Autosomal dominant striatal neurodegeneration is an ultra-rare adult-onset movement disorder caused by heterozygous PDE8B pathogenic variants. Reported families show slowly progressive parkinsonism with bradykinesia, rigidity, dysarthria, gait disturbance, dysphagia, dysdiadochokinesis, and characteristic striatal MRI abnormalities involving the putamen, caudate nucleus, or striatum.
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name: Autosomal dominant striatal neurodegeneration
creation_date: "2026-05-11T21:02:17Z"
updated_date: "2026-05-11T21:44:11Z"
description: >-
Autosomal dominant striatal neurodegeneration is an ultra-rare adult-onset
movement disorder caused by heterozygous PDE8B pathogenic variants. Reported
families show slowly progressive parkinsonism with bradykinesia, rigidity,
dysarthria, gait disturbance, dysphagia, dysdiadochokinesis, and characteristic
striatal MRI abnormalities involving the putamen, caudate nucleus, or striatum.
category: Mendelian
disease_term:
preferred_term: striatal degeneration, autosomal dominant
term:
id: MONDO:0000211
label: striatal degeneration, autosomal dominant
parents:
- Neurodegenerative Disease
- Movement Disorder
synonyms:
- ADSD
references:
- reference: ORPHA:228169
title: Autosomal dominant striatal neurodegeneration
findings:
- statement: >-
Orphanet defines autosomal dominant striatal neurodegeneration as an
adult-onset movement disorder with bradykinesia, dysarthria, and rigidity.
supporting_text: >-
An adult-onset movement disorder characterized by bradykinesia, dysarthria
and muscle rigidity.
- reference: PMID:15210883
title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
findings:
- statement: >-
The original ADSD family had dysarthria and gait disturbance with MRI
lesions mainly in putamen and caudate nucleus.
supporting_text: >-
RESULTS: The main clinical features of the disease are dysarthria and
gait disturbance without any apparent reduction in life expectancy. MRI
demonstrated a distinctive lesion pattern restricted mainly to the putamen
and caudate nucleus.
- reference: PMID:20085714
title: Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene.
findings:
- statement: >-
The original mapped ADSD kindred carried a PDE8B frameshift mutation that
caused loss of enzymatic phosphodiesterase activity.
supporting_text: >-
Here we show that ADSD is caused by a complex frameshift mutation
(c.94G>C+c.95delT) in the phosphodiesterase 8B (PDE8B) gene, which
results in a loss of enzymatic phosphodiesterase activity.
- reference: PMID:26769607
title: A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration.
findings:
- statement: >-
A second ADSN family carried a heterozygous PDE8B nonsense variant and
showed slowly progressive parkinsonism with striatal T2 MRI signal.
supporting_text: >-
RESULTS: Clinical features of the patients are slowly progressive
parkinsonism and brain MRI showing high signal intensity in T2-weighted
images in the striatum.
- reference: PMID:31726290
title: Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders.
findings:
- statement: >-
A Chinese ADSD family had a PDE8B nonsense mutation with progressive
parkinsonism, ataxia, and striatal neuroimaging abnormalities.
supporting_text: >-
An ADSD diagnosis was confirmed by a nonsense mutation in PDE8B (p.E102X)
in a patient and a presymptomatic carrier. Clinically, the patient
exhibited progressive parkinsonism without tremor and ataxia phenotype.
inheritance:
- name: Autosomal dominant inheritance
inheritance_term:
preferred_term: Autosomal dominant inheritance
term:
id: HP:0000006
label: Autosomal dominant inheritance
description: >-
ADSN is inherited as an autosomal dominant disorder in the reported families.
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "Autosomal dominant"
explanation: Orphanet lists autosomal dominant inheritance.
- reference: PMID:15210883
reference_title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "OBJECTIVE: To describe the clinical and neuroradiologic features and chromosomal mapping of a novel autosomal dominant disease affecting the basal ganglia."
explanation: The original family report describes ADSD as an autosomal dominant basal-ganglia disease.
prevalence:
- population: Worldwide
percentage: "<1 / 1,000,000"
notes: Orphanet records ADSN as an ultra-rare worldwide disorder.
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "<1 / 1 000 000 | Worldwide | Point prevalence | PMID:15210883,PMID:26769607,PMID:26475694"
explanation: Orphanet provides the worldwide point-prevalence class for ADSN.
progression:
- phase: Adult onset
age_range: Adult
notes: >-
Orphanet records adult onset, and the PDE8B family report describes slowly
progressive parkinsonism.
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "Age of onset: Adult"
explanation: Orphanet records adult onset.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "BACKGROUND: Autosomal-dominant striatal degeneration is a rare autosomal-dominant neurodegenerative movement disorder characterized by slowly progressive parkinsonism."
explanation: This human family report characterizes ADSN as slowly progressive.
genetic:
- name: PDE8B pathogenic variants
gene_term:
preferred_term: PDE8B
term:
id: hgnc:8794
label: PDE8B
association: Heterozygous germline PDE8B pathogenic variants cause ADSN.
relationship_type: CAUSATIVE
variant_origin: GERMLINE
inheritance:
- name: Autosomal dominant inheritance
inheritance_term:
preferred_term: Autosomal dominant inheritance
term:
id: HP:0000006
label: Autosomal dominant inheritance
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "PDE8B | phosphodiesterase 8B | hgnc:8794 | Disease-causing germline mutation(s) in"
explanation: Orphanet records PDE8B as a disease-causing germline gene for ADSN.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We found a heterozygous nonsense mutation in the first exon of cyclic nucleotide phosphodiesterase 8B gene, which is predicted to disrupt all important functional domains of the cyclic nucleotide phosphodiesterase 8B protein."
explanation: Human family sequencing identified a heterozygous PDE8B nonsense variant predicted to disrupt all important protein domains.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "CONCLUSIONS: This family is the second family with autosomal-dominant striatal degeneration after the first German family, confirming that cyclic nucleotide phosphodiesterase 8B gene is the causative gene for this disease."
explanation: The second-family report directly supports PDE8B as the causative gene.
- reference: PMID:20085714
reference_title: "Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Here we show that ADSD is caused by a complex frameshift mutation (c.94G>C+c.95delT) in the phosphodiesterase 8B (PDE8B) gene, which results in a loss of enzymatic phosphodiesterase activity."
explanation: The original molecular study identified a PDE8B frameshift mutation and linked it to loss of enzyme activity.
pathophysiology:
- name: PDE8B Cyclic Nucleotide Phosphodiesterase Loss
description: >-
ADSN-associated heterozygous PDE8B frameshift or nonsense variants disrupt
cyclic nucleotide phosphodiesterase function. PDE8B normally degrades cyclic
AMP, a second messenger involved in dopamine signaling and movement control.
genes:
- preferred_term: PDE8B
term:
id: hgnc:8794
label: PDE8B
molecular_functions:
- preferred_term: 3',5'-cyclic-nucleotide phosphodiesterase activity
term:
id: GO:0004114
label: 3',5'-cyclic-nucleotide phosphodiesterase activity
modifier: DECREASED
biological_processes:
- preferred_term: cAMP catabolic process
term:
id: GO:0006198
label: cAMP catabolic process
modifier: DECREASED
evidence:
- reference: PMID:20085714
reference_title: "Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Here we show that ADSD is caused by a complex frameshift mutation (c.94G>C+c.95delT) in the phosphodiesterase 8B (PDE8B) gene, which results in a loss of enzymatic phosphodiesterase activity."
explanation: The molecular study provides direct human genetic and functional support for loss of PDE8B phosphodiesterase activity.
- reference: PMID:20085714
reference_title: "Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "PDE8B degrades cyclic AMP, a second messenger implied in dopamine signaling."
explanation: This supports cAMP degradation as the relevant PDE8B-linked signaling process.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We found a heterozygous nonsense mutation in the first exon of cyclic nucleotide phosphodiesterase 8B gene, which is predicted to disrupt all important functional domains of the cyclic nucleotide phosphodiesterase 8B protein."
explanation: The reported nonsense variant is predicted to disrupt PDE8B functional domains, supporting reduced phosphodiesterase function.
downstream:
- target: Striatal Degeneration
description: PDE8B disruption is causative for a striatal neurodegenerative movement disorder.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
evidence:
- reference: PMID:20085714
reference_title: "Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Autosomal-dominant striatal degeneration (ADSD) is an autosomal-dominant movement disorder affecting the striatal part of the basal ganglia."
explanation: The molecular study links PDE8B loss to a dominantly inherited striatal movement disorder.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Recently, a mutation of the cyclic nucleotide phosphodiesterase 8B gene was reported to be a causal gene mutation of this disease."
explanation: The family report links PDE8B mutation to ADSN but does not define the intervening cellular mechanism.
- name: Striatal Degeneration
description: >-
ADSN primarily affects the basal ganglia/striatal system, with MRI lesions
restricted mainly to the putamen and caudate nucleus or high T2 signal in
the striatum.
cell_types:
- preferred_term: medium spiny neuron
term:
id: CL:1001474
label: medium spiny neuron
locations:
- preferred_term: striatum
term:
id: UBERON:0002435
label: striatum
- preferred_term: putamen
term:
id: UBERON:0001874
label: putamen
- preferred_term: caudate nucleus
term:
id: UBERON:0001873
label: caudate nucleus
evidence:
- reference: PMID:20085714
reference_title: "Autosomal-dominant striatal degeneration is caused by a mutation in the phosphodiesterase 8B gene."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "PDE8B is highly expressed in the brain, especially in the putamen, which is affected by ADSD."
explanation: The causal PDE8B study supports putaminal involvement and links affected anatomy to PDE8B expression.
- reference: PMID:15210883
reference_title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "MRI demonstrated a distinctive lesion pattern restricted mainly to the putamen and caudate nucleus."
explanation: The original clinical mapping study localizes ADSD lesions mainly to striatal structures.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "RESULTS: Clinical features of the patients are slowly progressive parkinsonism and brain MRI showing high signal intensity in T2-weighted images in the striatum."
explanation: The Japanese family report supports striatal neuroimaging involvement with progressive parkinsonism.
- reference: PMID:31726290
reference_title: "Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Neuroimaging showed an inhomogeneous increased signal in the patient's striatum on T1-weighted images but a decreased signal in the presymptomatic carrier."
explanation: A later family report supports striatal imaging abnormalities in affected and presymptomatic PDE8B carriers.
downstream:
- target: Parkinsonism
description: Striatal degeneration produces slowly progressive parkinsonism.
causal_link_type: DIRECT
- target: Bradykinesia
description: Basal ganglia dysfunction manifests as slowed movement.
causal_link_type: DIRECT
- target: Rigidity
description: Basal ganglia dysfunction manifests as rigidity.
causal_link_type: DIRECT
- target: Dysarthria
description: Striatal/basal-ganglia disease contributes to dysarthric speech.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
- target: Gait disturbance
description: Striatal/basal-ganglia disease contributes to impaired gait.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
- target: Dysphagia
description: Progressive motor dysfunction can include swallowing impairment.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
- target: Dysdiadochokinesis
description: Motor-circuit dysfunction can impair rapid alternating movements.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
- target: Ataxia
description: Striatal/basal-ganglia involvement can manifest with ataxia in reported ADSD.
causal_link_type: INDIRECT_UNKNOWN_INTERMEDIATES
- target: Abnormality of movement
description: ADSN is classified clinically as a movement disorder.
causal_link_type: DIRECT
phenotypes:
- category: Neurologic
name: Dysarthria
phenotype_term:
preferred_term: Dysarthria
term:
id: HP:0001260
label: Dysarthria
frequency: VERY_FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0001260 | Dysarthria | Very frequent (99-80%)"
explanation: Orphanet lists dysarthria as very frequent in ADSN.
- reference: PMID:15210883
reference_title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "RESULTS: The main clinical features of the disease are dysarthria and gait disturbance without any apparent reduction in life expectancy."
explanation: The original ADSD family report names dysarthria as a main clinical feature.
- category: Neurologic
name: Gait disturbance
phenotype_term:
preferred_term: Gait disturbance
term:
id: HP:0001288
label: Gait disturbance
frequency: FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0001288 | Gait disturbance | Frequent (79-30%)"
explanation: Orphanet lists gait disturbance as frequent in ADSN.
- reference: PMID:15210883
reference_title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "RESULTS: The main clinical features of the disease are dysarthria and gait disturbance without any apparent reduction in life expectancy."
explanation: The original ADSD family report names gait disturbance as a main clinical feature.
- category: Neurologic
name: Dysphagia
phenotype_term:
preferred_term: Dysphagia
term:
id: HP:0002015
label: Dysphagia
frequency: FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0002015 | Dysphagia | Frequent (79-30%)"
explanation: Orphanet lists dysphagia as frequent in ADSN.
- category: Neurologic
name: Rigidity
phenotype_term:
preferred_term: Rigidity
term:
id: HP:0002063
label: Rigidity
frequency: VERY_FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0002063 | Rigidity | Very frequent (99-80%)"
explanation: Orphanet lists rigidity as very frequent in ADSN.
- category: Neurologic
name: Bradykinesia
phenotype_term:
preferred_term: Bradykinesia
term:
id: HP:0002067
label: Bradykinesia
frequency: VERY_FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0002067 | Bradykinesia | Very frequent (99-80%)"
explanation: Orphanet lists bradykinesia as very frequent in ADSN.
- category: Neurologic
name: Dysdiadochokinesis
phenotype_term:
preferred_term: Dysdiadochokinesis
term:
id: HP:0002075
label: Dysdiadochokinesis
frequency: VERY_FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0002075 | Dysdiadochokinesis | Very frequent (99-80%)"
explanation: Orphanet lists dysdiadochokinesis as very frequent in ADSN.
- category: Neurologic
name: Ataxia
phenotype_term:
preferred_term: Ataxia
term:
id: HP:0001251
label: Ataxia
description: Ataxia is reported in a PDE8B-confirmed ADSN family.
evidence:
- reference: PMID:31726290
reference_title: "Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "For the first time, we described the typical ataxia phenotype in ADSD."
explanation: The Chinese family report explicitly identifies ataxia as an ADSD phenotype.
- category: Neurologic
name: Abnormality of movement
phenotype_term:
preferred_term: Abnormality of movement
term:
id: HP:0100022
label: Abnormality of movement
frequency: VERY_FREQUENT
evidence:
- reference: ORPHA:228169
reference_title: "Autosomal dominant striatal neurodegeneration"
supports: SUPPORT
evidence_source: OTHER
snippet: "HP:0100022 | Abnormality of movement | Very frequent (99-80%)"
explanation: Orphanet lists abnormality of movement as very frequent in ADSN.
- category: Neurologic
name: Parkinsonism
phenotype_term:
preferred_term: Parkinsonism
term:
id: HP:0001300
label: Parkinsonism
clinical_course: PROGRESSIVE
description: Slowly progressive parkinsonism is a reported core clinical presentation.
evidence:
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "BACKGROUND: Autosomal-dominant striatal degeneration is a rare autosomal-dominant neurodegenerative movement disorder characterized by slowly progressive parkinsonism."
explanation: The Japanese family report describes slowly progressive parkinsonism as characteristic of ADSN.
- reference: PMID:31726290
reference_title: "Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Clinically, the patient exhibited progressive parkinsonism without tremor and ataxia phenotype."
explanation: The Chinese family report supports progressive parkinsonism as an ADSN phenotype.
diagnosis:
- name: Brain MRI striatal lesions
diagnosis_term:
preferred_term: MRI of the brain
term:
id: MAXO:0000427
label: MRI of the brain
results: >-
Distinctive lesions in putamen and caudate nucleus, or high T2 signal in
the striatum, support ADSN diagnosis in the appropriate clinical and genetic
context.
evidence:
- reference: PMID:15210883
reference_title: "Autosomal dominant striatal degeneration (ADSD): clinical description and mapping to 5q13-5q14."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "MRI demonstrated a distinctive lesion pattern restricted mainly to the putamen and caudate nucleus."
explanation: The original ADSD study reports a characteristic putamen/caudate MRI pattern.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "RESULTS: Clinical features of the patients are slowly progressive parkinsonism and brain MRI showing high signal intensity in T2-weighted images in the striatum."
explanation: The second family report describes striatal high T2 MRI signal.
- reference: PMID:31726290
reference_title: "Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Neuroimaging showed an inhomogeneous increased signal in the patient's striatum on T1-weighted images but a decreased signal in the presymptomatic carrier."
explanation: The later family report supports striatal MRI signal abnormalities across symptomatic and presymptomatic PDE8B carriers.
- name: PDE8B molecular genetic testing
diagnosis_term:
preferred_term: molecular genetic testing
term:
id: MAXO:0000533
label: molecular genetic testing
results: Identification of a heterozygous pathogenic PDE8B variant supports molecular confirmation.
evidence:
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "METHODS: We report on the clinical characteristics of 2 patients of a Japanese family with autosomal-dominant striatal degeneration and the result of gene mutation analysis of this family."
explanation: The report used family mutation analysis to establish the PDE8B variant.
- reference: PMID:26769607
reference_title: "A novel mutation of PDE8B Gene in a Japanese family with autosomal-dominant striatal degeneration."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We found a heterozygous nonsense mutation in the first exon of cyclic nucleotide phosphodiesterase 8B gene, which is predicted to disrupt all important functional domains of the cyclic nucleotide phosphodiesterase 8B protein."
explanation: Molecular testing identified the heterozygous PDE8B nonsense variant.
- reference: PMID:31726290
reference_title: "Clinical findings of autosomal-dominant striatal degeneration and PDE8B mutation screening in parkinsonism and related disorders."
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "An ADSD diagnosis was confirmed by a nonsense mutation in PDE8B (p.E102X) in a patient and a presymptomatic carrier."
explanation: The Chinese family report supports PDE8B mutation testing for molecular confirmation.
treatments: []
clinical_trials: []
datasets: []
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