The Cerebellum,
Journal Year:
2023,
Volume and Issue:
23(2), P. 601 - 608
Published: July 10, 2023
Spinocerebellar
ataxias
(SCAs)
are
familial
neurodegenerative
diseases
involving
the
cerebellum
and
spinocerebellar
tracts.
While
there
is
variable
involvement
of
corticospinal
tracts
(CST),
dorsal
root
ganglia,
motor
neurons
in
SCA3,
SCA6
characterized
by
a
pure,
late-onset
ataxia.
Abnormal
intermuscular
coherence
beta-gamma
frequency
range
(IMCβγ)
implies
lack
integrity
CST
or
afferent
input
from
acting
muscles.
We
test
hypothesis
that
IMCβγ
has
potential
to
be
biomarker
disease
activity
SCA3
but
not
SCA6.
Intermuscular
between
biceps
brachii
brachioradialis
muscles
was
measured
surface
EMG
waveforms
(N
=
16)
20)
patients
neurotypical
subjects
23).
IMC
peak
frequencies
were
present
β
SCA
γ
subjects.
The
difference
amplitudes
ranges
significant
when
comparing
control
(p
<
0.01)
patients.
amplitude
smaller
compared
0.05),
different
metrics
can
differentiate
normal
controls.
Frontiers in Physiology,
Journal Year:
2024,
Volume and Issue:
15
Published: Jan. 29, 2024
Numerous
neurodegenerative
diseases
result
from
altered
ion
channel
function
and
mutations.
The
intracellular
redox
status
can
significantly
alter
the
gating
characteristics
of
channels.
Abundant
associated
with
oxidative
stress
have
been
documented,
including
Parkinson’s,
Alzheimer’s,
spinocerebellar
ataxia,
amyotrophic
lateral
sclerosis,
Huntington’s
disease.
Reactive
oxygen
nitrogen
species
compounds
trigger
posttranslational
alterations
that
target
specific
sites
within
subunits
responsible
for
assembly.
These
include
adjustment
cysteine
residues
through
reactions
induced
by
reactive
(ROS),
nitration,
S-nitrosylation
assisted
nitric
oxide
tyrosine
peroxynitrite.
Several
channels
directly
investigated
their
functional
responses
to
oxidizing
agents
stress.
This
review
primarily
explores
relationship
potential
links
between
in
conditions,
such
as
cerebellar
ataxias
Parkinson’s
correlation
could
hold
promise
developing
innovative
therapies
common
diseases.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(8), P. 4323 - 4323
Published: April 13, 2024
Neurodegenerative
disorders
(NDs)
represent
a
group
of
different
diseases
characterized
by
the
progressive
degeneration
and
death
nervous
system's
cells.
The
diagnosis
is
challenging,
especially
in
early
stages,
due
to
no
specific
clinical
signs
symptoms.
In
this
context,
laboratory
medicine
could
support
clinicians
detecting
differentiating
NDs.
Indeed,
biomarkers
indicate
pathological
mechanisms
underpinning
ideal
biofluid
for
NDs
cerebrospinal
fluid
(CSF),
which
has
limitations,
hampering
its
widespread
use
practice.
However,
intensive
efforts
are
underway
introduce
high-sensitivity
analytical
methods
detect
ND
alternative
nonivasive
biofluid,
such
as
blood
or
saliva.
This
study
presents
an
overview
molecular
currently
used
For
some
diseases,
Alzheimer's
disease
multiple
sclerosis,
well
established
recommended
guidelines.
most
NDs,
research
ongoing
identify
reliable
biomarkers,
consensus
yet
been
achieved.
Movement Disorders Clinical Practice,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 28, 2025
Abstract
Background
Clinical
outcomes
assessments
(COAs)
in
spinocerebellar
ataxia
(SCA)
need
to
be
standardized,
ataxia‐specific,
sensitive
change,
clinically
relevant,
and
meaningful
patients.
Objectives
To
evaluate
the
longitudinal
1‐
2‐year
performances
of
different
patient
reported
outcomes,
including
Patient
Reported
Outcome
Measure
Ataxia
(PROM‐Ataxia),
clinician
FARS
SARA,
those
with
early
manifest
symptoms
SCA
1,
2,
3,
6.
Methods
We
studied
53
patients
stage
SCA1‐3
SCA6
from
The
Instrumented
Data
Exchange
for
Study
24
age‐matched
healthy
controls.
Participants
were
seen
every
6
months
2
years.
Mixed
models
used
estimate
change
over
12‐
24‐months
follow‐up.
Changes
on
FARS‐FS
PGI‐C
as
anchors
changes.
Results
Among
persons
SCA,
mean
age
was
48.7
years
SARA
score
9.3.
Few
measures
showed
statistically
significant
changes
at
12
months.
At
24‐months,
FARS‐ADL,
PROM‐Ataxia
total,
physical,
ADL
scores
strongest
associations
change.
Conclusions
or
derived
outcome
measures,
such
FARS‐ADL
sub
domain
PROM‐Ataxia,
can
capture
patients’
symptom
experience
a
period
its
impact
daily
activities,
even
disease.
More
work
is
needed
identify
that
reliably
earlier.
Annals of Neurology,
Journal Year:
2023,
Volume and Issue:
94(4), P. 658 - 671
Published: May 27, 2023
Spinocerebellar
ataxia
type
3
(SCA3)
is
the
most
common
dominantly
inherited
ataxia,
and
biomarkers
are
needed
to
noninvasively
monitor
disease
progression
treatment
response.
Anti-ATXN3
antisense
oligonucleotide
(ASO)
has
been
shown
mitigate
neuropathology
rescue
motor
phenotypes
in
SCA3
mice.
Here,
we
investigated
whether
repeated
ASO
administration
reverses
brainstem
cerebellar
neurochemical
abnormalities
by
magnetic
resonance
spectroscopy
(MRS).
Cells,
Journal Year:
2024,
Volume and Issue:
13(4), P. 319 - 319
Published: Feb. 9, 2024
Cerebellar
ataxias
are
a
wide
heterogeneous
group
of
movement
disorders.
Within
this
broad
umbrella
diseases,
there
both
genetics
and
sporadic
forms.
The
clinical
presentation
these
conditions
can
exhibit
diverse
range
symptoms
across
different
age
groups,
spanning
from
pure
cerebellar
manifestations
to
sensory
ataxia
multisystemic
diseases.
Over
the
last
few
decades,
advancements
in
our
understanding
molecular
pathophysiology
related
dominant
recessive
have
propelled
field
forward,
paving
way
for
innovative
therapeutic
strategies
aimed
at
preventing
arresting
progression
Nevertheless,
rarity
certain
forms
continues
pose
challenges,
leading
limited
insights
into
etiology
disease
identification
target
pathways.
Additionally,
lack
suitable
models
hampers
efforts
comprehensively
understand
foundations
disease’s
test
novel
interventions.
In
following
review,
we
describe
epidemiology,
symptomatology,
pathological
hereditary
ataxia,
including
prevalent
less
common
Furthermore,
illustrate
pathways
approaches
currently
undergoing
investigation
pre-clinical
studies
trials.
Finally,
address
existing
anticipated
challenges
within
field,
encompassing
basic
research
endeavors.
The Cerebellum,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 12, 2024
This
study
aimed
to
generate
evidence
support
psychometric
validity
of
the
modified
functional
Scale
for
Assessment
and
Rating
Ataxia
(f-SARA)
among
patients
with
spinocerebellar
ataxia
(SCA).
Psychometric
measurement
properties
minimal
change
thresholds
f-SARA
were
evaluated
using
data
from
a
cohort
SCA
subjects
(recruited
at
Massachusetts
General
Hospital
[MGH];
n
=
33)
phase
3
trial
troriluzole
in
adults
(NCT03701399
[Study
206];
217),
including
subset
SCA3
genotype
(n
89).
item
ceiling
effects
absent
within
MGH
cohort,
while
floor
present.
Excellent
internal
consistency
reliability
was
demonstrated
(α
Neurology and Therapy,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 13, 2025
The
Friedreich
Ataxia
Rating
Scale–Activities
of
Daily
Living
(FARS-ADL)
is
a
valid,
highly
utilized
measure
for
assessing
ADL
impacts
in
patients
with
ataxia.
We
provide
evidence
the
psychometric
validity
FARS-ADL
two
cohorts
spinocerebellar
ataxia
(SCA).
Using
data
from
cohort
real-world
subjects
SCA
(recruited
at
Massachusetts
General
Hospital
[MGH];
n
=
33)
and
phase
3
trial
troriluzole
adults
(NCT03701399
[Study
206];
217),
comprising
subset
SCA3
genotype
(n
89),
measurement
properties
minimal
change
thresholds
were
examined.
Ceiling
effects
absent
within
MGH
while
floor
observed
eight
nine
items.
Excellent
internal
consistency
reliability
was
(αtotal
0.88;
αitems−removed
0.86–0.87),
item-to-total
correlations
acceptable
(r
0.55–0.89
per
item).
Convergent
divergent
supported
strong
demonstrated
between
scales
measuring
similar
concepts
(Neuro-QOL
[Upper],
Neuro-QOL
[Lower],
PROM-ADL,
PROM-PHYS,
FARS-FUNC;
all
P
<
0.001)
weaker
shown
measures
differing
constructs.
A
two-
to
three-point
threshold
meaningful
changes
as
0.5
×
SD
2.43,
SEM
2.19.
Mean
baseline
classified
"improved,"
"no
change,"
or
"deteriorated"
−0.54,
0.22,
1.47,
respectively.
Similar
trends
Study
206
all-SCA
cohorts.
Psychometric
evaluation
showed
that
performed
well
on
analyses
examining
can
detect
SCA,
including
those
SCA3.
ClinicalTrials.gov
identifier,
NCT03701399
(Study
206).
Biomedicines,
Journal Year:
2023,
Volume and Issue:
11(2), P. 247 - 247
Published: Jan. 18, 2023
Machado-Joseph
disease
(MJD)/spinocerebellar
ataxia
type
3
(SCA3)
is
the
most
common
autosomal
dominant
worldwide.
MJD
characterized
by
late-onset
progressive
cerebellar
associated
with
variable
clinical
findings,
including
pyramidal
signs
and
a
dystonic-rigid
extrapyramidal
syndrome.
In
Portuguese
archipelago
of
Azores,
worldwide
population
cluster
for
this
disorder
(prevalence
39
in
100,000
inhabitants),
cohort
mutation
carriers
belonging
to
extensively
studied
pedigrees
has
been
followed
since
late
1990s.
Studies
homogeneous
Azorean
have
contributing
crucial
information
natural
history
as
well
allowing
identification
novel
molecular
biomarkers.
Moreover,
interventional
studies
globally
rare
yet
untreatable
are
emerging,
should
be
even
more
important
recruitment
trial
participants.
paper,
we
profile
carriers,
constituted
at
baseline
20
pre-ataxic
52
patients,
which
currently
integrates
European
spinocerebellar
3/Machado-Joseph
Initiative
(ESMI),
large
longitudinal
cohort.
summarize
main
based
on
highlight
contributions
made
advances
research.
Knowledge
not
only
context
emergent
trials
but
also
pertinent
implementation
adequate
measures,
constituting
relevant
Lay
Associations
providing
data
guide
healthcare
decision
makers.