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Doença de Machado–Joseph, tipo 3
ORPHA:276244CID-10 · G11.8CID-11 · 8A03.16DOENÇA RARA

A doença de Machado-Joseph tipo 3 é um subtipo da doença de Machado-Joseph (SCA3/MJD) de gravidade mais leve, caracterizada por um início tardio, progressão mais lenta e pela atrofia (perda e enfraquecimento) dos músculos das extremidades (braços e pernas).

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A doença de Machado-Joseph tipo 3 é um subtipo da doença de Machado-Joseph (SCA3/MJD) de gravidade mais leve, caracterizada por um início tardio, progressão mais lenta e pela atrofia (perda e enfraquecimento) dos músculos das extremidades (braços e pernas).

Pesquisas ativas
1 ensaio
1 total registrados no ClinicalTrials.gov
Publicações científicas
1.105 artigos
Último publicado: 2026 Aug

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Adult
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: G11.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
10 sintomas
💪
Músculos
4 sintomas
👂
Ouvidos
2 sintomas
👁️
Olhos
2 sintomas
😀
Face
1 sintomas
🦴
Ossos e articulações
1 sintomas

+ 17 sintomas em outras categorias

Características mais comuns

90%prev.
Oftalmoplegia externa progressiva
Muito frequente (99-80%)
90%prev.
Ataxia cerebelar progressiva
Muito frequente (99-80%)
90%prev.
Amiotrofia distal do membro inferior
Muito frequente (99-80%)
90%prev.
Anormalidade da função motora extrapiramidal
Muito frequente (99-80%)
55%prev.
Distonia
Frequente (79-30%)
55%prev.
Disfunção do neurônio motor superior
Frequente (79-30%)
38sintomas
Muito frequente (4)
Frequente (25)
Ocasional (9)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 38 características clínicas mais associadas, ordenadas por frequência.

Oftalmoplegia externa progressivaProgressive external ophthalmoplegia
Muito frequente (99-80%)90%
Ataxia cerebelar progressivaProgressive cerebellar ataxia
Muito frequente (99-80%)90%
Amiotrofia distal do membro inferiorDistal lower limb amyotrophy
Muito frequente (99-80%)90%
Anormalidade da função motora extrapiramidalAbnormality of extrapyramidal motor function
Muito frequente (99-80%)90%
DistoniaDystonia
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico1.105PubMed
Últimos 10 anos200publicações
Pico202461 papers
Linha do tempo
2026Hoje · 2026🧪 2009Primeiro ensaio clínico📈 2024Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant.

ATXN3Ataxin-3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Deubiquitinating enzyme involved in protein homeostasis maintenance, transcription, cytoskeleton regulation, myogenesis and degradation of misfolded chaperone substrates (PubMed:12297501, PubMed:16118278, PubMed:17696782, PubMed:23625928, PubMed:28445460, PubMed:33157014). Binds long polyubiquitin chains and trims them, while it has weak or no activity against chains of 4 or less ubiquitins (PubMed:17696782). Involved in degradation of misfolded chaperone substrates via its interaction with STUB

LOCALIZAÇÃO

Nucleus matrixNucleusLysosome membrane

VIAS BIOLÓGICAS (2)
FOXO-mediated transcription of oxidative stress, metabolic and neuronal genesJosephin domain DUBs
MECANISMO DE DOENÇA

Spinocerebellar ataxia 3

Spinocerebellar ataxia is a clinically and genetically heterogeneous group of cerebellar disorders. Patients show progressive incoordination of gait and often poor coordination of hands, speech and eye movements, due to cerebellum degeneration with variable involvement of the brainstem and spinal cord. SCA3 belongs to the autosomal dominant cerebellar ataxias type I (ADCA I) which are characterized by cerebellar ataxia in combination with additional clinical features like optic atrophy, ophthalmoplegia, bulbar and extrapyramidal signs, peripheral neuropathy and dementia. The molecular defect in SCA3 is the a CAG repeat expansion in ATX3 coding region. Longer expansions result in earlier onset and more severe clinical manifestations of the disease.

OUTRAS DOENÇAS (5)
Machado-Joseph diseaseMachado-Joseph disease type 3Machado-Joseph disease type 2Machado-Joseph disease type 1
HGNC:7106UniProt:P54252

Variantes genéticas (ClinVar)

31 variantes patogênicas registradas no ClinVar.

🧬 ATXN3: NM_004993.6(ATXN3):c.321-16C>G ()
🧬 ATXN3: NM_004993.6(ATXN3):c.415G>T (p.Gly139Cys) ()
🧬 ATXN3: NM_004993.6(ATXN3):c.388-5del ()
🧬 ATXN3: NM_004993.6(ATXN3):c.916_917insCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGC (p.Gly306fs) ()
🧬 ATXN3: GRCh37/hg19 14q31.1-32.2(chr14:79886061-96870809)x1 ()
Ver todas no ClinVar

Vias biológicas (Reactome)

2 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico1
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 1 ensaio
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Doença de Machado–Joseph, tipo 3

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Ensaios clínicos abertos e novidades científicas recentes

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Publicações mais relevantes

Timeline de publicações
428 papers (10 anos)
#1

Association of rare apolipoprotein E ε4 homozygosity with an earlier age at onset in spinocerebellar ataxia type 3.

Human molecular genetics2026 Feb 23

Spinocerebellar Ataxia Type 3 (SCA3) is an autosomal dominant neurodegenerative Polyglutamine (polyQ) disease, caused by a cytosine-adenine-guanine (CAG) repeat expansion in the ATXN3 gene, resulting in an expanded polyQ tract in the Ataxin-3 protein. Although the principal genetic determinant of the age at onset (AAO) in polyQ diseases is the expanded CAG repeat length, variability in AAO has been explained only partly, suggesting the existence of additional genetic modifiers. Apolipoprotein E (APOE) haplotypes are associated with the risk of numerous, especially degenerative, diseases. Investigations of a potential role of APOE haplotypes in AAO variability of SCA3 have resulted in partly conflicting outcomes, with current evidence lacking power and patient diversity. To further clarify a potential modifying effect of APOE haplotypes on the AAO in SCA3, over 800 SCA3 patients from different origins were enrolled in the present study. While we did not find an association of common APOE haplotypes or singular APOE alleles with AAO in SCA3, rare ε4 homozygosity was linked to an earlier AAO in individuals from Brazil, with a mean disease onset six years earlier than carriers of other APOE haplotypes. Our study thus provides initial evidence for a relevant impact of ε4 homozygosity on disease onset in SCA3 and provides evidence supporting an allele-dosage effect of APOE ε4 in polyQ diseases.

#2

Gastrodin inhibits the formation of ataxin-3 aggregates by regulating the level of ERK1/2/P38 proteins.

Orphanet journal of rare diseases2026 Feb 19

Spinocerebellar ataxia type 3 (SCA3/Machado-Joseph disease), an incurable autosomal dominant neurodegenerative disorder, is caused by cytotoxic aggregation of polyglutamine-expanded ataxin-3 protein. Novel therapeutic strategies targeting its pathogenesis are urgently needed. Given gastrodin’s established antioxidative and neuroprotective properties, this study investigated its therapeutic potential against SCA3 pathogenesis. Three distinct cell models including parental HEK293T, ataxin-3-15Q (physiologic), and ataxin-3-77Q (pathogenic) were employed to assess gastrodin cytotoxicity, quantify insoluble aggregate formation and measure soluble ataxin-3 levels. Mechanistic studies included antioxidant capacity assays, human phosphokinase array profiling (37 kinases) and western blot validation of MAPK pathway components. Gastrodin treatment showed no cytotoxicity, significantly suppressed ataxin-3-77Q aggregate accumulation (p < 0.01), increased soluble ataxin-3 levels, enhanced cellular antioxidant capacity and selectively downregulated ERK1/2 and p38 proteins in MAPK pathways. We provide first evidence that gastrodin mitigates polyQ-mediated proteotoxicity by reducing ataxin-3 aggregation through suppression of the ERK1/2-p38 signaling axis in cellular models, revealing a novel mechanistic basis for SCA3 therapeutic development. The online version contains supplementary material available at 10.1186/s13023-025-04089-1. Gastrodin’s safety profile was demonstrated in SCA3 cellular models at concentrations up to 100 µM without causing cytotoxicity. Gastrodin significantly reduced the formation of polyQ-expanded ataxin-3 aggregates. There was a dose-dependent increase in soluble ataxin-3 levels by gastrodin. Gastrodin was found to attenuate SCA3 proteotoxicity in cellular models by simultaneously decreasing the total protein levels of ERK1/2 and p38. The online version contains supplementary material available at 10.1186/s13023-025-04089-1.

#3

Peripheral and autonomic nervous system involvement in spinocerebellar ataxia type 3: unveiling an invisible burden.

Journal of neurology2026 Jan 07

Neuropathological examinations in spinocerebellar ataxia type 3 (SCA3) have demonstrated peripheral and autonomic nervous system degeneration, but the impact of associated symptoms on genetically affected individuals at different disease stages remains understudied. To investigate the clinical burden of peripheral and autonomic nervous system involvement in SCA3 mutation carriers across the disease spectrum. Forty SCA3 mutation carriers, including ten pre-ataxic individuals, completed questionnaires about muscle cramps, neuropathic pain, autonomic symptoms, activities of daily living, and quality of life, and underwent a standardized clinical examination of ataxia and neuropathy severity. Data were compared with 16 healthy controls. All but one of the ataxic and 60% of pre-ataxic individuals experienced muscle cramps at least weekly. Neuropathic pain was reported by 20% of pre-ataxic and 16.7% of ataxic mutation carriers, while the average number of autonomic symptoms in both groups was 2 and 4.7, respectively. Neuropathy severity scores were significantly higher in pre-ataxic and ataxic individuals than in healthy controls and associated with (i) worse self-reported functional status and (ii) clinician-reported ataxia severity. The number of autonomic symptoms was associated with patient-reported impairments in daily life and quality of life. Clinical features of peripheral and autonomic nervous system degeneration are very common in SCA3, may already be observed in pre-ataxic individuals, and independently contribute to patient-reported disease burden and clinician-rated overall ataxia severity.

#4

Investigating the pathogenic role of calpain proteases and the therapeutic potential of their inhibition in mice modelling Machado-Joseph disease.

Human molecular genetics2026 Feb 10

Machado-Joseph disease (MJD, also known as spinocerebellar ataxia type-3) is a fatal disease characterised by motor impairments and the presence of aggregated ataxin-3, the protein affected in MJD, in degenerating brain regions. Ataxin-3 protein aggregates have previously been reported to contain both full-length ataxin-3 protein and shorter protein fragments, highlighting proteolytic cleavage as a pathogenic mechanism. Calpains, calcium-activated proteases, have been reported to cleave ataxin-3 and have been implicated in MJD pathogenesis. This study aimed to explore whether calpain proteases were overactive at early, pathogenesis-relevant timepoints in male transgenic CMVMJD135 mice modelling MJD and identify the timepoint of calpain overactivation through obtaining longitudinal plasma samples. We detected increased levels of cleaved αII-spectrin in plasma from MJD mice as early as 12 weeks of age, shortly after the onset of neurological symptoms. Cerebellar and brainstem tissue from 15-week-old mice was immunoblotted, revealing a trend towards increased levels of calpain 1, and increased cleavage of calpain substrates such as αII-spectrin, beclin-1 and TAR DNA binding protein 43 (TDP-43) within the cerebellum. Further, we found that short-term treatment of male MJD mice (from 10 to 12 weeks of age) with the calpain inhibitor compound calpeptin yielded improvements in neurological symptoms and reduced the presence of cleaved αII-spectrin in plasma and cerebellum tissue when compared to vehicle treated MJD males. Our findings suggest that calpain overactivity may be an early disease phenotype that contributes to neurodegeneration in transgenic CMVMJD135 mice modelling MJD, and that calpeptin warrants further investigation as a potential treatment for MJD.

#5

Allosteric Modulation of Pathological Ataxin-3 Aggregation: A Path to Spinocerebellar Ataxia Type-3 Therapies.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)2026 Feb

Spinocerebellar ataxia type 3 (SCA3) is a rare neurodegenerative disorder caused by the expansion of a polyglutamine (polyQ) repeat in ataxin-3 (Atx3) for which no disease-modifying therapies are available. The presence of protein inclusions enriched in polyQ-expanded Atx3 in neurons suggests that inhibiting its self-assembly may provide targeted therapies. Here, it is demonstrated that the supramolecular tweezer CLR01 binds to a lysine residue on a positively charged patch of the Atx3 catalytic Josephin domain, decreasing conformational fluctuations of the distal helical hairpin, without altering its ubiquitin hydrolase activity. This reduces exposure of the aggregation-prone region that initiates Atx3 self-assembly, ultimately delaying Atx3 amyloid fibril formation and reducing the secondary nucleation rate, a process linked to fibril proliferation and toxicity. CLR01's effects translate into the reversal of synapse loss in SCA3 cultured cortical neuron model, improve locomotor function in a Caenorhabditis elegans SCA3 model, and delay disease onset with reduced severity of motor symptoms in a SCA3 mouse model. These insights reveal a novel allosteric site for developing CLR01-inspired therapies targeting pathological aggregation while preserving essential functional sites. They also highlight that targeting allosteric sites in amyloid-forming proteins may provide new opportunities for safe therapeutic strategies for various protein misfolding disorders.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC582 artigos no totalmostrando 196

2026

Association of rare apolipoprotein E ε4 homozygosity with an earlier age at onset in spinocerebellar ataxia type 3.

Human molecular genetics
2026

Extracellular vesicles-mediated delivery of SpCas9 RNPs for therapeutic gene editing in Spinocerebellar Ataxia Type 3.

Biomaterials
2026

Retrotransposition Events Shape the Evolution of the Ataxin-3 Gene Family in Primates.

Genome biology and evolution
2026

IGFBP1 as a metabolic-neurodegenerative biomarker in spinocerebellar ataxia type 3.

Experimental and therapeutic medicine
2026

Gastrodin inhibits the formation of ataxin-3 aggregates by regulating the level of ERK1/2/P38 proteins.

Orphanet journal of rare diseases
2026

Cerebellar magnetic stimulation increased beta power and phase synchronisation in spinocerebellar ataxia type 3.

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
2026

Single-Cell RNA Sequencing Reveals Impaired CHIP-Mediated Heat Stress Response in SCA3 Pathogenesis.

Molecular neurobiology
2026

Peripheral metabolic profiles in spinocerebellar ataxia type 3: Features and genotype-phenotype links.

Parkinsonism &amp; related disorders
2026

Cognitive impairment in SCA3: A multi-center cohort study with demographic, imaging, and biomarker correlates.

Neurobiology of disease
2026

Repurposing of natural products for spinocerebellar ataxia type 3 using integrated network pharmacology and in silico approaches.

Scientific reports
2026

Peripheral and autonomic nervous system involvement in spinocerebellar ataxia type 3: unveiling an invisible burden.

Journal of neurology
2026

Investigating the pathogenic role of calpain proteases and the therapeutic potential of their inhibition in mice modelling Machado-Joseph disease.

Human molecular genetics
2026

Diffusion along perivascular spaces as a marker for Glymphatic system impairment in spinocerebellar Ataxia type 3.

Neurobiology of disease
2026

Brain atrophy staging in spinocerebellar ataxia type 3 for clinical prognosis and trial enrichment.

EBioMedicine
2025

Regional brain atrophy subtypes in spinocerebellar ataxia type 3: links to clinical performance and treatment response.

Journal of neurology
2026

Managing symptoms and improving the quality of life of persons with Machado-Joseph disease.

Expert review of neurotherapeutics
2026

Allosteric Modulation of Pathological Ataxin-3 Aggregation: A Path to Spinocerebellar Ataxia Type-3 Therapies.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2025

Pragmatic Feasibility Study Combining Cerebello-spinal Neuromodulation and Exercise in Spinocerebellar Ataxia Type 3: A 20-session Single-arm Protocol.

Cerebellum (London, England)
2025

Spinocerebellar Ataxia Type 3 Accompanied by Amyotrophic Lateral Sclerosis: A Case Report and Comprehensive Literature Review.

Internal medicine (Tokyo, Japan)
2026

Cerebellar transcranial direct current stimulation in spinocerebellar ataxia type 3: An electric field modelling study.

Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology
2026

Multidimensional abnormal gait analysis and biomarker identification for patients with spinocerebellar ataxia type 3 using an Azure Kinect-based motion capture system.

Gait &amp; posture
2026

The Medication Patterns of Spinocerebellar Ataxia Type 3 Mutation Carriers Enrolled in the ESMI Cohort.

CNS drugs
2026

Extracellular vesicles-associated AAVs for the treatment of Machado-Joseph disease.

Molecular therapy : the journal of the American Society of Gene Therapy
2025

Peripheral inflammation in spinocerebellar ataxia type 3: associations with genetic and clinical manifestations.

Inflammation research : official journal of the European Histamine Research Society ... [et al.]
2025

Cerebello-cortical inhibition underlies the effects of cerebellar magnetic stimulation on spinocerebellar ataxia type 3: A randomized controlled trial.

Brain stimulation
2025

Dysphagia linked to clinical phenotype and disease progression in spinocerebellar ataxia type 3.

European journal of medical research
2025

Article Title: Impact of Dysphagia on Quality of Life in Machado-Joseph Disease.

Cerebellum (London, England)
2025

Long-read sequencing identifies ATXN3 repeat expansions, and transcriptomics reveals disease progression biomarkers and druggable targets for spinocerebellar ataxia type 3.

BMC neurology
2025

Dysarthria in Spinocerebellar Ataxia Type 3: Prevalence and Disease Progression.

Journal of speech, language, and hearing research : JSLHR
2025

Familial spinocerebellar ataxia type 3: A case report of multi-generational presentation.

Medicine
2025

Distribution of perivascular spaces distribution and relate to the clinical features of SCA3.

Orphanet journal of rare diseases
2025

Altered static and dynamic spontaneous brain activity patterns in spinocerebellar ataxia type3 patients.

Journal of neurology
2025

Differential impact of mutant Ataxin-3 in hindbrain regions: further evidence of white matter loss as a core pathological feature.

Experimental neurology
2025

Choroid plexus enlargement correlated with motor dysfunction in spinocerebellar ataxia type 3.

Neurobiology of disease
2025

Gene editing for Spinocerebellar ataxia type 3 taking advantage of the human ATXN3L paralog as replacement gene.

Gene therapy
2025

Spinocerebellar ataxia type 3: from pathogenesis to promising therapeutics.

Trends in molecular medicine
2025

Circadian rhythms are disrupted in patients and preclinical models of Machado-Joseph disease.

Brain : a journal of neurology
2025

Influence of ATXN2 intermediate CAG repeats, 9bp duplication and alternative splicing on SCA3 pathogenesis.

Acta neuropathologica communications
2025

Transcranial alternating current stimulation for treating spinocerebellar ataxia type 3: A randomized controlled trial.

Cell reports. Medicine
2025

Integrative role of diet and gut microbiome dynamics for the interventive therapeutics of Spinocerebellar ataxia type 3: The current update.

Neuroscience
2025

Progressive subcortical involvement as spinocerebellar ataxia type 3 advances.

Orphanet journal of rare diseases
2025

Machado-Joseph disease in Brazil and other South American countries: A systematic Review and Meta-analysis of Prevalence, CAG Repeat Lengths, Age At Onset, and Ancestry.

Cerebellum (London, England)
2025

Therapeutic Effects of Hemerocallis citrina Baroni Extract on Animal Models of Neurodegenerative Diseases Through Serotonin and HLH-30/TFEB-Dependent Mechanisms.

International journal of molecular sciences
2025

Clinical Characteristics of Spinocerebellar Ataxia Type 3 in Uruguay.

Cerebellum (London, England)
2025

Differential effects of lifespan-extending genetic manipulations in an animal model of MJD/SCA3.

Mechanisms of ageing and development
2025

Altered Brain Iron Depositions of Spinocerebellar Ataxia Type 3: From Pre-Symptomatic to Symptomatic Stage.

European journal of neurology
2025

Decreased Peripheral Blood Lymphocytes in Spinocerebellar Ataxia Type 3 Correlate with Disease Severity.

Movement disorders : official journal of the Movement Disorder Society
2025

Genome editing in spinocerebellar ataxia type 3 cells improves Golgi apparatus structure.

Scientific reports
2025

Longitudinal description of health-related quality of life and depressive symptoms in polyQ spinocerebellar ataxia patients.

Journal of neurology
2025

Misdiagnosis of spinocerebellar ataxia type 3 as persistent postural-perceptual dizziness: A case report.

Medicine
2025

Fatigue in the Preataxic and Ataxic Stages of Spinocerebellar Ataxia Type 3.

European journal of neurology
2025

Whole Genome Sequencing-Based Diagnosis of Spinocerebellar Ataxia Type 3 Repeat Expansion Neuromuscular Disorders in an Undiagnosed Patient: Breaking Past Diagnostic Boundaries.

Neurology India
2025

Generation of an induced pluripotent stem cell (iPSC) line (INNDSUi008-A) from a patient with Spinocerebellar Ataxia Type 3.

Stem cell research
2025

Predicting Which Mitophagy Proteins Are Dysregulated in Spinocerebellar Ataxia Type 3 (SCA3) Using the Auto-p2docking Pipeline.

International journal of molecular sciences
2025

Movement Disorders in Hereditary Cerebellar Ataxia.

Movement disorders clinical practice
2025

Effects of trace element dysregulation on brain structure and function in spinocerebellar Ataxia type 3.

Neurobiology of disease
2025

Cerebellar lipid dysregulation in SCA3: A comparative study in patients and mice.

Neurobiology of disease
2025

Assessment of Peripheral Neuropathy Using Current Perception Threshold Measurement in Patients with Spinocerebellar Ataxia Type 3.

Cerebellum (London, England)
2025

Associations between CAG repeat size, brain and spinal cord volume loss, and motor symptoms in spinocerebellar ataxia type 3: a cohort study.

Orphanet journal of rare diseases
2025

Static Posture Instability as a Sensitive Biomarker for Motor Abnormalities in Pre-ataxic Spinocerebellar Ataxia Type 3 Patients.

Movement disorders : official journal of the Movement Disorder Society
2025

Step Width Haptic Feedback for Gait Stability in Spinocerebellar Ataxia: Preliminary Results.

Movement disorders : official journal of the Movement Disorder Society
2025

White matter functional and structural alterations of spinocerebellar ataxia type 3: A longitudinal MRI study.

Neuroscience
2025

Apolipoprotein E epsilon4 allele is associated with better performance language and visual memory in spinocerebellar ataxia type 3.

European journal of neurology
2024

Gray Matter Asymmetry Alterations in Patients With Spinocerebellar Ataxia Type 3: A Voxel-Based Morphometric Comparison Study.

CNS neuroscience &amp; therapeutics
2024

Biochemical analysis to study wild-type and polyglutamine-expanded ATXN3 species.

PloS one
2025

Genetic Analysis of GCA Repeats in the GLS Gene: Implications for Undiagnosed Ataxia and Spinocerebellar Ataxia 3 in Mainland China.

Movement disorders : official journal of the Movement Disorder Society
2024

Regional distribution of polymorphisms associated to the disease-causing gene of spinocerebellar ataxia type 3.

Journal of neurology
2024

Generation of induced pluripotent stem cell line (ZZUi037-A) from a patient with spinocerebellar ataxia type 3.

Stem cell research
2024

Evolutionary model of repeat insertions in Ataxin-3 traces the origin of the polyglutamine stretch to an ancestral ubiquitin binding module.

Protein science : a publication of the Protein Society
2024

Split hand and minipolymyoclonus in spinocerebellar ataxia type 3: a case report.

BMC neurology
2025

Potential Disease-Modifying Effects of Ganglioside GM1 Pulse Treatment on Spinocerebellar Ataxia Type 3, a Parallel-Group, Double-Blind, Randomized, Controlled Trial.

Movement disorders : official journal of the Movement Disorder Society
2024

Astragaloside IV reduces mutant Ataxin-3 levels and supports mitochondrial function in Spinocerebellar Ataxia Type 3.

Scientific reports
2024

Morphological changes of cerebral gray matter in spinocerebellar ataxia type 3 using fractal dimension analysis.

Progress in brain research
2024

Age-dependent somatic expansion of the ATXN3 CAG repeat in the blood and buccal swab DNA of individuals with spinocerebellar ataxia type 3/Machado-Joseph disease.

Human genetics
2024

ATXN3: a multifunctional protein involved in the polyglutamine disease spinocerebellar ataxia type 3.

Expert reviews in molecular medicine
2025

Treatment of neurological pathology and inflammation in Machado-Joseph disease through in vivo self-assembled siRNA.

Brain : a journal of neurology
2024

Thermal Facial Profile and Orofacial Myofunctional Aspects in Movement Disorder Patients: Comparison Between Parkinson Disease and Spinocerebellar Ataxia Type 3.

Journal of oral rehabilitation
2024

PIAS1 S510G variant acts as a genetic modifier of spinocerebellar ataxia type 3 by selectively impairing mutant ataxin-3 proteostasis.

The international journal of biochemistry &amp; cell biology
2024

Polyneuropathy in Patients with Spinocerebellar Ataxias Types 2, 3, and 10: A Systematic Review.

Cerebellum (London, England)
2025

Investigation of Spinocerebellar Ataxia (SCA) Disease in Iranian Patients and Accurate Trinucleotide Repeat Detection in the SCA3 by TP-PCR Method.

Molecular neurobiology
2024

Specific Biomarkers in Spinocerebellar Ataxia Type 3: A Systematic Review of Their Potential Uses in Disease Staging and Treatment Assessment.

International journal of molecular sciences
2024

Preimplantation Genetic Testing of Spinocerebellar Ataxia Type 3/Machado-Joseph Disease-Robust Tools for Direct and Indirect Detection of the ATXN3 (CAG)n Repeat Expansion.

International journal of molecular sciences
2024

The parkin V380L variant is a genetic modifier of Machado-Joseph disease with impact on mitophagy.

Acta neuropathologica
2024

Spinocerebellar Ataxias: Phenotypic Spectrum of PolyQ versus Non-Repeat Expansion Forms.

Cerebellum (London, England)
2024

Identifying extracerebellar characteristics in a large cohort of 319 Chinese patients with spinocerebellar ataxia type 3.

Chinese medical journal
2024

Exploring functional and structural connectivity disruptions in spinocerebellar ataxia type 3: Insights from gradient analysis.

CNS neuroscience &amp; therapeutics
2024

Production of Spinocerebellar Ataxia Type 3 Model Mice by Intravenous Injection of AAV-PHP.B Vectors.

International journal of molecular sciences
2024

Caffeine Consumption and Interaction with ADORA2A, CYP1A2 and NOS1 Variants Do Not Influence Age at Onset of Machado-Joseph Disease.

Cerebellum (London, England)
2024

Trehalose prevents the formation of aggregates of mutant ataxin-3 and reduces soluble ataxin-3 protein levels in an SCA3 cell model.

Neuroscience
2024

Imbalanced optimal feedback motor control system in spinocerebellar ataxia type 3.

European journal of neurology
2024

Disrupted cerebellar structural connectome in spinocerebellar ataxia type 3 and its association with transcriptional profiles.

Cerebral cortex (New York, N.Y. : 1991)
2024

Randomized double-blind placebo-controlled trial of the effects of oral trehalose in spinocerebellar ataxia type 3: An interim analysis.

Parkinsonism &amp; related disorders
2024

Insight into the early pathogenesis and therapeutic strategies of spinocerebellar ataxia type 3/machado-joseph disease from mouse models.

Parkinsonism &amp; related disorders
2024

A combination of chlorzoxazone and folic acid improves recognition memory, anxiety and depression in SCA3-84Q mice.

Human molecular genetics
2024

Single-Session Cerebellar Transcranial Direct Current Stimulation Improves Postural Stability and Reduces Ataxia Symptoms in Spinocerebellar Ataxia.

Cerebellum (London, England)
2024

Spinocerebellar Ataxia Type 3 Pathophysiology-Implications for Translational Research and Clinical Studies.

International journal of molecular sciences
2024

Gene editing as a therapeutic strategy for spinocerebellar ataxia type-3.

Revue neurologique
2024

Molecular Imaging in CANVAS: A Contribution for Differential Diagnosis?

Movement disorders clinical practice
2024

Effect of Regional Brain Activity Following Repeat Transcranial Magnetic Stimulation in SCA3: A Secondary Analysis of a Randomized Clinical Trial.

Cerebellum (London, England)
2024

Spinocerebellar ataxia type 4 is not detected in a cohort from Hokkaido, the northernmost island of Japan.

Journal of the neurological sciences
2024

The deubiquitinase function of ataxin-3 and its role in the pathogenesis of Machado-Joseph disease and other diseases.

The Biochemical journal
2024

Spermidine treatment: induction of autophagy but also apoptosis?

Molecular brain
2024

ASOs are an effective treatment for disease-associated oligodendrocyte signatures in premanifest and symptomatic SCA3 mice.

Molecular therapy : the journal of the American Society of Gene Therapy
2024

Blood and cerebellar abundance of ATXN3 splice variants in spinocerebellar ataxia type 3/Machado-Joseph disease.

Neurobiology of disease
2024

Compressed cerebellar functional connectome hierarchy in spinocerebellar ataxia type 3.

Human brain mapping
2024

Investigating the therapeutic effects of novel compounds targeting inflammatory IL-1β and IL-6 signaling pathways in spinocerebellar ataxia type 3.

European journal of pharmacology
2024

Treatment with sodium butyrate induces autophagy resulting in therapeutic benefits for spinocerebellar ataxia type 3.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2024

The natural breakthrough: phytochemicals as potent therapeutic agents against spinocerebellar ataxia type 3.

Scientific reports
2024

Glucocorticoid receptor-dependent therapeutic efficacy of tauroursodeoxycholic acid in preclinical models of spinocerebellar ataxia type 3.

The Journal of clinical investigation
2024

Efficiency of PGK1 proteins delivered to the brain via a liposomal system through intranasal route administration for the treatment of spinocerebellar ataxia type 3.

Drug delivery and translational research
2024

Cell-Free and In Vivo Characterization of the Inhibitory Activity of Lavado Cocoa Flavanols on the Amyloid Protein Ataxin-3: Toward New Approaches against Spinocerebellar Ataxia Type 3.

ACS chemical neuroscience
2024

Cognitive-affective manifestations since premanifest phases of Spinocerebellar Ataxia Type 3/Machado-Joseph Disease.

Cortex; a journal devoted to the study of the nervous system and behavior
2023

A model for the dynamics of expanded CAG repeat alleles: ATXN2 and ATXN3 as prototypes.

Frontiers in genetics
2024

Progression of Retinal Ganglion Cell and Nerve Fiber Layer Loss in Spinocerebellar Ataxia 3 Patients.

Cerebellum (London, England)
2024

Efficacy and Safety of Repetitive Transcranial Magnetic Stimulation in Spinocerebellar Ataxia Type 3: a Systematic Review and Meta‑analysis of Randomized Controlled Trials.

Cerebellum (London, England)
2024

Stage-Dependent Biomarker Changes in Spinocerebellar Ataxia Type 3.

Annals of neurology
2024

IL-4/STAT6 axis observed to reverse proliferative defect in SCA3 patient-derived neural progenitor cells.

Clinical and experimental pharmacology &amp; physiology
2023

Establishment of human-induced pluripotent stem cell GZHMCi0011-A from peripheral blood mononuclear cells from a volunteer with 14/63 CAG repeats of the ATXN3 mutation.

Stem cell research
2023

Lysine 117 on ataxin-3 modulates toxicity in Drosophila models of Spinocerebellar Ataxia Type 3.

Journal of the neurological sciences
2024

Memory decline, anxiety and depression in the mouse model of spinocerebellar ataxia type 3.

Human molecular genetics
2024

Prevalence of repeat expansions causing autosomal dominant spinocerebellar ataxias in Hokkaido, the northernmost island of Japan.

Journal of human genetics
2024

Cognitive impairment associated with cerebellar volume loss in spinocerebellar ataxia type 3.

Journal of neurology
2023

Preconditioning of exosomes derived from human olfactory ensheathing cells improved motor coordination and balance in an SCA3/MJD mouse model: A new therapeutic approach.

European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences
2023

Case report: Short-term efficacy and changes in 18F-FDG-PET with acute multi-target stimulation in spinocerebellar ataxia type 3 (SCA3/MJD).

Frontiers in neurology
2023

A pilot study: handgrip as a predictor in the disease progression of SCA3.

Orphanet journal of rare diseases
2023

Blood levels of neurofilament light are associated with disease progression in a mouse model of spinocerebellar ataxia type 3.

Disease models &amp; mechanisms
2024

The vestibular symptomatology of Machado-Joseph Disease.

Journal of vestibular research : equilibrium &amp; orientation
2023

Drug repurposing of dopaminergic drugs to inhibit ataxin-3 aggregation.

Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie
2024

Genetic Epidemiology and Clinical Characteristics of Patients with Spinocerebellar Ataxias in an Unexplored Brazilian State, Using Strategies for Resource-Limited Settings.

Cerebellum (London, England)
2023

Genetic Ablation of Inositol 1,4,5-Trisphosphate Receptor Type 2 (IP3R2) Fails to Modify Disease Progression in a Mouse Model of Spinocerebellar Ataxia Type 3.

International journal of molecular sciences
2023

Therapeutic effects of engineered exosome-based miR-25 and miR-181a treatment in spinocerebellar ataxia type 3 mice by silencing ATXN3.

Molecular medicine (Cambridge, Mass.)
2023

Efficacy of cerebellar transcranial magnetic stimulation in spinocerebellar ataxia type 3: a randomized, single-blinded, controlled trial.

Journal of neurology
2023

Tissue-Specific Vulnerability to Apoptosis in Machado-Joseph Disease.

Cells
2023

Altered large-scale individual-based morphological brain network in spinocerebellar ataxia type 3.

CNS neuroscience &amp; therapeutics
2023

Implications of specific lysine residues within ataxin-3 for the molecular pathogenesis of Machado-Joseph disease.

Frontiers in molecular neuroscience
2023

Antisense Oligonucleotide Silencing Reverses Abnormal Neurochemistry in Spinocerebellar Ataxia 3 Mice.

Annals of neurology
2023

The longitudinal progression of MRI changes in pre-ataxic carriers of SCA3/MJD.

Journal of neurology
2024

Effectiveness of High-Frequency Repetitive Transcranial Magnetic Stimulation in Patients With Spinocerebellar Ataxia Type 3.

The journal of ECT
2023

Regional and age-dependent changes in ubiquitination in cellular and mouse models of spinocerebellar ataxia type 3.

Frontiers in molecular neuroscience
2024

Temporal Relationship between Impairment of Cerebellar Motor Learning and Deterioration of Ataxia in Patients with Cerebellar Degeneration.

Cerebellum (London, England)
2023

Autophagy in Spinocerebellar Ataxia Type 3: From Pathogenesis to Therapeutics.

International journal of molecular sciences
2023

Blood transcriptome sequencing identifies biomarkers able to track disease stages in spinocerebellar ataxia type 3.

Brain : a journal of neurology
2023

Extracellular vesicle-based delivery of silencing sequences for the treatment of Machado-Joseph disease/spinocerebellar ataxia type 3.

Molecular therapy : the journal of the American Society of Gene Therapy
2023

Synaptic Loss in Spinocerebellar Ataxia Type 3 Revealed by SV2A Positron Emission Tomography.

Movement disorders : official journal of the Movement Disorder Society
2023

The Josephin domain (JD) containing proteins are predicted to bind to the same interactors: Implications for spinocerebellar ataxia type 3 (SCA3) studies using Drosophila melanogaster mutants.

Frontiers in molecular neuroscience
2023

Autophagic vacuolar myopathy involving the phenotype of spinocerebellar ataxia type 3.

Neuropathology : official journal of the Japanese Society of Neuropathology
2023

Autophagy Function and Benefits of Autophagy Induction in Models of Spinocerebellar Ataxia Type 3.

Cells
2024

Horizontal Vestibulo-Ocular Reflex Deficit as a Biomarker for Clinical Disease Onset, Severity, and Progression of Machado-Joseph Disease.

Cerebellum (London, England)
2023

ATXN3 controls DNA replication and transcription by regulating chromatin structure.

Nucleic acids research
2023

Outcomes with Finerenone in Participants with Stage 4 CKD and Type 2 Diabetes: A FIDELITY Subgroup Analysis.

Clinical journal of the American Society of Nephrology : CJASN
2023

Disease-associated oligodendrocyte signatures are spatiotemporally dysregulated in spinocerebellar ataxia type 3.

Frontiers in neuroscience
2024

"I Do Not Know How You Feel and How I Feel About That": Mentalizing Impairments in Machado-Joseph Disease.

Cerebellum (London, England)
2023

The Homogeneous Azorean Machado-Joseph Disease Cohort: Characterization and Contributions to Advances in Research.

Biomedicines
2023

Machado Joseph disease severity is linked with gut microbiota alterations in transgenic mice.

Neurobiology of disease
2023

A standardised protocol for blood and cerebrospinal fluid collection and processing for biomarker research in ataxia.

Neuropathology and applied neurobiology
2023

Baseline Clinical and Blood Biomarkers in Patients With Preataxic and Early-Stage Disease Spinocerebellar Ataxia 1 and 3.

Neurology
2024

Retinal Manifestations in Spinocerebellar Ataxia Type 3.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2024

Altered binaural hearing in pre-ataxic and ataxic mutation carriers of spinocerebellar ataxia type 3.

Cerebellum (London, England)
2023

Moving chin left and right: levodopa induced dyskinesia in spinocerebellar ataxia type 3?

Acta neurologica Belgica
2024

Association Between Serum Neurofilament Light Chain and Neurochemistry Deficits in Patients with Spinocerebellar Ataxia Type 3.

Cerebellum (London, England)
2023

The protective effect of erinacine A-enriched Hericium erinaceus mycelium ethanol extract on oxidative Stress-Induced neurotoxicity in cell and Drosophila models of spinocerebellar ataxia type 3.

Free radical biology &amp; medicine
2022

Effect of speech therapy on quality of life in patients with spinocerebelar ataxia type 3.

Arquivos de neuro-psiquiatria
2023

Short-term efficacy of repetitive transcranial magnetic stimulation in SCA3: A prospective, randomized, double-blind, sham-controlled study.

Parkinsonism &amp; related disorders
2023

The stress granule protein G3BP1 alleviates spinocerebellar ataxia-associated deficits.

Brain : a journal of neurology
2023

Altered brain white matter structural motor network in spinocerebellar ataxia type 3.

Annals of clinical and translational neurology
2022

Recurrent divergence-insufficiency esotropia in Machado-Joseph disease (spinocerebellar ataxia type 3).

American journal of ophthalmology case reports
2023

Structural alterations of spinocerebellar ataxias type 3: from pre-symptomatic to symptomatic stage.

European radiology
2022

First report on spinocerebellar ataxia type 3 (Machado-Joseph disease) in Poland.

Parkinsonism &amp; related disorders
2023

Machado Joseph-Disease Is Rare in the Peruvian Population.

Cerebellum (London, England)
2022

Pharmacotherapy for the management of the symptoms of Machado-Joseph Disease.

Expert opinion on pharmacotherapy
2023

Cerebello-cerebral resting-state functional connectivity in spinocerebellar ataxia type 3.

Human brain mapping
2022

Characterization of the central motor conduction time in a large cohort of spinocerebellar ataxia type 3 patients.

Parkinsonism &amp; related disorders
2022

Sleep Alterations in a Mouse Model of Spinocerebellar Ataxia Type 3.

Cells
2023

Progression of Clinical and Eye Movement Markers in Preataxic Carriers of Machado-Joseph Disease.

Movement disorders : official journal of the Movement Disorder Society
2022

Explainable artificial intelligence based on feature optimization for age at onset prediction of spinocerebellar ataxia type 3.

Frontiers in neuroinformatics
2022

Coenzyme Q10 Supplementation Increases Removal of the ATXN3 Polyglutamine Repeat, Reducing Cerebellar Degeneration and Improving Motor Dysfunction in Murine Spinocerebellar Ataxia Type 3.

Nutrients
2022

Digital Gait Biomarkers Allow to Capture 1-Year Longitudinal Change in Spinocerebellar Ataxia Type 3.

Movement disorders : official journal of the Movement Disorder Society
2022

Pathogenetic Mechanisms Underlying Spinocerebellar Ataxia Type 3 Are Altered in Primary Oligodendrocyte Culture.

Cells
2022

Spinocerebellar ataxia type 3 (Machado-Joseph disease).

Polish archives of internal medicine
2023

Voxel-Based Morphometry and Relaxometry Demonstrate Macro- and Microstructural Damages in Spinocerebellar Ataxia Type 3.

Cerebellum (London, England)
2022

Derivation of spinocerebellar ataxia type 3 human embryonic stem cell line UMICHe001-A/UM134-1.

Stem cell research
2022

Glutamatergic Synapse Dysfunction in Drosophila Neuromuscular Junctions Can Be Rescued by Proteostasis Modulation.

Frontiers in molecular neuroscience
2022

Short Communication: Restrictions in care following the COVID-19 pandemic severely impacted Machado-Joseph disease patients: a study in the Azores Islands, Portugal.

Journal of community genetics
2022

Lignin-carbohydrate complexes suppress SCA3 neurodegeneration via upregulating proteasomal activities.

International journal of biological macromolecules
2022

Establishment and characterization of human pluripotent stem cells-derived brain organoids to model cerebellar diseases.

Scientific reports
2022

The Natural History of Spinocerebellar Ataxia Type 3 in Mainland China: A 2-Year Cohort Study.

Frontiers in aging neuroscience
2022

Transcription factor EB-mediated mesenchymal stem cell therapy induces autophagy and alleviates spinocerebellar ataxia type 3 defects in neuronal cells model.

Cell death &amp; disease
2022

Long-term efficacy of bilateral subthalamic deep brain stimulation in the parkinsonism of SCA 3: A rare case report.

European journal of neurology
2022

Differential Temporal Dynamics of Axial and Appendicular Ataxia in SCA3.

Movement disorders : official journal of the Movement Disorder Society
2022

Microglial Depletion Has No Impact on Disease Progression in a Mouse Model of Machado-Joseph Disease.

Cells
2022

KPNB1 modulates the Machado-Joseph disease protein ataxin-3 through activation of the mitochondrial protease CLPP.

Cellular and molecular life sciences : CMLS
2022

Body sway and movement strategies for control of postural stability in people with spinocerebellar ataxia type 3: A cross-sectional study.

Clinical biomechanics (Bristol, Avon)
2022

CRISPR/Cas9-mediated genetic correction reverses spinocerebellar ataxia 3 disease-associated phenotypes in differentiated cerebellar neurons.

Life medicine
2022

A Robust Assay to Monitor Ataxin-3 Amyloid Fibril Assembly.

Cells
2022

Mitochondrial Dysfunction in Spinocerebellar Ataxia Type 3 Is Linked to VDAC1 Deubiquitination.

International journal of molecular sciences
2022

Cerebellar neuronal dysfunction accompanies early motor symptoms in spinocerebellar ataxia type 3.

Disease models &amp; mechanisms
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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Association of rare apolipoprotein E &#x3b5;4 homozygosity with an earlier age at onset in spinocerebellar ataxia type 3.
    Human molecular genetics· 2026· PMID 41854058mais citado
  2. Gastrodin inhibits the formation of ataxin-3 aggregates by regulating the level of ERK1/2/P38 proteins.
    Orphanet journal of rare diseases· 2026· PMID 41715186mais citado
  3. Peripheral and autonomic nervous system involvement in spinocerebellar ataxia type 3: unveiling an invisible burden.
    Journal of neurology· 2026· PMID 41501569mais citado
  4. Investigating the pathogenic role of calpain proteases and the therapeutic potential of their inhibition in mice modelling Machado-Joseph disease.
    Human molecular genetics· 2026· PMID 41493127mais citado
  5. Allosteric Modulation of Pathological Ataxin-3 Aggregation: A Path to Spinocerebellar Ataxia Type-3 Therapies.
    Advanced science (Weinheim, Baden-Wurttemberg, Germany)· 2026· PMID 41306023mais citado
  6. Extracellular vesicles-mediated delivery of SpCas9 RNPs for therapeutic gene editing in Spinocerebellar Ataxia Type 3.
    Biomaterials· 2026· PMID 41830765recente
  7. Revisited case for intranasal neuropeptide Y based therapeutics: From preclinical to clinical.
    Neuropeptides· 2026· PMID 41818915recente
  8. Retrotransposition Events Shape the Evolution of the Ataxin-3 Gene Family in Primates.
    Genome Biol Evol· 2026· PMID 41818480recente
  9. IGFBP1 as a metabolic-neurodegenerative biomarker in spinocerebellar ataxia type 3.
    Exp Ther Med· 2026· PMID 41756352recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:276244(Orphanet)
  2. MONDO:0017176(MONDO)
  3. GARD:21050(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q55345984(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Doença de Machado–Joseph, tipo 3
Compêndio · Raras BR

Doença de Machado–Joseph, tipo 3

ORPHA:276244 · MONDO:0017176
Prevalência
Unknown
Herança
Autosomal dominant
CID-10
G11.8 · Outras ataxias hereditárias
CID-11
Ensaios
1 ativos
Início
Adult
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0751670
EuropePMC
Wikidata
Papers 10a
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