Evidence map›Paper›PMID 40178244›Full record

ArticleAnnals of clinical and translational neurology2025

Cerebello-Prefrontal Connectivity Underlying Cognitive Dysfunction in Spinocerebellar Ataxia Type 2.

Ami Kumar, Ruo-Yah Lai, Zena Fadel, Yicheng Lin, Pia Parekh, Rachel Griep, Ming-Kai Pan, Sheng-Han Kuo

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

8 authors.

Ami KumarDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.ORCID 0000-0002-3775-6747
Ruo-Yah LaiDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Zena FadelInitiative for Columbia Ataxia and Tremor, Columbia University, New York, New York, USA.
Yicheng LinDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Pia ParekhDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Rachel GriepDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Ming-Kai PanCerebellar Research Center, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin, Taiwan.ORCID 0000-0001-5535-2714
Sheng-Han KuoDepartment of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, USA.ORCID 0000-0002-9412-931X

Funding

Targeting Cerebellar Endoplasmic Reticulum Calcium Handling in Essential TremorR01NS124854 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHYLLIS L FAUST, Sheng-Han Kuo · 2022 to 2026
$2.9M
Targeting Cerebellar Excitatory Synapses for Tremor ProgressionR01NS118179 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2020 to 2024
$2.2M
Developing Purkinje Cell Synaptic Therapies to Restore Circuit Function in Cerebellar DegenerationR01NS136686 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Sheng-Han Kuo · 2025 to 2026
$1.2M
Academia Sinica AS-TM-112-01-02Brain Research FoundationInternational Essential Tremor FoundationNational Ataxia FoundationNational Health Research Institutes NHRI-EX113-11303NINational Science and Technology Council 107-2321-B-002-020National Science and Technology Council 108-2321-002-059-MY2National Science and Technology Council 108-2321-B-002-011National Science and Technology Council 109-2326-B-002-013-MY4National Science and Technology Council 110-2321-B-002-012National Science and Technology Council 111-2628-B-002-036National Science and Technology Council 112-2628-B-002-011National Science and Technology Council 113-2628-B-002-002National Taiwan University College of Medicine 110C101-011National Taiwan University Hospital NSC-145-11NINDS NIH HHS R01 NS118179NINDS NIH HHS R01 NS124854NINDS NIH HHS R01 NS136686Parkinson's Foundation
6 · The paper itself

Abstract

objectiveSpinocerebellar ataxia type 2 (SCA2) is a hereditary cerebellar degenerative disorder, with motor and cognitive symptoms. The constellation of cognitive symptoms due to cerebellar degeneration is named cerebellar cognitive affective syndrome (CCAS), which has increasingly been recognized to profoundly impact patients' quality of life; however, the brain circuits underlying these cognitive dysfunctions remain elusive.

methodsWe utilized a novel technique, cerebello-cortical electroencephalogram (EEG), to investigate the resting-state functional connectivity in different frequency domains in 12 SCA2 patients and 24 age-matched controls. Given that the prefrontal cortex is strongly connected to the cerebellum, we studied the EEG connectivity between the cerebellum and the prefrontal cortex. We also conducted correlation analyses to explore the association between this connectivity and the severity of cognitive dysfunction, determined by CCAS scores.

resultsSource-space spectral analysis differences between SCA2 patients and controls were observed in the cerebellum at the delta, theta, and beta frequencies. Functional connectivity between the posterior cerebellum and the prefrontal cortex revealed decreased theta and increased beta connectivity in SCA2 patients, with no differences in delta connectivity. Increased beta connectivity was unique to the prefrontal regions, not seen in the connectivity to the primary motor cortex or mid-temporal lobe. Interestingly, this beta connectivity correlated with CCAS scores in SCA2 patients.

conclusionOur findings demonstrated that SCA2 patients have an increase in beta cerebello-prefrontal connectivity that correlates with cognitive performance. These findings suggest cerebello-cortical EEG could track circuit dysfunction underlying cognitive symptoms in SCA2, paving the way for developing targeted neuromodulation therapeutics.

Indexed as

CerebellumCognitive DysfunctionNerve NetPrefrontal CortexSpinocerebellar AtaxiasAdultAgedElectroencephalographyFemaleHumansMaleMiddle Agedcerebellumcognitionelectroencephalogram (EEG)functional connectivityspinocerebellar ataxia type 2 (SCA2)

Identifiers

PMID40178244
PMCPMC12172106

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.