Evidence map›Paper›PMID 42067721›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Biallelic SYNJ1 Variants in a patient with multiple system atrophy mimic syndrome.

Yiying Zhang, Yixin Kang, Xiaosheng Zheng, Haotian Wang, Zhidong Cen, Wei Luo

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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yiying Zhang *Department of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, 310009, China.
Yixin Kang *Department of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, 310009, China.
Xiaosheng ZhengDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, 310009, China.
Haotian WangDepartment of Nuclear Medicine and PET-CT Center, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Zhidong CenDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, 310009, China. cenzd@zju.edu.cn.
Wei LuoDepartment of Neurology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, 310009, China. luoweirock@zju.edu.cn.ORCID http://orcid.org/0000-0001-6951-7698

Funding

the Key Research and Development Program of Zhejiang Province 2024C03100 and 2025C01120the National Natural Science Foundation of China 82471435
6 · The paper itself

Abstract

backgroundBiallelic variants in SYNJ1 were initially identified in early-onset Parkinson's disease, often accompanied by atypical neurological manifestations. However, their occurrence in patients with a multiple system atrophy-mimicking phenotype has not been well described.

methodsA 71-year-old Chinese woman with gradually worsening motor and autonomic symptoms was assessed. The evaluation included clinical examination, genetic testing, and functional studies.

resultsThe patient exhibited gait instability, cerebellar ataxia, parkinsonism, urinary autonomic dysfunction, and poor levodopa responsiveness. Genetic analysis identified novel compound heterozygous SYNJ1 variants (c.1574 A > G and c.142G > T). Functional assays evaluating each variant individually showed reduced synaptojanin-1 abundance without altered localization.

conclusionsThis case expands the clinical context in which biallelic SYNJ1 variants may be implicated and suggests that SYNJ1 analysis could be considered in atypical parkinsonism with cerebellar dysfunction.

Indexed as

HSP40 Heat-Shock ProteinsMultiple System AtrophyParkinsonian DisordersPhosphoric Monoester HydrolasesAgedCerebellar AtaxiaFemaleHumansPhosphoinositide 5-PhosphatasesHSP40 Heat-Shock ProteinsPhosphoinositide 5-PhosphatasesPhosphoric Monoester HydrolasesAtypical parkinsonismBiallelic variantsCerebellar ataxiaMultiple system atrophy mimicSYNJ1

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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.