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August 16, 2026Journal of Medical Genetics

Childhood-onset neurodegeneration and brain atrophy: defining UBTF -related developmental regression and progressive ataxia

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Authors

ANAmanda NagyALAnna LuddyFMFrancine Molay

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Overview

Observational study reveals motor decline and elevated neurofilament light chain in UBTF-related neurodegeneration, highlighting digital and molecular biomarkers for tracking progression.

Key Points

  • To define the clinical natural history, motor decline, and translational biomarkers of UBTF-related childhood-onset neurodegeneration with brain atrophy.
  • Administered cross-sectional clinical surveys to caregivers of 11 individuals with CONDBA.
  • Evaluated motor ataxia using the Brief Ataxia Rating Scale (BARS) alongside remote wrist and ankle accelerometry in a patient cohort (N=5).
  • Quantified neurofilament light chain (NFL) concentrations in the clinic cohort and an in vivo Ubtf E210K knock-in mouse model.
  • Caregiver surveys (N=11) revealed developmental regression onset at a median of 3.5 years (range 0.5–5 years), with 82% developing ataxia.
  • Remote accelerometry demonstrated high test-retest reliability, correlated with BARS ataxia severity scores, and captured longitudinal motor activity declines.
  • Neurofilament light chain levels were abnormally elevated in both affected individuals and the Ubtf E210K knock-in mouse model.

Cite This Study

Nagy et al. (2026) studied this question.

synapsesocial.com/papers/6a8179cbf2fb91fc834ad2a0https://doi.org/10.1136/jmg-2025-111356
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Overview of UBTF Neuroregression Syndrome2024 · 2 citations
  2. 2<i>UBTF</i>haploinsufficiency associated with<i>UBTF</i>-related global developmental delay and distinctive facial features without neuroregression2024 · 1 citations
  3. 3Genotypic and radiological expansion of CONDSIAS2026
  4. 4Early-onset epileptic encephalopathy combined with cerebellar ataxia: A case report expanding the phenotypic spectrum of UBA5-related disorders2026
  5. 5A Novel TUBB2A Variant Causing Ataxia With Preserved Ambulation Into Adulthood.2026