Evidence map›Paper›PMID 26995604›Full record

ArticleCerebellum (London, England)2017

Pure Cerebellar Ataxia with Homozygous Mutations in the PNPLA6 Gene.

Sarah Wiethoff, Conceição Bettencourt, Reema Paudel, Prochi Madon, Yo-Tsen Liu, Joshua Hersheson, Noshir Wadia, Joy Desai, Henry Houlden

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Cerebellum (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. International journal of molecular sciences · 2026
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  11. Insects · 2021
    Article
  12. Loss ofInternational journal of molecular sciences · 2021
    Article
  13. A novel PNPLA6 mutation in a Turkish family with intractable Holmes tremor and spastic ataxia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  14. Article
  15. Article
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  17. Review
  18. Lipid-metabolizing serine hydrolases in the mammalian central nervous system: endocannabinoids and beyond.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2019
    Review
  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

9 authors at 4 institutions in 3 countries.

Sarah WiethoffDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK. s.wiethoff.12@ucl.ac.uk.
Conceição BettencourtDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Reema PaudelDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Prochi MadonDepartment of Assisted Reproduction and Genetics, Jaslok Hospital and Research Centre, Mumbai, 400026, India.
Yo-Tsen LiuDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Joshua HershesonDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Noshir WadiaDepartment of Neurology, Jaslok Hospital and Research Centre, Mumbai, India.
Joy DesaiDepartment of Neurology, Jaslok Hospital and Research Centre, Mumbai, India.
Henry HouldenDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
University College London · GBJaslok Hospital · INNational Hospital for Neurology and Neurosurgery · GBNational Yang Ming Chiao Tung University · TW

Funding

Medical Research Council G0802760Medical Research Council G1001253Medical Research Council G108/638Medical Research Council MR/J004758/1
6 · The paper itself

Abstract

Autosomal-recessive cerebellar ataxias (ARCA) are clinically and genetically heterogeneous conditions primarily affecting the cerebellum. Mutations in the PNPLA6 gene have been identified as the cause of hereditary spastic paraplegia and complex forms of ataxia associated with retinal and endocrine manifestations in a field where the genotype-phenotype correlations are rapidly expanding. We identified two cousins from a consanguineous family belonging to a large Zoroastrian (Parsi) family residing in Mumbai, India, who presented with pure cerebellar ataxia without chorioretinal dystrophy or hypogonadotropic hypogonadism. We used a combined approach of clinical characterisation, homozygosity mapping, whole-exome and Sanger sequencing to identify the genetic defect in this family. The phenotype in the family was pure cerebellar ataxia. Homozygosity mapping revealed one large region of shared homozygosity at chromosome 19p13 between affected individuals. Within this region, whole-exome sequencing of the index case identified two novel homozygous missense variants in the PNPLA6 gene at c.3847G>A (p.V1283M) and c.3929A>T (p.D1310V) in exon 32. Both segregated perfectly with the disease in this large family, with only the two affected cousins being homozygous. We identified for the first time PNPLA6 mutations associated with pure cerebellar ataxia in a large autosomal-recessive Parsi kindred. Previous mutations in this gene have been associated with a more complex phenotype but the results here suggest an extension of the associated disease spectrum.

Indexed as

MutationAcyltransferasesAgedCerebellar AtaxiaConsanguinityFamilyFemaleHumansMaleMiddle AgedPedigreePhenotypePhospholipasesSequence Homology, Amino AcidAcyltransferasesPhospholipasesPNPLA6 protein, humanCerebellar ataxiaGeneMutationsPNPLA6

Identifiers

PMID26995604
PMCPMC5243903
OpenAlexW2310823434

What OpenQuestion holds

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Registered trials

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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.