“…Disturbances of these processes may have different consequences depending on the underlying genetic defect and its effect at protein level [23]. For example, impaired synaptic signaling due to Purkinje cell degeneration may be related to pathogenetic variants in: 1) mitochondrial tRNA aminoacylation genes, such as RARS2, leading to EOA(D+) [35][36][37], or 2) transcriptional regulator genes, like ATNX1, leading to LOA(D+) [23,38,39]. Interestingly, biological processes related to cellular organization and nervous system development were enriched in all gene groups, possibly suggesting a common developmental origin for ataxia-dystonia.…”