Evidence map›Paper›PMID 26889478›Full record

ReviewAnnals of translational medicine2016

Precision medicine in spinocerebellar ataxias: treatment based on common mechanisms of disease.

David D Bushart, Geoffrey G Murphy, Vikram G Shakkottai

Open access · greenAbstract readReview
In one paragraph

Review in Annals of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Update on the Treatment of Ataxia: Medication and Emerging Therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  11. Article
  12. Review
  13. From Pathogenesis to Novel Therapeutics for Spinocerebellar Ataxia Type 3: Evading Potholes on the Way to Translation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Degenerative Ataxias: challenges in clinical research.Annals of clinical and translational neurology · 2017
    Review
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

3 authors at 1 institution in 1 country.

David D Bushart1 Department of Molecular & Integrative Physiology, 2 Molecular & Behavioral Neuroscience Institute, 3 Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.
Geoffrey G Murphy1 Department of Molecular & Integrative Physiology, 2 Molecular & Behavioral Neuroscience Institute, 3 Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.
Vikram G Shakkottai1 Department of Molecular & Integrative Physiology, 2 Molecular & Behavioral Neuroscience Institute, 3 Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.
University of Michigan · US

Funding

Identifying symptomatic and neuroprotective strategies for cerebellar ataxiaR01NS085054 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI SHAKKOTTAI, VIKRAM GOVINDARAJU · 2013 to 2023
$4.3M
Targeting physiologic changes as a route towards therapy for degenerative ataxiasK08NS072158 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHAKKOTTAI, VIKRAM GOVINDARAJU · 2010 to 2014
$885k
A genetic model for investigating gamma-secretaseR15AG028448 · NIA · UNIVERSITY OF WEST FLORIDA · PI CHUNG, HUI-MIN MARIA · 2006 to 2010
$535k
NIA NIH HHS R15 AG028448NINDS NIH HHS K08 NS072158NINDS NIH HHS R01 NS085054
6 · The paper itself

Abstract

Spinocerebellar ataxias (SCAs) are a heterogeneous group of dominantly inherited neurodegenerative disorders affecting the cerebellum and its associated pathways. There are no available symptomatic or disease-modifying therapies available for any of the over 30 known causes of SCA. In order to develop precise treatments for SCAs, two strategies can be employed: (I) the use of gene-targeting strategies to silence disease-causing mutant protein expression; and (II) the identification and targeting of convergent mechanisms of disease across SCAs as a basis for treatment. Gene targeting strategies include RNA interference and antisense oligonucleotides designed to silence mutant genes in order to prevent mutant protein expression. These therapies can be precise, but delivery is difficult and many disease-causing mutations remain unknown. Emerging evidence suggests that several common disease mechanisms may exist across SCAs. Disrupted protein homeostasis, RNA toxicity, abnormal synaptic signaling, altered intracellular calcium handling, and altered Purkinje neuron membrane excitability are all disease mechanisms which are seen in multiple etiologies of SCA and could potentially be targeted for treatment. Clinical trials with drugs such as riluzole, a potassium channel activator, show promise for multiple SCAs and suggest that convergent disease mechanisms do exist and can be targeted. Precise treatment of SCAs may be best achieved through pharmacologic agents targeting specific disrupted pathways.

Indexed as

Ataxiacalciumneurodegenerationneuronal excitabilityprotein misfoldingPurkinje neuronRNA toxicityspinocerebellar ataxias (SCAs)

Identifiers

PMID26889478
PMCPMC4731605
OpenAlexW2255803967

What OpenQuestion holds

Textmetadata
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.