastic anemia and ataxia?

  • XLSA/A

For more information about naming genetic conditions, see the Genetics Home Reference Condition Naming Guidelines (http://ghr.nlm.nih.gov/ConditionNameGuide) and How are genetic conditions and genes named? (http://ghr.nlm.nih.gov/handbook/mutationsanddisorders/naming) in the Handbook.

What if I still have specific questions about X-linked sideroblastic anemia and ataxia?

Ask the Genetic and Rare Diseases Information Center (http://rarediseases.info.nih.gov/gard).

What glossary definitions help with understanding X-linked sideroblastic anemia and ataxia?

anemia ; ataxia ; bone marrow ; carrier ; cell ; chromosome ; dysarthria ; dysmetria ; gene ; heme ; hemoglobin ; homeostasis ; hypochromic ; inheritance ; inherited ; iron ; mutation ; nystagmus ; oxygen ; protein ; recessive ; sex chromosomes ; strabismus ; tremor ; X-linked recessive

You may find definitions for these and many other terms in the Genetics Home Reference Glossary (http://ghr.nlm.nih.gov/glossary).

References

  • Bottomley SS. Congenital sideroblastic anemias. Curr Hematol Rep. 2006 Mar;5(1):41-9. Review. (http://www.ncbi.nlm.nih.gov/pubmed/16537045?dopt=Abstract)
  • Camaschella C. Recent advances in the understanding of inherited sideroblastic anaemia. Br J Haematol. 2008 Oct;143(1):27-38. doi: 10.1111/j.1365-2141.2008.07290.x. Epub 2008 Jul 14. Review. (http://www.ncbi.nlm.nih.gov/pubmed/18637800?dopt=Abstract)
  • Fleming MD. The genetics of inherited sideroblastic anemias. Semin Hematol. 2002 Oct;39(4):270-81. Review. (http://www.ncbi.nlm.nih.gov/pubmed/12382202?dopt=Abstract)
  • Gene Review: X-Linked Sideroblastic Anemia and Ataxia (http://www.ncbi.nlm.nih.gov/books/NBK1321)
  • Hellier KD, Hatchwell E, Duncombe AS, Kew J, Hammans SR. X-linked sideroblastic anaemia with ataxia: another mitochondrial disease? J Neurol Neurosurg Psychiatry. 2001 Jan;70(1):65-9. (http://www.ncbi.nlm.nih.gov/pubmed/11118249?dopt=Abstract)
  • Pagon RA, Bird TD, Detter JC, Pierce I. Hereditary sideroblastic anaemia and ataxia: an X linked recessive disorder. J Med Genet. 1985 Aug;22(4):267-73. (http://www.ncbi.nlm.nih.gov/pubmed/4045952?dopt=Abstract)

 

The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? (http://ghr.nlm.nih.gov/handbook/consult/findingprofessional) in the Handbook.

 
Reviewed: April 2009
Published: April 13, 2015