Evidence map›Paper›PMID 25267340›Full record

ArticleJournal of neurology2014

Compound heterozygous PNPLA6 mutations cause Boucher-Neuhäuser syndrome with late-onset ataxia.

A Deik, B Johannes, J C Rucker, E Sánchez, S E Brodie, E Deegan, K Landy, Y Kajiwara, S Scelsa, R Saunders-Pullman and 1 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. International journal of molecular sciences · 2025
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  8. Review
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  11. Autosomal recessive adult onset ataxia.Journal of neurology · 2022
    Article
  12. Insects · 2021
    Article
  13. Movement Disorders Associated with Hypogonadism.Movement disorders clinical practice · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

A DeikDepartment of Neurology, Parkinson's Disease and Movement Disorders Center, University of Pennsylvania, 330 S. 9th Street, Philadelphia, PA, 19107, USA.
B Johannes
J C Rucker
E Sánchez
S E Brodie
E Deegan
K Landy
Y Kajiwara
S Scelsa
R Saunders-Pullman
C Paisán-Ruiz
Icahn School of Medicine at Mount Sinai · USMount Sinai Beth Israel · USChild Health and Development Institute · USUniversity of Pennsylvania · US

Funding

Elucidating and understanding the genetic basis of movement disordersR01NS079388 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PAISAN-RUIZ, CORO · 2013 to 2017
$1.9M
Phenotypic Spectrum of LRRK2 MutationsK02NS073836 · NINDS · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI SAUNDERS-PULLMAN, RACHEL · 2011 to 2015
$879k
NINDS NIH HHS K02 NS073836NINDS NIH HHS K02NS073836NINDS NIH HHS R01 NS079388NINDS NIH HHS R01NS079388
6 · The paper itself

Abstract

PNPLA6 mutations, known to be associated with the development of motor neuron phenotypes, have recently been identified in families with Boucher-Neuhäuser syndrome. Boucher-Neuhäuser is a rare autosomal recessive syndrome characterized by the co-occurrence of cerebellar ataxia, hypogonadotropic hypogonadism, and chorioretinal dystrophy. Gait ataxia in Boucher-Neuhäuser usually manifests before early adulthood, although onset in the third or fourth decade has also been reported. However, given the recent identification of PNPLA6 mutations as the cause of this condition, the determining factors of age of symptom onset still need to be established. Here, we have identified a sporadic Boucher-Neuhäuser case with late-onset gait ataxia and relatively milder retinal changes due to compound heterozygous PNPLA6 mutations. Compound heterozygosity was confirmed by cloning and sequencing the patient's genomic DNA from coding exons 26-29. Furthermore, both mutations (one novel and one known) fell in the phospholipase esterase domain, where most pathogenic mutations seem to cluster. Taken together, we herein confirm PNPLA6 mutations as the leading cause of Boucher-Neuhäuser syndrome and suggest inquiring about a history of hypogonadism or visual changes in patients presenting with late-onset gait ataxia. We also advocate for neuroophthalmologic evaluation in suspected cases.

Indexed as

AcyltransferasesAge of OnsetAtaxiaExonsFemaleHeterozygoteHumansHypogonadismMiddle AgedMutationPhospholipasesRetinal DegenerationRetinal DystrophiesSpinocerebellar AtaxiasAcyltransferasesPhospholipasesPNPLA6 protein, human

Identifiers

PMID25267340
PMCPMC4245359
OpenAlexW1965797947

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.