Evidence map›Paper›PMID 40299270›Full record

SynthesisJournal of applied genetics2025

Spinocerebellar ataxia 27B (SCA27B)-a systematic review and a case report of a Polish family.

Adam S Hirschfeld, Julia O Misiorek, Magdalena Dabrowska, Jakub Muszynski, Brandon J Gerhart, Michał Zenczak, Magdalena Rakoczy, Katarzyna Rolle, Pawel M Switonski, Jill S Napierala and 3 more

Abstract readSystematic ReviewCase Reports
In one paragraph

Synthesis in Journal of applied genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

13 authors.

Adam S Hirschfeld *Chair and Department of Medical Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60 - 806, Poznan, Poland. ahirschfeld@ump.edu.pl.ORCID http://orcid.org/0009-0000-7409-2698
Julia O Misiorek *Department of Molecular Neurooncology, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14 , 61 - 704 , Poznan, Poland.
Magdalena DabrowskaDepartment of Genome Engineering, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14, 61 - 704, Poznan, Poland.
Jakub MuszynskiDiagnostyka GENESIS, J. H. Dabrowskiego 77A, 60 - 406, Poznan, Poland.
Brandon J GerhartDepartment of Neurology, O'Donnell Brain Institute, University of Texas Southwestern Medical Center, 6000 Harry Hines Blvd., Suite NL9.108 A, Dallas, TX, 75390 - 8813, USA.
Michał ZenczakLaboratory of Genomics, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14, 61 - 704, Poznan, Poland.
Magdalena RakoczyLaboratory of Genomics, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14, 61 - 704, Poznan, Poland.
Katarzyna RolleDepartment of Molecular Neurooncology, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14 , 61 - 704 , Poznan, Poland.
Pawel M SwitonskiDepartment of Neuronal Cell Biology, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14, 61 - 704, Poznan, Poland.
Jill S NapieralaDepartment of Neurology, O'Donnell Brain Institute, University of Texas Southwestern Medical Center, 6000 Harry Hines Blvd., Suite NL9.108 A, Dallas, TX, 75390 - 8813, USA.
Luiza HandschuhLaboratory of Genomics, Institute of Bioorganic Chemistry Polish Academy of Sciences, Z. Noskowskiego 12/14, 61 - 704, Poznan, Poland.
Marek NapieralaDepartment of Neurology, O'Donnell Brain Institute, University of Texas Southwestern Medical Center, 6000 Harry Hines Blvd., Suite NL9.108 A, Dallas, TX, 75390 - 8813, USA. marek.napierala@utsouthwestern.edu.
Magdalena Badura-StronkaChair and Department of Medical Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60 - 806, Poznan, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dominantly inherited GAA repeat expansions in the FGF14 gene have recently been identified as the cause of spinocerebellar ataxia 27B (SCA27B). Our study focused on a Polish patient case along with asymptomatic family members. Moreover, we systematically reviewed available case reports to better understand the SCA27B phenotype. Genetic tests for SCA27B were performed on genomic DNA isolated from blood. Long-range polymerase chain reaction (LR-PCR) followed by Nanopore sequencing was conducted to establish the number of GAA repeats. The available literature was systematically reviewed per the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-analyses. The patient's genetic studies identified pure expansions of (GAA) 420/94 repeats in FGF14, confirming the SCA27B diagnosis. A systematic review of 815 cases provides further insight into the typical clinical presentation, with gait ataxia (95.96%) being the most prevalent symptom, followed by abnormal saccadic pursuits (80.69%), nystagmus (71.15%), diplopia (54.05%), and dysarthria (51.22%). Notably, 41.87% of cases exhibited episodic symptoms. The correlation between GAA repeat expansions and the pathogenesis of SCA27B requires further studies. The unique course of the disease with episodic symptoms may cause diagnostic difficulties. Due to its high prevalence in the European population, SCA27B should be considered when diagnosing the causes of late-onset cerebellar ataxia.

Indexed as

Spinocerebellar AtaxiasTrinucleotide Repeat ExpansionAdultFemaleFibroblast Growth FactorsHumansMaleMiddle AgedPedigreePhenotypePolandfibroblast growth factor 14Fibroblast Growth FactorsDownbeat nystagmusFGF14GAA repeatsLOCASCA27B

Identifiers

PMID40299270
PMCPMC12605495

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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.