Evidence map›Paper›PMID 40990218›Full record

ArticleAnnals of neurology2026

Resilience to Endoplasmic Reticulum Stress Mitigates Membrane Hyperexcitability Underlying Late Disease Onset in a Murine Model of SCA6.

Haoran Huang, Taylor L Charron, Min Fu, Miranda Dunn, Deborah M Jones, Praveen Kumar, Satoshi Ishishita, Allan-Hermann Pool, Ashwinikumar Kulkarni, Genevieve Konopka and 1 more

Abstract read
In one paragraph

Article in Annals of neurology, 2026. 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
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Haoran Huang *Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Taylor L Charron *Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Min FuDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Miranda DunnDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Deborah M JonesDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Praveen KumarDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.
Satoshi IshishitaDepartment of Neuroscience, University of Texas Southwestern Medical Center, Dallas, TX.ORCID 0000-0003-4440-4878
Allan-Hermann PoolDepartment of Neuroscience, University of Texas Southwestern Medical Center, Dallas, TX.
Ashwinikumar KulkarniDepartment of Neuroscience, University of Texas Southwestern Medical Center, Dallas, TX.
Genevieve KonopkaDepartment of Neuroscience, University of Texas Southwestern Medical Center, Dallas, TX.
Vikram G ShakkottaiDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, TX.ORCID 0000-0003-2742-6469

Funding

Identifying symptomatic and neuroprotective strategies for cerebellar ataxiaR01NS085054 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI SHAKKOTTAI, VIKRAM GOVINDARAJU · 2013 to 2023
$4.3M
Understanding Degeneration in Neurons of the Inferior Olivary NucleusR01NS128285 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI Vikram Govindaraju Shakkottai · 2024 to 2026
$1.5M
NINDS NIH HHS R01 NS085054NINDS NIH HHS R01 NS128285
6 · The paper itself

Abstract

objectiveAn enduring puzzle in many inherited neurological disorders is the late onset of symptoms despite expression of function-impairing mutant protein early in life. We examined the basis for onset of impairment in spinocerebellar ataxia type 6 (SCA6), a canonical late-onset neurodegenerative ataxia which results from a polyglutamine expansion in the voltage gated calcium channel, Cav2.1.

methodsWe performed serial transcriptome analysis with weighted gene correlation network analysis to investigate mechanisms for resilience in SCA6 mice that prevent onset of symptoms. We examined changes in membrane excitability that result in cerebellar Purkinje neuron spiking abnormalities through patch-clamp recordings of Purkinje neurons in acute brain slices.

resultsUsing unbiased transcriptome analysis, we identified endoplasmic reticulum (ER) stress as a driver of disease. Using spatial transcriptome analysis, we identified Purkinje neuron specific changes in unfolded protein response (UPR) related pathways. Novel activation of a store-operated calcium current due to ER stress is the cause for Purkinje neuron spiking abnormalities in SCA6 mice. The impairments in Purkinje neuron spiking are unrelated to Cav2.1 ion-flux function. Redundant pathways of the UPR act through a HSP90-dependent mechanism to mitigate this ER stress.

interpretationOur studies support a model whereby proteotoxicity from misfolded mutant Cav2.1 is mitigated by a HSP90-dependent UPR, and age-related breakdown of this response causes motor dysfunction and aberrant Purkinje neuron spiking. These studies elucidate a mechanism of resilience connecting aberrant proteostasis and calcium-dependent intrinsic membrane hyperexcitability to explain delayed disease onset more widely in age-dependent neurodegenerative disease. ANN NEUROL 2026;99:502-522.

Indexed as

Endoplasmic Reticulum StressPurkinje CellsSpinocerebellar AtaxiasAnimalsCalcium Channels, N-TypeDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, TransgenicUnfolded Protein ResponseCalcium Channels, N-Type

Identifiers

PMID40990218
PMCPMC12894513

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.