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Spinocerebellar ataxia type 26 (SCA26) is a very rare subtype of autosomal dominant cerebellar ataxia type III (ADCA type III) characterized by late-onset and slowly progressive cerebellar signs (gait ataxia) and eye movement abnormalities.
Features include: Incoordination, Truncal ataxia, Nystagmus, and Impaired horizontal smooth pursuit and 5 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Truncal ataxia, Dysarthria, Gait ataxia |
Eyes |
EEF2 encodes eukaryotic translation elongation factor 2 (858 aa). Catalyzes the GTP-dependent ribosomal translocation step during translation elongation. Highest expression in Ovary (2,998 TPM) and Cells Cultured fibroblasts (2,856 TPM).
Spinocerebellar ataxia type 26 is associated with mutations in the EEF2 gene on chromosome 19.
The EEF2 protein participates in aminocarboxypropyl EEF2, Me-diphthine EEF2, and GTP-binding activates eEF2 pathways.
EEF2 is classified as a druggable target (Druggable Genome and Kinase categories) with score 5.8.
Genetic testing for EEF2 is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
4 publications have been identified in PubMed for spinocerebellar ataxia type 26. Research spans Basic Science / Preclinical (50%), Case Report / Case Series (25%), and Epidemiology / Natural History (25%).
Honda N (2025). [PMID: 40271315](https://pubmed.ncbi.nlm.nih.gov/40271315/). *Cureus*. [Basic Science / Preclinical]
Prasun P (2024). [PMID: 39359947](https://pubmed.ncbi.nlm.nih.gov/39359947/). *Molecular syndromology*. [Case Report / Case Series]
Tveit Solheim E (2024). [PMID: 39473143](https://pubmed.ncbi.nlm.nih.gov/39473143/). *Ann Clin Transl Neurol*. [Epidemiology / Natural History]
Fulton MD (2024). [PMID: 39652595](https://pubmed.ncbi.nlm.nih.gov/39652595/). *PLoS Genet*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 1:14 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
2
Nystagmus, Dysmetric saccades |
Muscles | 1 | Shrinkage of the cerebellum (cerebellar atrophy) |
Arms and legs | 1 | Limb ataxia |