Evidence map›Paper›PMID 34037856›Full record

ArticleJournal of neurology2021

Mutations in MT-ATP6 are a frequent cause of adult-onset spinocerebellar ataxia.

Dagmar Nolte, Jun-Suk Kang, Amrei Hofmann, Eva Schwaab, Heidrun H Krämer, Ulrich Müller

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Journal of neuromuscular diseases · 2026
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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

6 authors at 4 institutions in 1 country.

Dagmar NolteInstitut für Humangenetik , Justus-Liebig-Universität Giessen, Schlangenzahl 14, Giessen, 35392, Germany. dagmar.nolte@humangenetik.med.uni-giessen.de.ORCID http://orcid.org/0000-0001-5710-8790
Jun-Suk KangKlinikum der Johann Wolfgang Goethe-Universität, Klinik für Neurologie, Frankfurt, Germany.
Amrei HofmannInstitut für Humangenetik , Justus-Liebig-Universität Giessen, Schlangenzahl 14, Giessen, 35392, Germany.
Eva SchwaabPraxis für Humangenetik , Wiesbaden, Germany.
Heidrun H KrämerKlinik für Neurologie , Justus-Liebig-Universität Giessen, Giessen, Germany.
Ulrich MüllerInstitut für Humangenetik , Justus-Liebig-Universität Giessen, Schlangenzahl 14, Giessen, 35392, Germany.
Justus-Liebig-Universität Gießen · DEGoethe University Frankfurt · DEPraxis für Humangenetik Tübingen · DEUniversity of Applied Sciences Worms · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult-onset ataxias are a genetically and clinically heterogeneous group of movement disorders. In addition to nuclear gene mutations, sequence changes have also been described in the mitochondrial genome. Here, we present findings of mutation analysis of the mitochondrial gene MT-ATP6. We analyzed 94 patients with adult-onset spinocerebellar ataxia (SCA), including 34 sporadic cases. In all patients, common sequence changes found in SCAs such as repeat expansions and point mutations had been excluded previously. We found pathogenic MT-ATP variants in five of these patients (5.32%), two of whom were sporadic. Four of the five mutations have not previously been described in ataxias. All but one of these mutations affect transmembrane helices of subunit-α of ATP synthase. Two mutations (p.G16S, and p.P18S) disrupt transmembrane helix 1 (TMH1), one mutation (p.G167D) affects TMH5, and another one (p.L217P) TMH6. The fifth mutation (p.T96A) describes an amino acid change in close proximity to transmembrane helix 3 (TMH3). The level of heteroplasmy was either complete or very high ranging from 87 to 99%. The high prevalence of pathogenic MT-ATP6 variants suggests that analysis of this gene should be included in the routine workup of both hereditary and sporadic ataxias.

Indexed as

Mitochondrial Proton-Translocating ATPasesSpinocerebellar AtaxiasAdultAtaxiaDNA Mutational AnalysisHumansMutationMitochondrial Proton-Translocating ATPasesMT-ATP6 protein, humanAdult-onset ataxiaATP synthaseComplex V defectMT-ATP6

Identifiers

PMID34037856
PMCPMC8563540
OpenAlexW3165563211

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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.