Evidence map›Paper›PMID 39095619›Full record

ArticleJournal of neurology2024

Repeat length in spinocerebellar ataxia type 4 (SCA4) predicts age at onset and disease severity.

Andreas Dalski, Martje G Pauly, Henrike Hanssen, Johann Hagenah, Yorck Hellenbroich, Christian Schmidt, Jassemien Strohschehn, Malte Spielmann, Christine Zühlke, Norbert Brüggemann

Abstract read
In one paragraph

Article in Journal of neurology, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Frequency of ZFHX3-Mediated Spinocerebellar Ataxia 4 in a US Undiagnosed Ataxia Cohort.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. Article
  4. Generalized dystonia unraveled: Molecular mechanisms, diagnostic strategies, and treatment paradigms.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  5. Identification of GGC Repeat Expansions in ZFHX3 among Chilean Movement Disorder Patients.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  6. The ZFHX3 GGC Repeat Expansion Underlying Spinocerebellar Ataxia Type 4 has a Common Ancestral Founder.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  7. 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

10 authors.

Andreas Dalski *Institute of Human Genetics, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Martje G Pauly *Department of Neurology, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Henrike HanssenDepartment of Neurology, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Johann HagenahWKK Westkuestenkliniken, Heide, Germany.
Yorck HellenbroichInstitute of Human Genetics, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Christian SchmidtInstitute of Biology, University of Luebeck, Luebeck, Germany.
Jassemien StrohschehnInstitute of Human Genetics, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Malte SpielmannInstitute of Human Genetics, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
Christine Zühlke *Institute of Human Genetics, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany. Christine.Zuehlke@uksh.de.
Norbert Brüggemann *Department of Neurology, University Hospital Schleswig-Holstein, University of Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. Norbert.Brueggemann@uni-luebeck.de.ORCID http://orcid.org/0000-0001-5969-6899

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, an exonic GGC repeat expansion (RE) was identified by long-read genome sequencing in the ZFHX3 gen, causing spinocerebellar ataxia type 4 (SCA4), a dominant form of ataxia with sensory neuropathy. However, the analysis of larger cohorts of patients remained demanding, resulting in a challenge to diagnose patients and leaving the question of anticipation in SCA4 unanswered.

objectivesWe aimed to develop a GGC repeat test for clinical SCA4 screening and to apply this test to screen two large German SCA pedigrees and samples of unrelated patients collected over the last 25 years.

methodsWe modulated a commercial GGC-RE kit (Bio-Techne AmplideX

resultsRepeat size, determined by our protocol for (GGC)

conclusionOur protocol enables cost-effective and robust screening for the causative SCA4 RE within ZFHX3. Furthermore, detailed clinical data of our patients gives a more precise view on SCA4, which seems to be more common among patients with ataxia than expected.

Indexed as

Age of OnsetSeverity of Illness IndexSpinocerebellar AtaxiasAdultAgedFemaleHumansMaleMiddle AgedPedigreeTrinucleotide Repeat ExpansionAnticipationRepeat expansionSCA4Spinocerebellar ataxia

Identifiers

PMID39095619
PMCPMC11377680

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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.