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Spinocerebellar ataxia type 43 is a rare autosomal dominant cerebellar ataxia type I disorder characterized by late adult-onset of slowly progressive cerebellar ataxia, typically presenting with balance and gait disturbances, in association with axonal peripheral neuropathy resulting in reduced/absent deep tendon reflexes and sensory impairment. Lower limb pain and amyotrophy may be present, as well as various cerebellar signs, including dysarthria, nystagmus, hypometric saccades and tremor.
Features include very common findings: Ataxia, Postural instability, and Nerve damage affecting sensation and movement (sensorimotor neuropathy); and common findings: Limb ataxia, Distal sensory impairment, and Pectus carinatum. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 | Hyporeflexia, Dysarthria, Gait ataxia |
MME encodes membrane metalloendopeptidase (750 aa). Thermolysin-like specificity, but is almost confined on acting on polypeptides of up to 30 amino acids. Highest expression in Cells Cultured fibroblasts (640.5 TPM) and Nerve Tibial (42.9 TPM).
Spinocerebellar ataxia 43 is associated with mutations in the MME gene on chromosome 3.
The MME protein participates in LIG3 ligates remaining SSBs in MMEJ, POLQ extends annealed 3'-ssDNA overhangs in MMEJ, and MRN and RBBP8 resect DNA DSBs in MMEJ pathways.
MME is classified as a druggable target (Cell Surface, Druggable Genome, Enzyme, and Protease categories) with score 4.7.
Genetic testing for MME is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for spinocerebellar ataxia 43 has been reported in the published literature.
Phenotype severity distribution: 3 very common features, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for spinocerebellar ataxia 43.
40 publications have been identified in PubMed for spinocerebellar ataxia 43. Research spans Basic Science / Preclinical (33%), Epidemiology / Natural History (25%), and Review / Meta-Analysis (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 13 | 33% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 12:57 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Eyes |
2 |
Hypometric saccades, Nystagmus |
Arms and legs | 2 | Lower limb pain, Limb ataxia |
Bones and joints | 1 | Postural instability |
Muscles | 1 | Cerebellar vermis atrophy |
10 |
25% |
Research summaries | 5 | 13% |
Clinical study results | 5 | 13% |
Testing and diagnosis research | 4 | 10% |
Patient case studies | 3 | 8% |
Pavithra N (2026). [PMID: 41930586](https://pubmed.ncbi.nlm.nih.gov/41930586/). *CNS Neurol Disord Drug Targets*. [Diagnostic / Biomarker]
Berns M (2026). [PMID: 41843312](https://pubmed.ncbi.nlm.nih.gov/41843312/). *Cerebellum*. [Case Report / Case Series]
Khan N (2026). [PMID: 42051098](https://pubmed.ncbi.nlm.nih.gov/42051098/). *CNS Neurol Disord Drug Targets*. [Basic Science / Preclinical]
Fortin J (2026). [PMID: 41669957](https://pubmed.ncbi.nlm.nih.gov/41669957/). *Mov Disord*. [Epidemiology / Natural History]
Kirthana SH (2026). [PMID: 42132968](https://pubmed.ncbi.nlm.nih.gov/42132968/). *Cerebellum*. [Case Report / Case Series]
Pulst SM (2026). [PMID: 42129145](https://pubmed.ncbi.nlm.nih.gov/42129145/). *Cell Death Dis*. [Basic Science / Preclinical]
Robinson KJ (2026). [PMID: 41493127](https://pubmed.ncbi.nlm.nih.gov/41493127/). *Hum Mol Genet*. [Basic Science / Preclinical]
Auburger GWJ (2026). [PMID: 41683920](https://pubmed.ncbi.nlm.nih.gov/41683920/). *Int J Mol Sci*. [Review / Meta-Analysis]
Saadeh VMD (2026). [PMID: 42008026](https://pubmed.ncbi.nlm.nih.gov/42008026/). *Cerebellum*. [Epidemiology / Natural History]
Zhao L (2026). [PMID: 41204790](https://pubmed.ncbi.nlm.nih.gov/41204790/). *Mov Disord*. [Clinical Trial Publication]