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Spinocerebellar ataxia type 37 (SCA37) is a subtype of autosomal dominant cerebellar ataxia type 1 (ADCA type 1), characterized by a cerebellar syndrome along with altered vertical eye movements.
Features include always present findings: Ataxia; and very common findings: Dysarthria. 8 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 5 | Difficulty swallowing (dysphagia), Dysarthria, Ataxia |
Muscles |
DAB1 encodes DAB adaptor protein 1 (588 aa). Signaling adapter of the reelin-mediated signaling pathway, which regulates the migration and differentiation of postmitotic neurons during brain development. Highest expression in Brain Cerebellar Hemisphere (23.7 TPM) and Brain Cerebellum (19.4 TPM).
Spinocerebellar ataxia type 37 is associated with mutations in the DAB1 gene on chromosome 1.
DAB1 is classified as a druggable target (Kinase category) with score 0.0.
The phenotypic manifestations of spinocerebellar ataxia type 37 (SCA37) are not specific and no formal diagnostic criteria exist; thus, the diagnosis of SCA37 rests on molecular genetic testing. However, if autosomal dominant inheritance is apparent, or if pure cerebellar ataxia with adult onset, initial dysarthria, and dysmetric vertical saccades are seen in a simplex case, SCA37 should be suspected.
SCA37 should be suspected in individuals with the following clinical and imaging findings.
Clinical findings
No approved treatments are currently available for spinocerebellar ataxia type 37. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with spinocerebellar ataxia type 37 (SCA37), the evaluations summarized in this section (if not performed as part of the evaluation that led to the diagnosis) are recommended:
The following are appropriate:
SARA score annually. Note: SARA may not detect disease progression for the first five to seven years.
Electrooculographic tests may be performed every two years (cooperation is required).
Brain MRI volumetry every two years
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
37 publications have been identified in PubMed for spinocerebellar ataxia type 37. Research spans Clinical Trial Publication (24%), Basic Science / Preclinical (22%), and Epidemiology / Natural History (22%).
Research Type | Count | % of Total |
|---|---|---|
Clinical study results | 9 | 24% |
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 3:01 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
2
Shrinkage of the cerebellum (cerebellar atrophy), Frequent falls |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Eyes | 1 | Nystagmus |
Spinocerebellar ataxia type 37 (SCA37) is characterized by a pure cerebellar ataxia phenotype . A distinctive clinical feature is initial dysarthria and the presence of altered vertical eye movements in early stages of the disease . Age of onset and progression. In four Spanish kindreds, onset reported was typically in the fifth decade (mean age of onset: 43.3 years ± 9.9; range 25-64 years) and the mean disease duration was 49.5 years . Clinical progression was slow and affected individuals usually became wheelchair bound between ten and 33 years after disease onset. A single individual with rapid progression has been reported to date. In 30 individuals with SCA37 of Portuguese descent, the mean age of onset was 35.
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
A significant inverse correlation between ATTTC insertion size and age of onset is demonstrated in SCA37 , with a sex-specific contribution of the ATTTC repeat size to the age of onset in male (r = -0.96; p0.0001; n = 9), but not female transmissions (r = -0.09; p0.75; n = 14) . Moreover, affected females presented at a significantly younger age of onset (average = 40.4 years; average number of ATTTC repeats = 51.9) than males (average = 49.0 years; average number of ATTTC repeats = 52.7) (n = 23; p0.021) . In six Portuguese kindreds, the mean age at onset reported was 33.76 (range 18-58) in 21 females and 40.33 (range 27-57) in nine affected Portuguese males .
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
Lifelong penetrance in SCA37 was 100% in all described families, but penetrance is age dependent .
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
The ataxic gait and the overall clinical picture in persons with spinocerebellar ataxia type 37 (SCA37) are indistinguishable from those seen in other adult-onset inherited or acquired pure cerebellar ataxias. Nevertheless, initial dysarthria and early altered vertical eye movements may be suggestive of SCA37, particularly when consistent within the same family. When the family history suggests autosomal dominant inheritance, all other autosomal dominant spinocerebellar ataxias (SCAs) need to be considered (see Hereditary Ataxia Overview). SCAs commonly reported to show a pure cerebellar phenotype may be first investigated (e.g., SCA5, SCA6, SCA11, SCA26, SCA30, SCA31). SCA6 is the most common of these .
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
Genetic testing for DAB1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for spinocerebellar ataxia type 37 has been reported in the published literature.
Neurologic assessment
Assessment of the full range of symptoms associated with a progressive cerebellar syndrome. Among a range of clinical scoring systems that have been described , the Scale for the Assessment and Rating of Ataxia (SARA) provides a reliable and consistent assessment of most of the clinical features and progression of SCA37.
Electrooculographic tests may properly assess progression at the onset of disease.
Specific assessment of the cerebellar cognitive affective syndrome may be considered.
Brain MRI examination
Consultation with speech, physical, behavioral, and occupational therapists
Consultation with a clinical geneticist and/or genetic counselor
No curative treatment is available for individuals with SCA37. Palliative care includes the following:
Speech therapy to improve communication and ameliorate dysphagia
Thickness modification of food and fluids to prevent aspiration
Physical therapy to train balance
Use of external devices (e.g., canes or walkers) when needed to avoid falls
Occupational/behavior therapy
The following are appropriate:
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
1 trial found
Source: GeneReviews — "Spinocerebellar Ataxia Type 37"
Phenotype severity distribution: 1 always present feature, 1 very common feature, 1 common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Laboratory research |
8 |
22% |
Disease patterns and progression | 8 | 22% |
Patient case studies | 5 | 14% |
Testing and diagnosis research | 3 | 8% |
Research summaries | 3 | 8% |
New treatment approaches | 1 | 3% |
Wan N (2026). [PMID: 42087344](https://pubmed.ncbi.nlm.nih.gov/42087344/). *Mov Disord*. [Epidemiology / Natural History]
Petit E (2026). [PMID: 41612637](https://pubmed.ncbi.nlm.nih.gov/41612637/). *Mov Disord*. [Review / Meta-Analysis]
Loureiro M (2026). [PMID: 41744140](https://pubmed.ncbi.nlm.nih.gov/41744140/). *Disabil Rehabil Assist Technol*. [Case Report / Case Series]
Maeda K (2026). [PMID: 41552385](https://pubmed.ncbi.nlm.nih.gov/41552385/). *Mol Ther Nucleic Acids*. [Gene Therapy / Novel Therapeutics]
Berns M (2026). [PMID: 41843312](https://pubmed.ncbi.nlm.nih.gov/41843312/). *Cerebellum*. [Case Report / Case Series]
Loureiro JR (2026). [PMID: 41871099](https://pubmed.ncbi.nlm.nih.gov/41871099/). *Cell Rep*. [Basic Science / Preclinical]
Castro AF (2026). [PMID: 41854242](https://pubmed.ncbi.nlm.nih.gov/41854242/). *Dis Model Mech*. [Basic Science / Preclinical]
Fortin J (2026). [PMID: 41669957](https://pubmed.ncbi.nlm.nih.gov/41669957/). *Mov Disord*. [Basic Science / Preclinical]
Saucier J (2026). [PMID: 41630926](https://pubmed.ncbi.nlm.nih.gov/41630926/). *Neurol Genet*. [Epidemiology / Natural History]
Grobe-Einsler M (2026). [PMID: 41568670](https://pubmed.ncbi.nlm.nih.gov/41568670/). *Ann Clin Transl Neurol*. [Diagnostic / Biomarker]