Evidence map›Paper›PMID 41819534›Full record

ArticleJournal of the peripheral nervous system : JPNS2026

Motor Neuronopathy With Widespread Fasciculations in MCM3AP-Related Disorder: Clinical and Muscle MRI Insights.

Ana Flávia Andrade Lemos, Rodrigo Siqueira Soares Frezatti, Antônio Carlos Dos Santos, Pedro José Tomaselli, Wilson Marques

Abstract readCase Reports
In one paragraph

Article in Journal of the peripheral nervous system : JPNS, 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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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ana Flávia Andrade LemosDepartment of Neurosciences and Behavior Sciences. School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-3187-8794
Rodrigo Siqueira Soares FrezattiDepartment of Neurosciences and Behavior Sciences. School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0003-4325-3414
Antônio Carlos Dos SantosDepartment of Neurosciences and Behavior Sciences. School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
Pedro José TomaselliDepartment of Neurosciences and Behavior Sciences. School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-1485-3771
Wilson MarquesDepartment of Neurosciences and Behavior Sciences. School of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.ORCID https://orcid.org/0000-0002-4589-2749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiallelic pathogenic variants in MCM3AP, encoding the germinal center-associated nuclear protein (GANP), have been linked to autosomal recessive peripheral neuropathies variably accompanied by cognitive impairment and multisystem involvement. To date, anterior horn cell involvement has not been documented in association with MCM3AP-related disorders.

objectiveTo describe a patient with biallelic MCM3AP variants presenting with a motor neuronopathy phenotype and to provide the first whole-body muscle MRI characterization associated with this gene. METHODS AND

resultsA 53-year-old woman born to non-consanguineous parents presented with early-onset motor neuronopathy and lifelong learning difficulties. Neurological examination revealed generalized areflexia and widespread fasciculations without sensory abnormalities. Electroneuromyography demonstrated diffuse mixed acute-on-chronic denervation process. Whole-body muscle MRI showed a selective non-length-dependent pattern of fatty infiltration. Whole-exome sequencing identified two likely pathogenic heterozygous variants in the MCM3AP gene. STANDARD PROTOCOL APPROVALS, REGISTRATIONS, AND PATIENT CONSENTS: According to the policies of our institution, single-patient case reports do not require review or approval by the institutional ethics committee. Written informed consent for participation and for publication of clinical information, photographs, electrophysiological data, and muscle MRI images was obtained from the patient. No clinical trial registration was applicable.

conclusionThis case extends the phenotypic spectrum of MCM3AP-related disorders to include a slowly progressive, non-syndromic motor neuronopathy with electrophysiological evidence of active denervation and distinctive MRI findings. These observations highlight the hidden boundaries between hereditary motor neuropathies and anterior horn cell diseases, emphasizing the need for integrated clinical, neurophysiological, and genetic evaluation.

Indexed as

Motor Neuron DiseaseMuscle, SkeletalAcetyltransferasesFemaleHumansIntracellular Signaling Peptides and ProteinsMagnetic Resonance ImagingMiddle AgedAcetyltransferasesIntracellular Signaling Peptides and ProteinsMCM3AP protein, humancase reportMCM3APmotor neuronopathymuscle MRInon 5q SMA

Identifiers

PMID41819534
PMCPMC12981946

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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 Socratic graph.