Evidence map›Paper›PMID 33602173›Full record

ArticleBMC neurology2021

A heterozygous mutation in the CCDC88C gene likely causes early-onset pure hereditary spastic paraplegia: a case report.

Ashraf Yahia, Zhefan Stephen Chen, Ammar E Ahmed, Sara Emad, Rawaa Adil, Rayan Abubaker, Shaimaa Omer M A Taha, Mustafa A Salih, Liena Elsayed, Ho Yin Edwin Chan and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Spinocerebellar ataxia type 40 presenting with isolated cervical dystonia: expanding the phenotypic spectrum.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  2. A Boy with a Novel Variant inChildren (Basel, Switzerland) · 2025
    Article
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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 4 countries.

Ashraf Yahia *Department of Biochemistry, Faculty of Medicine, University of Khartoum, Alqsr Street, Khartoum, Sudan.
Zhefan Stephen Chen *School of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, SAR, China.
Ammar E AhmedDepartment of Physiology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Sara EmadFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Rawaa AdilFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Rayan AbubakerInstitute of Endemic Diseases, University of Khartoum, Khartoum, Sudan.
Shaimaa Omer M A TahaDepartment of Radiology, Dar Al Elaj Specialized Hospital, Khartoum, Sudan.
Mustafa A SalihDivision of Pediatric Neurology, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Liena ElsayedDepartment of Biochemistry, Faculty of Medicine, University of Khartoum, Alqsr Street, Khartoum, Sudan. doctorlbo@hotmail.com.ORCID http://orcid.org/0000-0001-5753-6760
Ho Yin Edwin ChanSchool of Life Sciences, Faculty of Science, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, SAR, China.
Giovanni StevaninInstitut du Cerveau, INSERM U1127, CNRS UMR7225, Sorbonne Université, Paris, France.
University of Khartoum · SDCentre National de la Recherche Scientifique · FRChinese University of Hong Kong · HKKing Saud University · SA

Funding

College of Medicine, King Saud University RSP-2020/38CUHK Gerald Choa Neuroscience Centre grant 7105306Horizon 2020 779257 Solve-RD
6 · The paper itself

Abstract

backgroundCCDC88C is a ubiquitously expressed protein with multiple functions, including roles in cell polarity and the development of dendrites in the nervous system. Bi-allelic mutations in the CCDC88C gene cause autosomal recessive congenital hydrocephalus (OMIM #236600). Studies recently linked heterozygous mutations in CCDC88C to the development of the late-onset spinocerebellar ataxia type 40 (OMIM #616053). CASE PRESENTATION: A 48-year-old Sudanese female presented with pure early onset hereditary spastic paraplegia. Exome sequencing, in-silico analysis, and Sanger sequencing identified the heterozygous NM_001080414.4:c.1993G > A (p.E665K) variant in CCDC88C as a potential cause of her illness. To explore the pathogenicity of the NM_001080414.4:c.1993G > A (p.E665K) variant, we expressed it in human embryonic kidney 293 cells and assessed its effects on apoptosis. In our experiment, NM_001080414.4:c.1993G > A (p.E665K) induced JNK hyper-phosphorylation and enhanced apoptosis. In contrast to previous reports, our patient developed neurological symptoms in early childhood and showed neither features of cerebellar ataxia, extrapyramidal signs, nor evidence of intellectual involvement.

conclusionWe, herein, heighlighted the possibility of extending the phenotype associated with variants in CCDC88C to include early-onset pure hereditary spastic paraplegia.

Indexed as

FemaleHeterozygoteHumansIntracellular Signaling Peptides and ProteinsMicrofilament ProteinsMiddle AgedMutationSpastic Paraplegia, HereditaryCCDC88C protein, humanIntracellular Signaling Peptides and ProteinsMicrofilament ProteinsCCDC88CHereditary spastic paraplegiaSpinocerebellar ataxia type 40Sudan

Identifiers

PMID33602173
PMCPMC7890981
OpenAlexW3130497428

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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.