Raras
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Paraplegia espástica hereditária
ORPHA:685CID-10 · G11.4CID-11 · 8B44.0DOENÇA RARA

As paraplegias espásticas hereditárias (PHS) compreendem um grupo genética e clinicamente heterogêneo de doenças neurodegenerativas caracterizadas por espasticidade progressiva e hiperreflexia dos membros inferiores.

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Introdução

O que você precisa saber de cara

📋

As paraplegias espásticas hereditárias (PHS) compreendem um grupo genética e clinicamente heterogêneo de doenças neurodegenerativas caracterizadas por espasticidade progressiva e hiperreflexia dos membros inferiores.

Pesquisas ativas
23 ensaios
49 total registrados no ClinicalTrials.gov
Publicações científicas
2.335 artigos
Último publicado: 2026
Medicamentos
1 registrados
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Tem tratamento?

1 medicamento registrado
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Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
4.8
Europe
Início
All ages
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: G11.4
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
131 sintomas
🦴
Ossos e articulações
61 sintomas
💪
Músculos
58 sintomas
👁️
Olhos
44 sintomas
😀
Face
37 sintomas
📏
Crescimento
18 sintomas

+ 280 sintomas em outras categorias

Características mais comuns

Morfologia anormal da substância branca cerebral
Dificuldades alimentares na infância
Artralgia
Fraturas recorrentes
Fasciculações de membro
Fasciculações da língua
694sintomas
Sem dados (694)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 694 características clínicas mais associadas, ordenadas por frequência.

Morfologia anormal da substância branca cerebralAbnormal cerebral white matter morphology
Dificuldades alimentares na infânciaFeeding difficulties in infancy
ArtralgiaArthralgia
Fraturas recorrentesRecurrent fractures
Fasciculações de membroLimb fasciculations

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.335PubMed
Últimos 10 anos200publicações
Pico2025144 papers
Linha do tempo
2026Hoje · 2026🧪 2001Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

67 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive, X-linked recessive.

SPG21MaspardinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

May play a role as a negative regulatory factor in CD4-dependent T-cell activation

LOCALIZAÇÃO

Cytoplasm, cytosolMembraneEndosome membraneGolgi apparatus, trans-Golgi network membrane

MECANISMO DE DOENÇA

Spastic paraplegia 21, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG21 is associated with dementia and other central nervous system abnormalities. Subtle childhood abnormalities may be present, but the main features develop in early adulthood. The disease is slowly progressive, and cerebellar and extrapyramidal signs are also found in patients with advanced disease. Patients have a thin corpus callosum and white-matter abnormalities.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
75.6 TPM
Cervix Endocervix
73.4 TPM
Cervix Ectocervix
65.7 TPM
Tireoide
62.3 TPM
Linfócitos
61.7 TPM
OUTRAS DOENÇAS (1)
mast syndrome
HGNC:20373UniProt:Q9NZD8
ZFRZinc finger RNA-binding proteinCandidate gene tested inAltamente restrito
FUNÇÃO

Involved in postimplantation and gastrulation stages of development. Involved in the nucleocytoplasmic shuttling of STAU2. Binds to DNA and RNA (By similarity)

LOCALIZAÇÃO

NucleusCytoplasmCytoplasmic granuleChromosome

EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
82.8 TPM
Cérebro - Hemisfério cerebelar
77.6 TPM
Fibroblastos
75.7 TPM
Nervo tibial
72.1 TPM
Ovário
72.0 TPM
INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (1)
autosomal recessive spastic paraplegia type 71
HGNC:17277UniProt:Q96KR1
CCT5T-complex protein 1 subunit epsilonCandidate gene tested inAltamente restrito
FUNÇÃO

Component of the chaperonin-containing T-complex (TRiC), a molecular chaperone complex that assists the folding of actin, tubulin and other proteins upon ATP hydrolysis (PubMed:25467444, PubMed:36493755, PubMed:35449234, PubMed:37193829). The TRiC complex mediates the folding of WRAP53/TCAB1, thereby regulating telomere maintenance (PubMed:25467444). As part of the TRiC complex may play a role in the assembly of BBSome, a complex involved in ciliogenesis regulating transports vesicles to the cil

LOCALIZAÇÃO

CytoplasmCytoplasm, cytoskeleton, microtubule organizing center, centrosome

VIAS BIOLÓGICAS (6)
Cooperation of PDCL (PhLP1) and TRiC/CCT in G-protein beta foldingAssociation of TriC/CCT with target proteins during biosynthesisPrefoldin mediated transfer of substrate to CCT/TriCFolding of actin by CCT/TriCFormation of tubulin folding intermediates by CCT/TriC
MECANISMO DE DOENÇA

Neuropathy, hereditary sensory, with spastic paraplegia, autosomal recessive

A disease characterized by spastic paraplegia and progressive distal sensory neuropathy leading to mutilating ulcerations of the upper and lower limbs.

OUTRAS DOENÇAS (1)
hereditary sensory and autonomic neuropathy with spastic paraplegia
HGNC:1618UniProt:P48643
WASHC5WASH complex subunit 5Candidate gene tested inTolerante
FUNÇÃO

Acts as a component of the WASH core complex that functions as a nucleation-promoting factor (NPF) at the surface of endosomes, where it recruits and activates the Arp2/3 complex to induce actin polymerization, playing a key role in the fission of tubules that serve as transport intermediates during endosome sorting (PubMed:19922875, PubMed:20498093). May be involved in axonal outgrowth. Involved in cellular localization of ADRB2 (PubMed:23085491). Involved in cellular trafficking of BLOC-1 comp

LOCALIZAÇÃO

Cytoplasm, cytosolEndoplasmic reticulumEarly endosome

MECANISMO DE DOENÇA

Spastic paraplegia 8, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
59.7 TPM
Artéria tibial
29.9 TPM
Útero
29.4 TPM
Tecido adiposo
28.6 TPM
Linfócitos
28.2 TPM
OUTRAS DOENÇAS (3)
Ritscher-Schinzel syndrome 1hereditary spastic paraplegia 8Ritscher-Schinzel syndrome
HGNC:28984UniProt:Q12768
GJC2Gap junction gamma-2 proteinCandidate gene tested inDesconhecido
FUNÇÃO

One gap junction consists of a cluster of closely packed pairs of transmembrane channels, the connexons, through which materials of low MW diffuse from one cell to a neighboring cell. May play a role in myelination in central and peripheral nervous systems

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Leukodystrophy, hypomyelinating, 2

An autosomal recessive hypomyelinating leukodystrophy with symptoms of Pelizaeus-Merzbacher disease. Clinically characterized by nystagmus, impaired motor development, ataxia, choreoathetotic movements, dysarthria, and progressive spasticity.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
83.4 TPM
Substância negra
19.4 TPM
Útero
15.3 TPM
Fallopian Tube
13.9 TPM
Hipocampo
13.8 TPM
OUTRAS DOENÇAS (4)
hypomyelinating leukodystrophy 2lymphatic malformation 3hereditary spastic paraplegia 44GJC2-related late-onset primary lymphedema
HGNC:17494UniProt:Q5T442
RAB3GAP2Rab3 GTPase-activating protein non-catalytic subunitCandidate gene tested inRestrito
FUNÇÃO

Regulatory subunit of the Rab3 GTPase-activating (Rab3GAP) complex composed of RAB3GAP1 and RAB3GAP2, which accelerates the otherwise slow GTP hydrolysis catalyzed by Rab proteins (PubMed:9733780, PubMed:39779760). The complex has GTPase-activating protein (GAP) activity towards various Rab3 subfamily members (RAB3A, RAB3B, RAB3C and RAB3D), RAB5A and RAB43, and has guanine nucleotide exchange factor (GEF) activity towards RAB18 (PubMed:9733780, PubMed:39779760, PubMed:24891604). The Rab3GAP com

LOCALIZAÇÃO

CytoplasmEndoplasmic reticulum

VIAS BIOLÓGICAS (1)
RAB GEFs exchange GTP for GDP on RABs
MECANISMO DE DOENÇA

Martsolf syndrome 1

An autosomal recessive disease characterized by congenital cataracts, intellectual disability, and hypogonadism.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
30.9 TPM
Fibroblastos
20.4 TPM
Nervo tibial
16.4 TPM
Cérebro - Hemisfério cerebelar
15.7 TPM
Artéria tibial
15.5 TPM
OUTRAS DOENÇAS (4)
Warburg micro syndrome 2Martsolf syndrome 1autosomal recessive spastic paraplegia type 69Warburg micro syndrome
HGNC:17168UniProt:Q9H2M9
AP5Z1AP-5 complex subunit zeta-1Candidate gene tested inTolerante
FUNÇÃO

As part of AP-5, a probable fifth adaptor protein complex it may be involved in endosomal transport. According to PubMed:20613862 it is a putative helicase required for efficient homologous recombination DNA double-strand break repair

LOCALIZAÇÃO

CytoplasmNucleus

MECANISMO DE DOENÇA

Spastic paraplegia 48, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 48
HGNC:22197UniProt:O43299
PGAP1GPI inositol-deacylaseCandidate gene tested inTolerante
FUNÇÃO

GPI inositol-deacylase that catalyzes the remove of the acyl chain linked to the 2-OH position of inositol ring from the GPI-anchored protein (GPI-AP) in the endoplasmic reticulum (PubMed:24784135, PubMed:38167496). Initiates the post-attachment remodeling phase of GPI-AP biogenesis and participates in endoplasmic reticulum (ER)-to-Golgi transport of GPI-anchored protein (PubMed:24784135, PubMed:38167496)

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Attachment of GPI anchor to uPAR
MECANISMO DE DOENÇA

Neurodevelopmental disorder with dysmorphic features, spasticity, and brain abnormalities

An autosomal recessive disorder characterized by severely delayed global development, with hypotonia, impaired intellectual development, and poor or absent speech. Most patients have spasticity with limb hypertonia and brisk tendon reflexes. Additional features include non-specific dysmorphic facial features, structural brain abnormalities, and cortical visual impairment.

EXPRESSÃO TECIDUAL(Ubíquo)
Pituitária
15.2 TPM
Cérebro - Hemisfério cerebelar
12.8 TPM
Cerebelo
12.7 TPM
Skin Not Sun Exposed Suprapubic
12.1 TPM
Skin Sun Exposed Lower leg
10.1 TPM
OUTRAS DOENÇAS (3)
intellectual disability, autosomal recessive 42autosomal recessive spastic paraplegia type 67autosomal recessive non-syndromic intellectual disability
HGNC:25712UniProt:Q75T13
AMPD2AMP deaminase 2Candidate gene tested inTolerante
FUNÇÃO

AMP deaminase plays a critical role in energy metabolism. Catalyzes the deamination of AMP to IMP and plays an important role in the purine nucleotide cycle

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Purine salvage
MECANISMO DE DOENÇA

Pontocerebellar hypoplasia 9

A form of pontocerebellar hypoplasia, a disorder characterized by structural defects of the pons and cerebellum, evident upon brain imaging. PCH9 features include severely delayed psychomotor development, progressive microcephaly, spasticity, seizures, and brain abnormalities, including brain atrophy, thin corpus callosum, and delayed myelination.

VIAS REACTOME (1)
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 63pontocerebellar hypoplasia type 9
HGNC:469UniProt:Q01433
FLRT1Leucine-rich repeat transmembrane protein FLRT1Candidate gene tested inTolerante
FUNÇÃO

Plays a role in fibroblast growth factor-mediated signaling cascades that lead to the activation of MAP kinases. Promotes neurite outgrowth via FGFR1-mediated activation of downstream MAP kinases. Promotes an increase both in neurite number and in neurite length. May play a role in cell-cell adhesion and cell guidance via its interaction with ADGRL1/LPHN1 and ADGRL3

LOCALIZAÇÃO

Cell membraneEndoplasmic reticulum membraneCytoplasmic vesicle membraneCytoplasm, perinuclear regionCell junction, focal adhesionSecretedCell projection, neuron projectionCell junction

VIAS BIOLÓGICAS (1)
Downstream signaling of activated FGFR1
EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
7.6 TPM
Cerebelo
7.2 TPM
Cérebro - Hemisfério cerebelar
6.7 TPM
Córtex cerebral
6.7 TPM
Cólon sigmoide
6.5 TPM
OUTRAS DOENÇAS (1)
spastic paraplegia, optic atropy, and neuropathy
HGNC:3760UniProt:Q9NZU1
TFGProtein TFGCandidate gene tested inModerado
FUNÇÃO

Plays a role in the normal dynamic function of the endoplasmic reticulum (ER) and its associated microtubules (PubMed:23479643, PubMed:27813252). Required for secretory cargo traffic from the endoplasmic reticulum to the Golgi apparatus (PubMed:21478858)

LOCALIZAÇÃO

Endoplasmic reticulum

VIAS BIOLÓGICAS (1)
COPII-mediated vesicle transport
EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
86.6 TPM
Linfócitos
61.6 TPM
Tireoide
60.1 TPM
Nervo tibial
55.3 TPM
Aorta
53.8 TPM
OUTRAS DOENÇAS (5)
hereditary motor and sensory neuropathy, Okinawa typehereditary spastic paraplegia 57autosomal dominant Charcot-Marie-Tooth disease type 2 due to TFG mutationdifferentiated thyroid carcinoma
HGNC:11758UniProt:Q92734
IBA57Iron-sulfur cluster assembly factor IBA57, mitochondrialCandidate gene tested inTolerante
FUNÇÃO

Mitochondrial protein involved in the maturation of mitochondrial [4Fe-4S]-proteins in the late stage of the iron-sulfur cluster assembly pathway (PubMed:22323289, PubMed:23462291). Operates in cooperation with ISCA2 in the maturation of [4Fe-4S] proteins (PubMed:30269484) Involved in the maturation of mitochondrial 2Fe-2S proteins in the late stage of the iron-sulfur cluster assembly pathway

LOCALIZAÇÃO

Mitochondrion

MECANISMO DE DOENÇA

Multiple mitochondrial dysfunctions syndrome 3

A severe disorder of systemic energy metabolism, resulting in weakness, respiratory failure, lack of neurologic development, lactic acidosis, hyperglycinemia and early death. Some patients show failure to thrive, pulmonary hypertension, hypotonia and irritability. Biochemical features include severe combined deficiency of the 2-oxoacid dehydrogenases, defective lipoic acid synthesis and reduction in activity of mitochondrial respiratory chain complexes.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
9.4 TPM
Cérebro - Hemisfério cerebelar
4.7 TPM
Cerebelo
4.4 TPM
Útero
4.3 TPM
Ovário
4.1 TPM
OUTRAS DOENÇAS (2)
multiple mitochondrial dysfunctions syndrome 3hereditary spastic paraplegia 74
HGNC:27302UniProt:Q5T440
HACE1E3 ubiquitin-protein ligase HACE1Candidate gene tested inTolerante
FUNÇÃO

E3 ubiquitin-protein ligase involved in Golgi membrane fusion and regulation of small GTPases (PubMed:15254018, PubMed:21988917, PubMed:22036506, PubMed:37537642, PubMed:38332367). Acts as a regulator of Golgi membrane dynamics during the cell cycle: recruited to Golgi membrane by Rab proteins and regulates postmitotic Golgi membrane fusion (PubMed:21988917). Acts by mediating ubiquitination during mitotic Golgi disassembly, ubiquitination serving as a signal for Golgi reassembly later, after ce

LOCALIZAÇÃO

Golgi apparatus, Golgi stack membraneCytoplasmEndoplasmic reticulum

VIAS BIOLÓGICAS (1)
Antigen processing: Ubiquitination & Proteasome degradation
EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
24.8 TPM
Cerebelo
23.5 TPM
Cervix Ectocervix
16.4 TPM
Nervo tibial
15.5 TPM
Cervix Endocervix
14.8 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
spastic paraplegia-severe developmental delay-epilepsy syndromeneuroblastoma
HGNC:21033UniProt:Q8IYU2
SPASTSpastinCandidate gene tested inRestrito
FUNÇÃO

ATP-dependent microtubule severing protein that specifically recognizes and cuts microtubules that are polyglutamylated (PubMed:11809724, PubMed:15716377, PubMed:16219033, PubMed:17389232, PubMed:20530212, PubMed:22637577, PubMed:26875866). Preferentially recognizes and acts on microtubules decorated with short polyglutamate tails: severing activity increases as the number of glutamates per tubulin rises from one to eight, but decreases beyond this glutamylation threshold (PubMed:26875866). Seve

LOCALIZAÇÃO

MembraneEndoplasmic reticulumMidbodyCytoplasm, cytoskeleton, microtubule organizing center, centrosomeCytoplasm, cytoskeletonCytoplasm, perinuclear regionNucleusCytoplasm, cytoskeleton, spindleCytoplasmCell projection, axonEndoplasmic reticulum membraneNucleus membraneLipid dropletEndosome

VIAS BIOLÓGICAS (1)
Sealing of the nuclear envelope (NE) by ESCRT-III
MECANISMO DE DOENÇA

Spastic paraplegia 4, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
19.7 TPM
Brain Spinal cord cervical c-1
17.9 TPM
Cerebelo
15.3 TPM
Cervix Ectocervix
12.3 TPM
Ovário
12.0 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 4
HGNC:11233UniProt:Q9UBP0
KLC2Kinesin light chain 2Candidate gene tested inTolerante
FUNÇÃO

Kinesin is a microtubule-associated force-producing protein that plays a role in organelle transport. The light chain functions in coupling of cargo to the heavy chain or in the modulation of its ATPase activity (Probable). Through binding with PLEKHM2 and ARL8B, recruits kinesin-1 to lysosomes and hence direct lysosomes movement toward microtubule plus ends (PubMed:22172677)

LOCALIZAÇÃO

Cytoplasm, cytoskeletonLysosome membrane

VIAS BIOLÓGICAS (4)
RHO GTPases activate KTN1KinesinsCOPI-dependent Golgi-to-ER retrograde trafficMHC class II antigen presentation
MECANISMO DE DOENÇA

Spastic paraplegia, optic atrophy, and neuropathy

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPOAN is characterized by spastic paraplegia with progressive joint contractures and spine deformities, loss of independent ambulation by age 10 years, sub-normal vision secondary to congenital optic atrophy, and neuropathy. Inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
185.1 TPM
Cerebelo
180.9 TPM
Brain Frontal Cortex BA9
83.9 TPM
Córtex cerebral
82.6 TPM
Pituitária
58.0 TPM
OUTRAS DOENÇAS (1)
spastic paraplegia, optic atropy, and neuropathy
HGNC:20716UniProt:Q9H0B6
MFN2Mitofusin-2Candidate gene tested inTolerante
FUNÇÃO

Mitochondrial outer membrane GTPase that mediates mitochondrial clustering and fusion (PubMed:11181170, PubMed:11950885, PubMed:19889647, PubMed:26214738, PubMed:28114303). Mitochondria are highly dynamic organelles, and their morphology is determined by the equilibrium between mitochondrial fusion and fission events (PubMed:28114303). Overexpression induces the formation of mitochondrial networks (PubMed:28114303). Membrane clustering requires GTPase activity and may involve a major rearrangeme

LOCALIZAÇÃO

Mitochondrion outer membrane

VIAS BIOLÓGICAS (2)
Factors involved in megakaryocyte development and platelet productionRHOT2 GTPase cycle
MECANISMO DE DOENÇA

Charcot-Marie-Tooth disease, axonal, type 2A2B

An axonal form of Charcot-Marie-Tooth disease, a disorder of the peripheral nervous system, characterized by progressive weakness and atrophy, initially of the peroneal muscles and later of the distal muscles of the arms. Charcot-Marie-Tooth disease is classified in two main groups on the basis of electrophysiologic properties and histopathology: primary peripheral demyelinating neuropathies (designated CMT1 when they are dominantly inherited) and primary peripheral axonal neuropathies (CMT2). Neuropathies of the CMT2 group are characterized by signs of axonal degeneration in the absence of obvious myelin alterations, normal or slightly reduced nerve conduction velocities, and progressive distal muscle weakness and atrophy. CMT2A2B is a severe form with autosomal recessive inheritance.

EXPRESSÃO TECIDUAL(Ubíquo)
Coração - Ventrículo esquerdo
173.4 TPM
Músculo esquelético
158.4 TPM
Esôfago - Muscular
143.1 TPM
Coração - Átrio
137.5 TPM
Esôfago - Junção
119.7 TPM
OUTRAS DOENÇAS (7)
multiple symmetric lipomatosisCharcot-Marie-Tooth disease type 2A2Charcot-Marie-Tooth disease, axonal, autosomal recessive, type 2a2b;neuropathy, hereditary motor and sensory, type 6A
HGNC:16877UniProt:O95140
VCPTransitional endoplasmic reticulum ATPaseCandidate gene tested inAltamente restrito
FUNÇÃO

Necessary for the fragmentation of Golgi stacks during mitosis and for their reassembly after mitosis. Involved in the formation of the transitional endoplasmic reticulum (tER). The transfer of membranes from the endoplasmic reticulum to the Golgi apparatus occurs via 50-70 nm transition vesicles which derive from part-rough, part-smooth transitional elements of the endoplasmic reticulum (tER). Vesicle budding from the tER is an ATP-dependent process. The ternary complex containing UFD1, VCP and

LOCALIZAÇÃO

Cytoplasm, cytosolEndoplasmic reticulumNucleusCytoplasm, Stress granule

VIAS BIOLÓGICAS (10)
AggrephagyAttachment and EntryAttachment and EntryAMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274)ABC-family proteins mediated transport
MECANISMO DE DOENÇA

Inclusion body myopathy with early-onset Paget disease with or without frontotemporal dementia 1

An autosomal dominant disease characterized by disabling muscle weakness clinically resembling to limb girdle muscular dystrophy, osteolytic bone lesions consistent with Paget disease, and premature frontotemporal dementia. Clinical features show incomplete penetrance.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
229.2 TPM
Linfócitos
209.1 TPM
Músculo esquelético
193.2 TPM
Aorta
172.4 TPM
Útero
171.2 TPM
OUTRAS DOENÇAS (10)
frontotemporal dementia and/or amyotrophic lateral sclerosis 6inclusion body myopathy with Paget disease of bone and frontotemporal dementia type 1Charcot-Marie-Tooth disease type 2Yamyotrophic lateral sclerosis
HGNC:12666UniProt:P55072
ABHD16APhosphatidylserine lipase ABHD16ACandidate gene tested inTolerante
FUNÇÃO

Phosphatidylserine (PS) lipase that mediates the hydrolysis of phosphatidylserine to generate lysophosphatidylserine (LPS) (By similarity). LPS constitutes a class of signaling lipids that regulates immunological and neurological processes (By similarity). Has no activity towards diacylglycerol, triacylglycerol or lysophosphatidylserine lipase (PubMed:25290914). Also has monoacylglycerol lipase activity, with preference for 1-(9Z,12Z-octadecadienoyl)-glycerol (1-LG) and 2-glyceryl-15-deoxy-Delta

LOCALIZAÇÃO

Membrane

MECANISMO DE DOENÇA

Spastic paraplegia 86, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG86 is an autosomal recessive form associated with impaired intellectual development, poor or absent speech, and behavioral abnormalities. Brain imaging shows thin corpus callosum and white matter abnormalities. Rare patients may have seizures.

OUTRAS DOENÇAS (1)
spastic paraplegia 86, autosomal recessive
HGNC:13921UniProt:O95870
VPS37AVacuolar protein sorting-associated protein 37ACandidate gene tested inTolerante
FUNÇÃO

Component of the ESCRT-I complex, a regulator of vesicular trafficking process. Required for the sorting of endocytic ubiquitinated cargos into multivesicular bodies. May be involved in cell growth and differentiation

LOCALIZAÇÃO

Late endosome membraneNucleus

VIAS BIOLÓGICAS (5)
Late endosomal microautophagyHCMV Late EventsMembrane binding and targetting of GAG proteinsBudding and maturation of HIV virionEndosomal Sorting Complex Required For Transport (ESCRT)
MECANISMO DE DOENÇA

Spastic paraplegia 53, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. Complicated forms are recognized by additional variable features including spastic quadriparesis, seizures, dementia, amyotrophy, extrapyramidal disturbance, cerebral or cerebellar atrophy, optic atrophy, and peripheral neuropathy, as well as by extra neurological manifestations. SPG53 is characterized by pronounced early onset spastic paraparesis of upper and lower limbs, mild intellectual disability, kyphosis, pectus carinatum and hypertrichosis.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
25.3 TPM
Testículo
22.8 TPM
Artéria tibial
21.1 TPM
Fibroblastos
20.5 TPM
Cerebelo
20.3 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 53
HGNC:24928UniProt:Q8NEZ2
CPT1CPalmitoyl thioesterase CPT1CCandidate gene tested inTolerante
FUNÇÃO

Palmitoyl thioesterase specifically expressed in the endoplasmic reticulum of neurons. Modulates the trafficking of the glutamate receptor, AMPAR, to plasma membrane through depalmitoylation of GRIA1 (PubMed:30135643). Also regulates AMPR trafficking through the regulation of SACM1L phosphatidylinositol-3-phosphatase activity by interaction in a malonyl-CoA dependent manner (By similarity). Binds malonyl-CoA and couples malonyl-CoA to ceramide levels, necessary for proper spine maturation and co

LOCALIZAÇÃO

Cell projection, dendriteCell projection, axonEndoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Carnitine shuttle
MECANISMO DE DOENÇA

Spastic paraplegia 73, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 73
HGNC:18540UniProt:Q8TCG5
MTRFRMitochondrial translation release factor in rescueDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Part of a mitoribosome-associated quality control pathway that prevents aberrant translation by responding to interruptions during elongation (PubMed:33243891). As heterodimer with MTRES1, ejects the unfinished nascent chain and peptidyl transfer RNA (tRNA), respectively, from stalled ribosomes. Recruitment of mitoribosome biogenesis factors to these quality control intermediates suggests additional roles for MTRES1 and MTRF during mitoribosome rescue (PubMed:33243891)

LOCALIZAÇÃO

Mitochondrion

VIAS BIOLÓGICAS (1)
Mitochondrial ribosome-associated quality control
MECANISMO DE DOENÇA

Combined oxidative phosphorylation deficiency 7

A mitochondrial disease resulting in encephalomyopathy. Clinical manifestations include psychomotor delay and regression, ataxia, optic atrophy, nystagmus and muscle atrophy and weakness.

OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 55combined oxidative phosphorylation defect type 7
HGNC:26784UniProt:Q9H3J6
AP4S1AP-4 complex subunit sigma-1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the adaptor protein complex 4 (AP-4). Adaptor protein complexes are vesicle coat components involved both in vesicle formation and cargo selection. They control the vesicular transport of proteins in different trafficking pathways (PubMed:10066790, PubMed:10436028). AP-4 forms a non clathrin-associated coat on vesicles departing the trans-Golgi network (TGN) and may be involved in the targeting of proteins from the trans-Golgi network (TGN) to the endosomal-lysosomal system. It is a

LOCALIZAÇÃO

Golgi apparatus, trans-Golgi network membrane

VIAS BIOLÓGICAS (1)
Lysosome Vesicle Biogenesis
MECANISMO DE DOENÇA

Spastic paraplegia 52, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. SPG52 is characterized by neonatal hypotonia that progresses to hypertonia and spasticity, and severe intellectual disability with poor or absent speech development. Some patients may have seizures.

OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 52AP-4 deficiency syndrome
HGNC:575UniProt:Q9Y587
RNF170E3 ubiquitin-protein ligase RNF170Disease-causing germline mutation(s) inRestrito
FUNÇÃO

E3 ubiquitin-protein ligase that plays an essential role in stimulus-induced inositol 1,4,5-trisphosphate receptor type 1 (ITPR1) ubiquitination and degradation via the endoplasmic reticulum-associated degradation (ERAD) pathway. Also involved in ITPR1 turnover in resting cells. Selectively inhibits the TLR3-triggered innate immune response by promoting the 'Lys-48'-linked polyubiquitination and degradation of TLR3 (PubMed:31076723)

LOCALIZAÇÃO

Endoplasmic reticulum membrane

MECANISMO DE DOENÇA

Ataxia, sensory, 1, autosomal dominant

A rare disease characterized by progressive ataxia caused by degeneration of the posterior columns of the spinal cord. Affected individuals have a reduced ability to feel pain, temperature and vibration, particularly in the hands and feet. Their most prominent feature is an ataxic gait resulting from a severe loss of proprioception. Thus, patients rely on visual cues for maintaining proper body posture, such that they are unable to remain upright if their eyes are closed (Romberg sign).

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
25.5 TPM
Cérebro - Hemisfério cerebelar
21.4 TPM
Cerebelo
18.3 TPM
Brain Spinal cord cervical c-1
14.5 TPM
Nervo tibial
13.9 TPM
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (2)
spastic paraplegia 85, autosomal recessiveautosomal dominant sensory ataxia 1
HGNC:25358UniProt:Q96K19
MAGMyelin-associated glycoproteinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Adhesion molecule that mediates interactions between myelinating cells and neurons by binding to neuronal sialic acid-containing gangliosides and to the glycoproteins RTN4R and RTN4RL2 (By similarity). Not required for initial myelination, but seems to play a role in the maintenance of normal axon myelination. Protects motoneurons against apoptosis, also after injury; protection against apoptosis is probably mediated via interaction with neuronal RTN4R and RTN4RL2. Required to prevent degenerati

LOCALIZAÇÃO

Cell membraneMembrane raft

VIAS BIOLÓGICAS (3)
Basigin interactionsAxonal growth inhibition (RHOA activation)EGR2 and SOX10-mediated initiation of Schwann cell myelination
MECANISMO DE DOENÇA

Spastic paraplegia 75, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG75 is characterized by onset in early childhood and is associated with mild to moderate cognitive impairment.

EXPRESSÃO TECIDUAL(Tecido-específico)
Brain Spinal cord cervical c-1
839.0 TPM
Substância negra
181.8 TPM
Hipocampo
144.8 TPM
Brain Putamen basal ganglia
120.8 TPM
Brain Caudate basal ganglia
78.0 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 75
HGNC:6783UniProt:P20916
ENTPD1Ectonucleoside triphosphate diphosphohydrolase 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the hydrolysis of nucleoside triphosphates (NTPs) and diphosphates (NDPs) (Probable) (PubMed:8529670, PubMed:8626624, PubMed:8955160, PubMed:8996251). The enzyme sequentially removes phosphate groups in two successive steps, converting NTPs to nucleoside monophosphates (NMPs) via NDP intermediates (Probable) (PubMed:8529670, PubMed:8626624, PubMed:8955160, PubMed:8996251). This activity contributes to the regulation of extracellular levels of nucleotides (Probable) (PubMed:8529670, Pub

LOCALIZAÇÃO

MembraneMembrane, caveola

VIAS BIOLÓGICAS (2)
Purinergic signaling in leishmaniasis infectionPhosphate bond hydrolysis by NTPDase proteins
MECANISMO DE DOENÇA

Spastic paraplegia 64, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
158.7 TPM
Artéria tibial
71.3 TPM
Artéria coronária
45.0 TPM
Útero
41.3 TPM
Aorta
30.8 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 64
HGNC:3363UniProt:P49961
CYP7B1Cytochrome P450 7B1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

A cytochrome P450 monooxygenase involved in the metabolism of endogenous oxysterols and steroid hormones, including neurosteroids (PubMed:10588945, PubMed:24491228). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (CPR; NADPH-ferrihemoprotein reductase) (PubMed:10588945, PubMed:24491228). Catalyzes the hydroxylation of carbon hydrogen bonds of stero

LOCALIZAÇÃO

Endoplasmic reticulum membraneMicrosome membrane

VIAS BIOLÓGICAS (4)
Synthesis of bile acids and bile saltsEndogenous sterolsSynthesis of bile acids and bile salts via 27-hydroxycholesterolSynthesis of bile acids and bile salts via 7alpha-hydroxycholesterol
MECANISMO DE DOENÇA

Spastic paraplegia 5A, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
12.4 TPM
Linfócitos
9.7 TPM
Nervo tibial
8.5 TPM
Cervix Ectocervix
6.8 TPM
Pulmão
6.8 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 5Acongenital bile acid synthesis defect 3
HGNC:2652UniProt:O75881
CYP2U1Cytochrome P450 2U1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

A cytochrome P450 monooxygenase involved in the metabolism of arachidonic acid and its conjugates (PubMed:14660610, PubMed:24563460). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (CPR; NADPH-ferrihemoprotein reductase) (PubMed:14660610, PubMed:24563460). Acts as an omega and omega-1 hydroxylase for arachidonic acid and possibly for other long cha

LOCALIZAÇÃO

Endoplasmic reticulum membraneMicrosome membraneMitochondrion inner membrane

VIAS BIOLÓGICAS (2)
Miscellaneous substratesSynthesis of (16-20)-hydroxyeicosatetraenoic acids (HETE)
MECANISMO DE DOENÇA

Spastic paraplegia 56, autosomal recessive, with or without pseudoxanthoma elasticum

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. Complicated forms are recognized by additional variable features including spastic quadriparesis, seizures, dementia, amyotrophy, extrapyramidal disturbance, cerebral or cerebellar atrophy, optic atrophy, and peripheral neuropathy, as well as by extra neurological manifestations. In SPG56, upper limbs are often also affected. Some SPG56 patients may have a subclinical axonal neuropathy; others also have pseudoxanthoma elasticum.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
26.8 TPM
Aorta
16.1 TPM
Cérebro - Hemisfério cerebelar
13.7 TPM
Útero
13.7 TPM
Artéria tibial
13.5 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 56
HGNC:20582UniProt:Q7Z449
SLC33A1Acetyl-coenzyme A transporter 1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Acetyl-CoA transporter that mediates active acetyl-CoA import through the endoplasmic reticulum (ER) membrane into the ER lumen where specific ER-based acetyl-CoA:lysine acetyltransferases are responsible for the acetylation of ER-based protein substrates, such as BACE1 (PubMed:20826464, PubMed:24828632). Necessary for O-acetylation of gangliosides (PubMed:9096318)

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Transport of vitamins, nucleosides, and related molecules
MECANISMO DE DOENÇA

Spastic paraplegia 42, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Cervix Endocervix
14.1 TPM
Fibroblastos
13.6 TPM
Tireoide
13.3 TPM
Pituitária
12.8 TPM
Cervix Ectocervix
12.8 TPM
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (2)
Huppke-Brendel syndromehereditary spastic paraplegia 42
HGNC:95UniProt:O00400
UBAP1Ubiquitin-associated protein 1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Component of the ESCRT-I complex, a regulator of vesicular trafficking process (PubMed:21757351, PubMed:22405001, PubMed:31203368). Binds to ubiquitinated cargo proteins and is required for the sorting of endocytic ubiquitinated cargos into multivesicular bodies (MVBs) (PubMed:21757351, PubMed:22405001). Plays a role in the proteasomal degradation of ubiquitinated cell-surface proteins, such as EGFR and BST2 (PubMed:22405001, PubMed:24284069, PubMed:31203368)

LOCALIZAÇÃO

Cytoplasm, cytosolEndosome

VIAS BIOLÓGICAS (5)
Late endosomal microautophagyHCMV Late EventsMembrane binding and targetting of GAG proteinsBudding and maturation of HIV virionEndosomal Sorting Complex Required For Transport (ESCRT)
MECANISMO DE DOENÇA

Spastic paraplegia 80, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Sangue
123.8 TPM
Esôfago - Mucosa
98.7 TPM
Cervix Ectocervix
97.6 TPM
Testículo
92.6 TPM
Artéria tibial
89.4 TPM
OUTRAS DOENÇAS (2)
spastic paraplegia 80, autosomal dominanthereditary spastic paraplegia 12
HGNC:12461UniProt:Q9NZ09
ERLIN1Erlin-1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the ERLIN1/ERLIN2 complex which mediates the endoplasmic reticulum-associated degradation (ERAD) of inositol 1,4,5-trisphosphate receptors (IP3Rs). Involved in regulation of cellular cholesterol homeostasis by regulation the SREBP signaling pathway (PubMed:37683630). Binds cholesterol and may promote ER retention of the SCAP-SREBF complex (PubMed:24217618) (Microbial infection) Required early in hepatitis C virus (HCV) infection to initiate RNA replication, and later in the infectio

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (3)
AMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274)ABC-family proteins mediated transportDefective CFTR causes cystic fibrosis
MECANISMO DE DOENÇA

Spastic paraplegia 62, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
58.3 TPM
Vagina
30.3 TPM
Fígado
28.9 TPM
Esôfago - Mucosa
25.4 TPM
Cervix Endocervix
24.5 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 62
HGNC:16947UniProt:O75477
GBA2Non-lysosomal glucosylceramidaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Non-lysosomal glucosylceramidase that catalyzes the hydrolysis of glucosylceramides/GlcCers (such as beta-D-glucosyl-(1<->1')-N-acylsphing-4-enine) to free glucose and ceramides (such as N-acylsphing-4-enine) (PubMed:17105727, PubMed:30308956, PubMed:32144204). GlcCers are membrane glycosphingolipids that have a wide intracellular distribution (By similarity). They are the main precursors of more complex glycosphingolipids that play a role in cellular growth, differentiation, adhesion, signaling

LOCALIZAÇÃO

Endoplasmic reticulum membraneGolgi apparatus membrane

VIAS BIOLÓGICAS (1)
Glycosphingolipid catabolism
MECANISMO DE DOENÇA

Spastic paraplegia 46, autosomal recessive

A neurodegenerative disorder characterized by onset in childhood of slowly progressive spastic paraplegia and cerebellar signs. Some patients have cognitive impairment, cataracts, and cerebral, cerebellar, and corpus callosum atrophy on brain imaging.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
137.0 TPM
Cérebro - Hemisfério cerebelar
119.2 TPM
Tireoide
100.6 TPM
Intestino delgado
98.6 TPM
Pituitária
87.5 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 46autosomal recessive cerebellar ataxia with late-onset spasticity
HGNC:18986UniProt:Q9HCG7
NT5C2Cytosolic purine 5'-nucleotidaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Broad specificity cytosolic 5'-nucleotidase that catalyzes the dephosphorylation of 6-hydroxypurine nucleoside 5'-monophosphates (PubMed:10092873, PubMed:12907246, PubMed:1659319, PubMed:9371705). In addition, possesses a phosphotransferase activity by which it can transfer a phosphate from a donor nucleoside monophosphate to an acceptor nucleoside, preferably inosine, deoxyinosine and guanosine (PubMed:1659319, PubMed:9371705). Has the highest activities for IMP and GMP followed by dIMP, dGMP a

LOCALIZAÇÃO

Cytoplasm, cytosol

VIAS BIOLÓGICAS (3)
Purine catabolismRibavirin ADMEAbacavir metabolism
MECANISMO DE DOENÇA

Spastic paraplegia 45, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. Some SPG45 patients manifest intellectual disability, contractures and learning disability.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
68.9 TPM
Esôfago - Mucosa
56.0 TPM
Glândula salivar
48.4 TPM
Fibroblastos
46.6 TPM
Artéria tibial
46.3 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 45
HGNC:8022UniProt:P49902
DSTYKDual serine/threonine and tyrosine protein kinaseDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Acts as a positive regulator of ERK phosphorylation downstream of fibroblast growth factor-receptor activation (PubMed:23862974, PubMed:28157540). Involved in the regulation of both caspase-dependent apoptosis and caspase-independent cell death (PubMed:15178406). In the skin, it plays a predominant role in suppressing caspase-dependent apoptosis in response to UV stress in a range of dermal cell types (PubMed:28157540)

LOCALIZAÇÃO

CytoplasmCell membraneApical cell membraneBasolateral cell membraneCell junction

MECANISMO DE DOENÇA

Congenital anomalies of the kidney and urinary tract 1

A disorder encompassing a broad spectrum of renal and urinary tract malformations that include renal agenesis, kidney hypodysplasia, multicystic kidney dysplasia, duplex collecting system, posterior urethral valves and ureter abnormalities. Congenital anomalies of kidney and urinary tract are the commonest cause of chronic kidney disease in children.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
33.1 TPM
Cerebelo
25.4 TPM
Útero
16.7 TPM
Brain Frontal Cortex BA9
15.5 TPM
Ovário
14.8 TPM
OUTRAS DOENÇAS (3)
congenital anomalies of kidney and urinary tract 1hereditary spastic paraplegia 23renal agenesis, unilateral
HGNC:29043UniProt:Q6XUX3
ERLIN2Erlin-2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the ERLIN1/ERLIN2 complex which mediates the endoplasmic reticulum-associated degradation (ERAD) of inositol 1,4,5-trisphosphate receptors (IP3Rs) such as ITPR1 (PubMed:17502376, PubMed:19240031). Promotes sterol-accelerated ERAD of HMGCR probably implicating an AMFR/gp78-containing ubiquitin ligase complex (PubMed:21343306). Involved in regulation of cellular cholesterol homeostasis by regulation the SREBP signaling pathway. May promote ER retention of the SCAP-SREBF complex (PubMe

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (3)
AMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274)ABC-family proteins mediated transportDefective CFTR causes cystic fibrosis
MECANISMO DE DOENÇA

Spastic paraplegia 18B, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG18B is a severe form with onset in early childhood. Most affected individuals have severe psychomotor retardation. Some may develop significant joint contractures.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
29.8 TPM
Tireoide
22.2 TPM
Ovário
21.0 TPM
Útero
18.9 TPM
Nervo tibial
18.8 TPM
OUTRAS DOENÇAS (4)
spastic paraplegia 18a, autosomal dominantjuvenile primary lateral sclerosishereditary spastic paraplegia 18recessive intellectual disability-motor dysfunction-multiple joint contractures syndrome
HGNC:1356UniProt:O94905
GPT2Alanine aminotransferase 2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the reversible transamination between alanine and 2-oxoglutarate to form pyruvate and glutamate

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Alanine metabolism
MECANISMO DE DOENÇA

Neurodevelopmental disorder with spastic paraplegia and microcephaly

An autosomal recessive syndrome characterized by severe psychomotor developmental delay, dysarthria, walking difficulties, moderately to severely impaired intellectual development, poor or absent speech, and progressive microcephaly.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Esôfago - Mucosa
93.0 TPM
Estômago
87.0 TPM
Fígado
65.7 TPM
Glândula salivar
61.2 TPM
Skin Not Sun Exposed Suprapubic
59.9 TPM
OUTRAS DOENÇAS (1)
glutamate pyruvate transaminase 2 deficiency
HGNC:18062UniProt:Q8TD30
HPDL4-hydroxyphenylpyruvate dioxygenase-like proteinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Iron-dependent dioxygenase that catalyzes the conversion of 4-hydroxyphenylpyruvate (4-HPPA) to 4-hydroxymandelate (4-HMA) in the mitochondria, one of the steps in the biosynthesis of coenzyme Q10 from tyrosine

LOCALIZAÇÃO

Mitochondrion

VIAS BIOLÓGICAS (1)
Ubiquinol biosynthesis
MECANISMO DE DOENÇA

Neurodevelopmental disorder with progressive spasticity and brain white matter abnormalities

An autosomal recessive neurodevelopmental disorder characterized by developmental delay manifesting in infancy, inability to walk independently, mild to severe intellectual disability, poor overall growth, progressive microcephaly, and axial hypotonia. Additional variable features include brainstem and cerebellar involvement, seizures, joint contractures, ocular disturbances, episodic respiratory failure, and facial dysmorphism.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
12.6 TPM
Cérebro - Hemisfério cerebelar
8.7 TPM
Cerebelo
7.9 TPM
Cólon transverso
4.4 TPM
Fibroblastos
4.3 TPM
OUTRAS DOENÇAS (3)
spastic paraplegia 83, autosomal recessiveneurodevelopmental disorder with progressive spasticity and brain white matter abnormalitiescomplex neurodevelopmental disorder
HGNC:28242UniProt:Q96IR7
SPG7Mitochondrial inner membrane m-AAA protease component parapleginDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalytic component of the m-AAA protease, a protease that plays a key role in proteostasis of inner mitochondrial membrane proteins, and which is essential for axonal and neuron development (PubMed:11549317, PubMed:28396416, PubMed:31097542, PubMed:9635427). SPG7 possesses both ATPase and protease activities: the ATPase activity is required to unfold substrates, threading them into the internal proteolytic cavity for hydrolysis into small peptide fragments (By similarity). The m-AAA protease ex

LOCALIZAÇÃO

Mitochondrion inner membrane

VIAS BIOLÓGICAS (2)
Processing of SMDT1Mitochondrial protein degradation
MECANISMO DE DOENÇA

Spastic paraplegia 7, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG7 is a complex form. Additional clinical features are cerebellar syndrome, supranuclear palsy, and cognitive impairment, particularly disturbance of attention and executive functions.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
63.6 TPM
Cerebelo
50.5 TPM
Cérebro - Hemisfério cerebelar
47.8 TPM
Ovário
47.7 TPM
Cervix Endocervix
43.6 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 7lateral sclerosis
HGNC:11237UniProt:Q9UQ90
ARL6IP1ADP-ribosylation factor-like protein 6-interacting protein 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Positively regulates SLC1A1/EAAC1-mediated glutamate transport by increasing its affinity for glutamate in a PKC activity-dependent manner. Promotes the catalytic efficiency of SLC1A1/EAAC1 probably by reducing its interaction with ARL6IP5, a negative regulator of SLC1A1/EAAC1-mediated glutamate transport (By similarity). Plays a role in the formation and stabilization of endoplasmic reticulum tubules (PubMed:24262037). Negatively regulates apoptosis, possibly by modulating the activity of caspa

LOCALIZAÇÃO

Endomembrane systemEndoplasmic reticulum membraneEndoplasmic reticulum

MECANISMO DE DOENÇA

Spastic paraplegia 61, autosomal recessive

A complicated form of spastic paraplegia with polysensory and motor neuropathy. Spastic paraplegia is a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 61
HGNC:697UniProt:Q15041
DDHD1Phospholipase DDHD1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Phospholipase A1 (PLA1) that hydrolyzes ester bonds at the sn-1 position of glycerophospholipids producing a free fatty acid and a lysophospholipid (Probable) (PubMed:20359546, PubMed:22922100). Prefers phosphatidate (1,2-diacyl-sn-glycero-3-phosphate, PA) as substrate in vitro, but can efficiently hydrolyze phosphatidylinositol (1,2-diacyl-sn-glycero-3-phospho-(1D-myo-inositol), PI), as well as a range of other glycerophospholipid substrates such as phosphatidylcholine (1,2-diacyl-sn-glycero-3-

LOCALIZAÇÃO

Cytoplasm

VIAS BIOLÓGICAS (1)
Synthesis of PA
MECANISMO DE DOENÇA

Spastic paraplegia 28, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. Some SPG28 patients also have distal sensory impairment.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
26.6 TPM
Testículo
20.0 TPM
Cérebro - Hemisfério cerebelar
15.9 TPM
Cerebelo
14.4 TPM
Nervo tibial
11.1 TPM
INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 28
HGNC:19714UniProt:Q8NEL9
HSPD160 kDa heat shock protein, mitochondrialDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Chaperonin implicated in mitochondrial protein import and macromolecular assembly. Together with Hsp10, facilitates the correct folding of imported proteins. May also prevent misfolding and promote the refolding and proper assembly of unfolded polypeptides generated under stress conditions in the mitochondrial matrix (PubMed:11422376, PubMed:1346131). The functional units of these chaperonins consist of heptameric rings of the large subunit Hsp60, which function as a back-to-back double ring. In

LOCALIZAÇÃO

Mitochondrion matrix

VIAS BIOLÓGICAS (1)
Mitochondrial protein import
MECANISMO DE DOENÇA

Spastic paraplegia 13, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
621.5 TPM
Glândula adrenal
611.7 TPM
Fibroblastos
287.1 TPM
Ovário
252.8 TPM
Fígado
226.5 TPM
OUTRAS DOENÇAS (2)
hypomyelinating leukodystrophy 4hereditary spastic paraplegia 13
HGNC:5261UniProt:P10809
RTN2Reticulon-2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Inhibits amyloid precursor protein processing, probably by blocking BACE1 activity (PubMed:15286784). Enhances trafficking of the glutamate transporter SLC1A1/EAAC1 from the endoplasmic reticulum to the cell surface (By similarity). Plays a role in the translocation of SLC2A4/GLUT4 from intracellular membranes to the cell membrane which facilitates the uptake of glucose into the cell (By similarity)

LOCALIZAÇÃO

Endoplasmic reticulum membraneSarcoplasmic reticulum membraneCell membraneCell membrane, sarcolemmaCell membrane, sarcolemma, T-tubuleCytoplasm, myofibril, sarcomere, Z lineCytoplasm, cytoskeleton

MECANISMO DE DOENÇA

Spastic paraplegia 12, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Músculo esquelético
105.9 TPM
Brain Frontal Cortex BA9
49.2 TPM
Córtex cerebral
48.2 TPM
Cerebelo
40.6 TPM
Cérebro - Hemisfério cerebelar
40.1 TPM
OUTRAS DOENÇAS (2)
neuronopathy, distal hereditary motor, autosomal recessive 11, with spasticityhereditary spastic paraplegia 12
HGNC:10468UniProt:O75298
KIF5AKinesin heavy chain isoform 5ADisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Microtubule-dependent motor required for slow axonal transport of neurofilament proteins (NFH, NFM and NFL). Can induce formation of neurite-like membrane protrusions in non-neuronal cells in a ZFYVE27-dependent manner. The ZFYVE27-KIF5A complex contributes to the vesicular transport of VAPA, VAPB, SURF4, RAB11A, RAB11B and RTN3 proteins in neurons. Required for anterograde axonal transportation of MAPK8IP3/JIP3 which is essential for MAPK8IP3/JIP3 function in axon elongation

LOCALIZAÇÃO

Cytoplasm, perinuclear regionCytoplasm, cytoskeletonPerikaryon

VIAS BIOLÓGICAS (5)
RHO GTPases activate KTN1KinesinsCOPI-dependent Golgi-to-ER retrograde trafficMHC class II antigen presentationInsulin processing
MECANISMO DE DOENÇA

Spastic paraplegia 10, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Córtex cerebral
1160.2 TPM
Brain Frontal Cortex BA9
1085.0 TPM
Brain Anterior cingulate cortex BA24
848.9 TPM
Cérebro - Amígdala
620.8 TPM
Brain Caudate basal ganglia
320.3 TPM
OUTRAS DOENÇAS (4)
hereditary spastic paraplegia 10myoclonus, intractable, neonatalautosomal dominant Charcot-Marie-Tooth disease type 2 due to KIF5A mutationamyotrophic lateral sclerosis, susceptibility to, 25
HGNC:6323UniProt:Q12840
L1CAMNeural cell adhesion molecule L1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Neural cell adhesion molecule involved in the dynamics of cell adhesion and in the generation of transmembrane signals at tyrosine kinase receptors. During brain development, critical in multiple processes, including neuronal migration, axonal growth and fasciculation, and synaptogenesis. In the mature brain, plays a role in the dynamics of neuronal structure and function, including synaptic plasticity

LOCALIZAÇÃO

Cell membraneCell projection, growth coneCell projection, axonCell projection, dendrite

VIAS BIOLÓGICAS (5)
Basigin interactionsRecycling pathway of L1L1CAM interactionsSignal transduction by L1Interaction between L1 and Ankyrins
MECANISMO DE DOENÇA

Hydrocephalus, congenital, X-linked

An X-linked recessive form of congenital hydrocephalus, a disease characterized by in utero onset of enlarged ventricles due to accumulation of ventricular cerebrospinal fluid. HYCX is the most common inherited form and occurs in approximately 1/30000 male births. The primary diagnostic criteria of intellectual disability and enlarged cerebral ventricles are often accompanied by spastic paraparesis and adducted thumbs and, occasionally, visual defects or seizures. The most severe cases die pre- or perinatally with gross hydrocephalus and enlarged head circumference. Stenosis of the aqueduct of Sylvius is frequently associated with the disorder.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
258.9 TPM
Cérebro - Hemisfério cerebelar
236.4 TPM
Nervo tibial
112.8 TPM
Córtex cerebral
69.3 TPM
Brain Frontal Cortex BA9
67.7 TPM
OUTRAS DOENÇAS (4)
MASA syndromeX-linked complicated corpus callosum dysgenesisX-linked hydrocephalus with stenosis of the aqueduct of SylviusX-linked complicated spastic paraplegia type 1
HGNC:6470UniProt:P32004
KIDINS220Kinase D-interacting substrate of 220 kDaDisease-causing germline mutation(s) inRestrito
FUNÇÃO

Promotes a prolonged MAP-kinase signaling by neurotrophins through activation of a Rap1-dependent mechanism. Provides a docking site for the CRKL-C3G complex, resulting in Rap1-dependent sustained ERK activation. May play an important role in regulating postsynaptic signal transduction through the syntrophin-mediated localization of receptor tyrosine kinases such as EPHA4. In cooperation with SNTA1 can enhance EPHA4-induced JAK/STAT activation. Plays a role in nerve growth factor (NGF)-induced r

LOCALIZAÇÃO

MembraneLate endosome

VIAS BIOLÓGICAS (3)
ARMS-mediated activationRND1 GTPase cycleRND2 GTPase cycle
MECANISMO DE DOENÇA

Spastic paraplegia, intellectual disability, nystagmus, and obesity

An autosomal dominant syndrome characterized by rapid growth in infancy, obesity, global developmental delay, intellectual disability, spastic paraplegia, ocular defects, and dysmorphic facial features.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
55.4 TPM
Cerebelo
40.8 TPM
Ovário
35.1 TPM
Útero
31.7 TPM
Nervo tibial
31.4 TPM
OUTRAS DOENÇAS (2)
spastic paraplegia, intellectual disability, nystagmus, and obesityventriculomegaly and arthrogryposis
HGNC:29508UniProt:Q9ULH0
PI4KAPhosphatidylinositol 4-kinase alphaDisease-causing germline mutation(s) inRestrito
FUNÇÃO

Acts on phosphatidylinositol (PtdIns) in the first committed step in the production of the second messenger inositol-1,4,5,-trisphosphate

LOCALIZAÇÃO

CytoplasmCell membrane

VIAS BIOLÓGICAS (2)
Synthesis of PIPs at the Golgi membraneSynthesis of PIPs at the ER membrane
MECANISMO DE DOENÇA

Neurodevelopmental disorder with spasticity, hypomyelinating leukodystrophy, and brain abnormalities

A severe autosomal recessive disorder characterized by global developmental delay with impaired intellectual development and poor or absent speech, axial hypotonia, and peripheral spasticity and hyperreflexia. Brain imaging shows hypomyelination with decreased white matter volume, cerebral and cerebellar atrophy, and thin corpus callosum. Polymicrogyria may be observed in rare cases. Some patients have a primary immunodeficiency or gastrointestinal disturbances similar to inflammatory bowel disease.

EXPRESSÃO TECIDUAL(Ubíquo)
Córtex cerebral
113.3 TPM
Cerebelo
110.8 TPM
Cérebro - Hemisfério cerebelar
103.0 TPM
Brain Frontal Cortex BA9
100.3 TPM
Útero
66.4 TPM
OUTRAS DOENÇAS (5)
polymicrogyria, perisylvian, with cerebellar hypoplasia and arthrogryposisgastrointestinal defects and immunodeficiency syndrome 2spastic paraplegia 84, autosomal recessivebilateral perisylvian polymicrogyria
HGNC:8983UniProt:P42356
FARS2Phenylalanine--tRNA ligase, mitochondrialDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Is responsible for the charging of tRNA(Phe) with phenylalanine in mitochondrial translation. To a lesser extent, also catalyzes direct attachment of m-Tyr (an oxidized version of Phe) to tRNA(Phe), thereby opening the way for delivery of the misacylated tRNA to the ribosome and incorporation of ROS-damaged amino acid into proteins

LOCALIZAÇÃO

Mitochondrion matrixMitochondrion

VIAS BIOLÓGICAS (1)
Mitochondrial tRNA aminoacylation
MECANISMO DE DOENÇA

Combined oxidative phosphorylation deficiency 14

A severe multisystemic autosomal recessive disorder characterized by neonatal onset of global developmental delay, refractory seizures, and lactic acidosis. Biochemical studies show deficiencies of multiple mitochondrial respiratory enzymes.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
17.6 TPM
Testículo
15.4 TPM
Fibroblastos
13.6 TPM
Nervo tibial
12.8 TPM
Útero
12.7 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 77combined oxidative phosphorylation defect type 14
HGNC:21062UniProt:O95363
CAPN1Calpain-1 catalytic subunitDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Calcium-regulated non-lysosomal thiol-protease which catalyzes limited proteolysis of substrates involved in cytoskeletal remodeling and signal transduction (PubMed:19617626, PubMed:21531719, PubMed:2400579). Proteolytically cleaves CTBP1 at 'Asn-375', 'Gly-387' and 'His-409' (PubMed:23707407). Cleaves and activates caspase-7 (CASP7) (PubMed:19617626)

LOCALIZAÇÃO

CytoplasmCell membrane

VIAS BIOLÓGICAS (3)
Formation of the cornified envelopeDegradation of the extracellular matrixDeregulated CDK5 triggers multiple neurodegenerative pathways in Alzheimer's disease models
MECANISMO DE DOENÇA

Spastic paraplegia 76, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

OUTRAS DOENÇAS (1)
autosomal recessive spastic paraplegia type 76
HGNC:1476UniProt:P07384
DDHD2Triacylglycerol hydrolase DDHD2Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Diacylglycerol (DAG) and triacylglycerol (TAG) lipase required for proper lipid homeostasis in the central nervous system (PubMed:29278326, PubMed:37832604). It cooperates with PNPLA2/ATGL in neuronal TAG catabolism and hydrolyzes sn-1,3 DAG downstream of PNPLA2/ATGL (By similarity). In vitro, it also acts as a phospholipase that hydrolyzes preferentially phosphatidic acids, including 1,2-dioleoyl-sn-phosphatidic acid, phosphatidylcholine and phosphatidylethanolamine. Specifically binds to phosp

LOCALIZAÇÃO

Cytoplasm, cytosolEndoplasmic reticulum-Golgi intermediate compartmentGolgi apparatus, cis-Golgi network

VIAS BIOLÓGICAS (1)
Synthesis of PA
MECANISMO DE DOENÇA

Spastic paraplegia 54, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. Complicated forms are recognized by additional variable features including spastic quadriparesis, seizures, dementia, amyotrophy, extrapyramidal disturbance, cerebral or cerebellar atrophy, optic atrophy, and peripheral neuropathy, as well as by extra neurological manifestations. SPG54 patients have delayed psychomotor development, intellectual disability, and early-onset spasticity of the lower limbs. Brain MRI shows a thin corpus callosum and periventricular white matter lesions, and an abnormal lipid peak due to accumulation of neutral lipids in certain brain regions.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
52.8 TPM
Brain Spinal cord cervical c-1
43.3 TPM
Nervo tibial
40.4 TPM
Cerebelo
40.2 TPM
Ovário
35.3 TPM
INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 54
HGNC:29106UniProt:O94830
ZFYVE26Zinc finger FYVE domain-containing protein 26Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Phosphatidylinositol 3-phosphate-binding protein required for the abscission step in cytokinesis: recruited to the midbody during cytokinesis and acts as a regulator of abscission. May also be required for efficient homologous recombination DNA double-strand break repair

LOCALIZAÇÃO

Cytoplasm, cytoskeleton, microtubule organizing center, centrosomeMidbody

MECANISMO DE DOENÇA

Spastic paraplegia 15, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG15 is a complex form associated with additional neurological symptoms such as cognitive deterioration or intellectual disability, axonal neuropathy, mild cerebellar signs, and, less frequently, a central hearing deficit, decreased visual acuity, or retinal degeneration.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
16.0 TPM
Cérebro - Hemisfério cerebelar
14.9 TPM
Linfócitos
14.9 TPM
Nervo tibial
14.8 TPM
Ovário
13.9 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 15
HGNC:20761UniProt:Q68DK2
BSCL2SeipinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Plays a crucial role in the formation of lipid droplets (LDs) which are storage organelles at the center of lipid and energy homeostasis (PubMed:19278620, PubMed:21533227, PubMed:30293840, PubMed:31708432). In association with LDAF1, defines the sites of LD formation in the ER (PubMed:31708432). Also required for growth and maturation of small nascent LDs into larger mature LDs (PubMed:27564575). Mediates the formation and/or stabilization of endoplasmic reticulum-lipid droplets (ER-LD) contacts

LOCALIZAÇÃO

Endoplasmic reticulum membraneLipid droplet

MECANISMO DE DOENÇA

Lipodystrophy, congenital generalized, 2

A form of congenital generalized lipodystrophy, a metabolic disorder characterized by a near complete absence of adipose tissue, extreme insulin resistance, hypertriglyceridemia, hepatic steatosis and early onset of diabetes. Inheritance is autosomal recessive.

OUTRAS DOENÇAS (5)
hereditary spastic paraplegia 17severe neurodegenerative syndrome with lipodystrophyneuronopathy, distal hereditary motor, type 5Ccongenital generalized lipodystrophy type 2
HGNC:15832UniProt:Q96G97
SPARTSpartinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Lipophagy receptor that plays an important role in lipid droplet (LD) turnover in motor neurons (PubMed:37443287). Localizes to LDs and interacts with components of the autophagy machinery, such as MAP1LC3A/C proteins to deliver LDs to autophagosomes for degradation via lipophagy (PubMed:37443287). Lipid transfer protein required for lipid droplet degradation, including by lipophagy (PubMed:38190532). Can bind and transfer all lipid species found in lipid droplets, from phospholipids to triglyce

LOCALIZAÇÃO

CytoplasmMidbodyLipid droplet

MECANISMO DE DOENÇA

Spastic paraplegia 20, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG20 is characterized by dysarthria, distal amyotrophy, mild developmental delay and short stature.

OUTRAS DOENÇAS (1)
Troyer syndrome
HGNC:18514UniProt:Q8N0X7
SPTSSASerine palmitoyltransferase small subunit ADisease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the serine palmitoyltransferase multisubunit enzyme (SPT) that catalyzes the initial and rate-limiting step in sphingolipid biosynthesis by condensing L-serine and activated acyl-CoA (most commonly palmitoyl-CoA) to form long-chain bases (PubMed:19416851). The SPT complex is composed of SPTLC1, SPTLC2 or SPTLC3 and SPTSSA or SPTSSB. Within this complex, the heterodimer consisting of SPTLC1 and SPTLC2/SPTLC3 forms the catalytic core (PubMed:19416851). Within the SPT complex, SPTSSA s

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Sphingolipid de novo biosynthesis
MECANISMO DE DOENÇA

Spastic paraplegia 90A, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or weakness and stiffness may spread to other parts of the body. SPG90A affected individuals have motor impairment and progressive lower extremity spasticity as well as neurologic findings, cognitive impairment, and hearing loss.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
96.6 TPM
Pulmão
67.7 TPM
Fallopian Tube
55.1 TPM
Vagina
53.7 TPM
Glândula salivar
51.4 TPM
OUTRAS DOENÇAS (2)
spastic paraplegia 90A, autosomal dominantspastic paraplegia 90B, autosomal recessive
HGNC:HGNC:20361UniProt:Q969W0
PNPLA6Patatin-like phospholipase domain-containing protein 6Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Phospholipase B that deacylates intracellular phosphatidylcholine (PtdCho), generating glycerophosphocholine (GroPtdCho). This deacylation occurs at both sn-2 and sn-1 positions of PtdCho. Catalyzes the hydrolysis of several naturally occurring membrane-associated lipids (PubMed:11927584). Hydrolyzes lysophospholipids and monoacylglycerols, preferring the 1-acyl to the 2-acyl isomer. Does not catalyze hydrolysis of di- or triacylglycerols or fatty acid amides (PubMed:11927584)

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Glycerophospholipid catabolism
MECANISMO DE DOENÇA

Spastic paraplegia 39, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG39 is associated with a motor axonopathy affecting upper and lower limbs and resulting in progressive wasting of distal upper and lower extremity muscles.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
75.4 TPM
Pulmão
74.4 TPM
Baço
65.5 TPM
Pituitária
51.6 TPM
Sangue
49.8 TPM
OUTRAS DOENÇAS (5)
hereditary spastic paraplegia 39trichomegaly-retina pigmentary degeneration-dwarfism syndromeataxia-hypogonadism-choroidal dystrophy syndromeLaurence-Moon syndrome
HGNC:16268UniProt:Q8IY17
B4GALNT1Beta-1,4 N-acetylgalactosaminyltransferase 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Involved in the biosynthesis of gangliosides GM2, GD2, GT2 and GA2 from GM3, GD3, GT3 and GA3, respectively

LOCALIZAÇÃO

Golgi apparatus membrane

VIAS BIOLÓGICAS (1)
Glycosphingolipid biosynthesis
MECANISMO DE DOENÇA

Spastic paraplegia 26, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG26 is a complicated form characterized by onset in the first 2 decades of life of gait abnormalities due to lower limb spasticity and muscle weakness. Some patients have upper limb involvement. Additional features include intellectual disability, peripheral neuropathy, dysarthria, cerebellar signs, extrapyramidal signs, and cortical atrophy. The disorder is slowly progressive.

OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 26
HGNC:4117UniProt:Q00973
ALDH18A1Delta-1-pyrroline-5-carboxylate synthaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Bifunctional enzyme that converts glutamate to glutamate 5-semialdehyde, an intermediate in the biosynthesis of proline, ornithine and arginine

LOCALIZAÇÃO

MitochondrionMitochondrion matrix

VIAS BIOLÓGICAS (1)
Mitochondrial protein degradation
MECANISMO DE DOENÇA

Cutis laxa, autosomal recessive, 3A

A syndrome characterized by facial dysmorphism with a progeroid appearance, large and late-closing fontanel, cutis laxa, joint hyperlaxity, athetoid movements and hyperreflexia, pre- and postnatal growth retardation, intellectual deficit, developmental delay, and ophthalmologic abnormalities.

OUTRAS DOENÇAS (6)
hereditary spastic paraplegia 9Aautosomal recessive complex spastic paraplegia type 9Bcutis laxa, autosomal dominant 3ALDH18A1-related de Barsy syndrome
HGNC:9722UniProt:P54886
PCYT2Ethanolamine-phosphate cytidylyltransferaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Ethanolamine-phosphate cytidylyltransferase that catalyzes the second step in the synthesis of phosphatidylethanolamine (PE) from ethanolamine via the CDP-ethanolamine pathway (PubMed:31637422, PubMed:9083101). Phosphatidylethanolamine is a dominant inner-leaflet phospholipid in cell membranes, where it plays a role in membrane function by structurally stabilizing membrane-anchored proteins, and participates in important cellular processes such as cell division, cell fusion, blood coagulation, a

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Synthesis of PE
MECANISMO DE DOENÇA

Spastic paraplegia 82, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG82 is a complicated form characterized by global developmental delay with regression, spastic para- or tetraparesis, epilepsy and progressive cerebral and cerebellar atrophy.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
341.9 TPM
Fígado
62.1 TPM
Cerebelo
41.6 TPM
Cérebro - Hemisfério cerebelar
40.6 TPM
Brain Frontal Cortex BA9
35.9 TPM
OUTRAS DOENÇAS (1)
spastic paraplegia 82, autosomal recessive
HGNC:8756UniProt:Q99447
UCHL1Ubiquitin carboxyl-terminal hydrolase isozyme L1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Deubiquitinase that plays a role in the regulation of several processes such as maintenance of synaptic function, cardiac function, inflammatory response or osteoclastogenesis (PubMed:22212137, PubMed:23359680). Abrogates the ubiquitination of multiple proteins including WWTR1/TAZ, EGFR, HIF1A and beta-site amyloid precursor protein cleaving enzyme 1/BACE1 (PubMed:22212137, PubMed:25615526). In addition, recognizes and hydrolyzes a peptide bond at the C-terminal glycine of ubiquitin to maintain

LOCALIZAÇÃO

CytoplasmEndoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
UCH proteinases
MECANISMO DE DOENÇA

Parkinson disease 5

A complex neurodegenerative disorder with manifestations ranging from typical Parkinson disease to dementia with Lewy bodies. Clinical features include parkinsonian symptoms (resting tremor, rigidity, postural instability and bradykinesia), dementia, diffuse Lewy body pathology, autonomic dysfunction, hallucinations and paranoia.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Brain Frontal Cortex BA9
1197.5 TPM
Córtex cerebral
948.1 TPM
Hipotálamo
894.5 TPM
Brain Anterior cingulate cortex BA24
700.8 TPM
Brain Nucleus accumbens basal ganglia
687.1 TPM
OUTRAS DOENÇAS (4)
early-onset progressive neurodegeneration-blindness-ataxia-spasticity syndromespastic paraplegia 79A, autosomal dominant, with ataxiayoung-onset Parkinson diseaseParkinson disease 5, autosomal dominant, susceptibility to
HGNC:12513UniProt:P09936
AP4E1AP-4 complex subunit epsilon-1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Component of the adaptor protein complex 4 (AP-4). Adaptor protein complexes are vesicle coat components involved both in vesicle formation and cargo selection. They control the vesicular transport of proteins in different trafficking pathways (PubMed:10066790, PubMed:10436028). AP-4 forms a non clathrin-associated coat on vesicles departing the trans-Golgi network (TGN) and may be involved in the targeting of proteins from the trans-Golgi network (TGN) to the endosomal-lysosomal system. It is a

LOCALIZAÇÃO

Golgi apparatus, trans-Golgi network membrane

VIAS BIOLÓGICAS (1)
Golgi Associated Vesicle Biogenesis
MECANISMO DE DOENÇA

Spastic paraplegia 51, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. SPG51 is a non-progressive disorder of movement and/or posture resulting from defects in the developing central nervous system. Affected individuals manifest motor and posture impairments often associated with epilepsy and disturbances of cognition, behavior, sensation, and communication.

OUTRAS DOENÇAS (3)
hereditary spastic paraplegia 51stuttering, familial persistent, 1AP-4 deficiency syndrome
HGNC:573UniProt:Q9UPM8
AP4M1AP-4 complex subunit mu-1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the adaptor protein complex 4 (AP-4). Adaptor protein complexes are vesicle coat components involved both in vesicle formation and cargo selection. They control the vesicular transport of proteins in different trafficking pathways (PubMed:10066790, PubMed:10436028, PubMed:11139587, PubMed:11802162, PubMed:20230749). AP-4 forms a non clathrin-associated coat on vesicles departing the trans-Golgi network (TGN) and may be involved in the targeting of proteins from the trans-Golgi netwo

LOCALIZAÇÃO

Golgi apparatus, trans-Golgi network membraneEarly endosome

VIAS BIOLÓGICAS (1)
Lysosome Vesicle Biogenesis
MECANISMO DE DOENÇA

Spastic paraplegia 50, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG50 affected individuals present postnatally with early infantile hypotonia, delayed psychomotor development, strabismus, lack of independent walking and severe intellectual disability. They develop progressive spasticity of all limbs with generalized hypertonia, hyperreflexia, and extensor plantar responses by the end of the first year of life. Speech is absent or limited. Pseudobulbar signs, such as drooling, stereotypic laughter, and exaggerated jaw jerk, are part of the clinical picture.

OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 50AP-4 deficiency syndrome
HGNC:574UniProt:O00189
ATL1Atlastin-1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Atlastin-1 (ATL1) is a membrane-anchored GTPase that mediates the GTP-dependent fusion of endoplasmic reticulum (ER) membranes, maintaining the continuous ER network. It facilitates the formation of three-way junctions where ER tubules intersect (PubMed:14506257, PubMed:18270207, PubMed:19665976, PubMed:27619977, PubMed:34817557, PubMed:38509071). Two atlastin-1 on neighboring ER tubules bind GTP and form loose homodimers through the GB1/RHD3-type G domains and 3HB regions. Upon GTP hydrolysis,

LOCALIZAÇÃO

Endoplasmic reticulum membraneGolgi apparatus membraneCell projection, axon

MECANISMO DE DOENÇA

Spastic paraplegia 3, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

OUTRAS DOENÇAS (3)
hereditary spastic paraplegia 3Aneuropathy, hereditary sensory, type 1Dhereditary sensory and autonomic neuropathy type 1
HGNC:11231UniProt:Q8WXF7
FA2HFatty acid 2-hydroxylaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the hydroxylation of free fatty acids at the C-2 position to produce 2-hydroxy fatty acids, which are building blocks of sphingolipids and glycosphingolipids common in neural tissue and epidermis (PubMed:15337768, PubMed:15863841, PubMed:17355976, PubMed:22517924). FA2H is stereospecific for the production of (R)-2-hydroxy fatty acids (PubMed:22517924). Plays an essential role in the synthesis of galactosphingolipids of the myelin sheath (By similarity). Responsible for the synthesis o

LOCALIZAÇÃO

Endoplasmic reticulum membraneMicrosome membrane

VIAS BIOLÓGICAS (1)
Sphingolipid de novo biosynthesis
MECANISMO DE DOENÇA

Spastic paraplegia 35, autosomal recessive, with or without neurodegeneration

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG35 is a complicated form characterized by childhood onset of gait difficulties. It has a rapid progression and many patients become wheelchair-bound as young adults. Patients manifest cognitive decline associated with leukodystrophy. Other variable neurologic features, such as dystonia, optic atrophy, and seizures may also occur.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
209.6 TPM
Nervo tibial
76.1 TPM
Substância negra
42.8 TPM
Hipocampo
35.9 TPM
Estômago
35.7 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 35fatty acid hydroxylase-associated neurodegeneration
HGNC:21197UniProt:Q7L5A8
REEP1Receptor expression-enhancing protein 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Required for endoplasmic reticulum (ER) network formation, shaping and remodeling; it links ER tubules to the cytoskeleton. May also enhance the cell surface expression of odorant receptors (PubMed:20200447). May play a role in long-term axonal maintenance (PubMed:24478229)

LOCALIZAÇÃO

MembraneMitochondrion membraneEndoplasmic reticulum

VIAS BIOLÓGICAS (1)
Expression and translocation of olfactory receptors
MECANISMO DE DOENÇA

Spastic paraplegia 31, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
67.0 TPM
Cólon sigmoide
61.1 TPM
Esôfago - Muscular
51.8 TPM
Esôfago - Junção
44.2 TPM
Artéria tibial
35.6 TPM
OUTRAS DOENÇAS (4)
hereditary spastic paraplegia 31spinal muscular atrophy, distal, autosomal recessive, 6neuronopathy, distal hereditary motor, type 5Bneuronopathy, distal hereditary motor, type 5
HGNC:25786UniProt:Q9H902
TECPR2Tectonin beta-propeller repeat-containing protein 2Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Probably plays a role as positive regulator of autophagy

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Neuropathy, hereditary sensory and autonomic, 9, with developmental delay

A form of hereditary sensory and autonomic neuropathy, a genetically and clinically heterogeneous group of disorders characterized by degeneration of dorsal root and autonomic ganglion cells, and by sensory and/or autonomic abnormalities. HSAN9 is characterized by global developmental delay and intellectual disability, axial and appendicular hypotonia, dysarthria, and an abnormal gait that is often described as ataxic. Other features may include peripheral neuropathy, hyporeflexia, and autonomic dysfunction. Affected individuals also have dysmorphic features, thin corpus callosum on brain imaging, and episodes of central apnea, which may be fatal.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
25.5 TPM
Esôfago - Muscular
20.6 TPM
Sangue
19.8 TPM
Esôfago - Junção
19.7 TPM
Cerebelo
19.4 TPM
OUTRAS DOENÇAS (1)
hereditary spastic paraplegia 49
HGNC:19957UniProt:O15040
SELENOIEthanolaminephosphotransferase 1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Ethanolaminephosphotransferase that catalyzes the transfer of phosphoethanolamine (PE) from CDP-ethanolamine to lipid acceptors, the final step in the synthesis of PE via the 'Kennedy' pathway (PubMed:17132865, PubMed:28052917, PubMed:29500230). PE is the second most abundant phospholipid of membranes in mammals and is involved in various membrane-related cellular processes (PubMed:17132865). The enzyme is critical for the synthesis of several PE species and also catalyzes the synthesis of plasm

LOCALIZAÇÃO

Endoplasmic reticulum membrane

VIAS BIOLÓGICAS (1)
Synthesis of PE
MECANISMO DE DOENÇA

Spastic paraplegia 81, autosomal recessive

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. SPG81 is a complicated form characterized by white matter abnormalities, hypomyelination with progressive white matter loss, delayed motor development, progressive spasticity, and impaired intellectual development and speech delay. Additional features may include bifid uvula, microcephaly, seizures, and variable ocular anomalies.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
28.6 TPM
Skin Not Sun Exposed Suprapubic
23.1 TPM
Skin Sun Exposed Lower leg
22.1 TPM
Cerebelo
19.0 TPM
Linfócitos
17.6 TPM
OUTRAS DOENÇAS (2)
spastic paraplegia 81, autosomal recessiveautosomal recessive complex spastic paraplegia due to kennedy pathway dysfunction
HGNC:29361UniProt:Q9C0D9
NIPA1Magnesium transporter NIPA1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Acts as a Mg(2+) transporter. Can also transport other divalent cations such as Fe(2+), Sr(2+), Ba(2+), Zn(2+) and Co(2+) but to a much less extent than Mg(2+) (By similarity)

LOCALIZAÇÃO

Cell membraneEarly endosome

VIAS BIOLÓGICAS (1)
Miscellaneous transport and binding events
MECANISMO DE DOENÇA

Spastic paraplegia 6, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
66.2 TPM
Substância negra
32.7 TPM
Linfócitos
25.2 TPM
Hipotálamo
22.9 TPM
Brain Frontal Cortex BA9
22.2 TPM
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 6chromosome 15q11.2 deletion syndrome
HGNC:17043UniProt:Q7RTP0
KIF1AKinesin-like protein KIF1ADisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Kinesin motor with a plus-end-directed microtubule motor activity (By similarity). It is required for anterograde axonal transport of synaptic vesicle precursors (PubMed:33880452). Also required for neuronal dense core vesicles (DCVs) transport to the dendritic spines and axons. The interaction calcium-dependent with CALM1 increases vesicle motility and interaction with the scaffolding proteins PPFIA2 and TANC2 recruits DCVs to synaptic sites

LOCALIZAÇÃO

Cytoplasm, cytoskeletonCell projection, neuron projectionCell projection, axonCytoplasm, perinuclear regionSynapseCytoplasmic vesicle, secretory vesicle, neuronal dense core vesicle membrane

VIAS BIOLÓGICAS (2)
KinesinsCOPI-dependent Golgi-to-ER retrograde traffic
MECANISMO DE DOENÇA

Spastic paraplegia 30A, autosomal dominant

A form of spastic paraplegia, a neurodegenerative disorder characterized by a slow, gradual, progressive weakness and spasticity of the lower limbs. Rate of progression and the severity of symptoms are quite variable. Initial symptoms may include difficulty with balance, weakness and stiffness in the legs, muscle spasms, and dragging the toes when walking. In some forms of the disorder, bladder symptoms (such as incontinence) may appear, or the weakness and stiffness may spread to other parts of the body. Some SPG30A patients have a pure form of the disorder, limited to spastic paraplegia, whereas others may have a complicated form that includes additional features such as cognitive dysfunction, learning disabilities, peripheral sensorimotor neuropathy, urinary sphincter problems, and/or cerebellar atrophy. SPG30A is characterized by onset in the first or second decades of unsteady spastic gait and hyperreflexia of the lower limbs. Inheritance is autosomal dominant.

EXPRESSÃO TECIDUAL(Tecido-específico)
Córtex cerebral
331.8 TPM
Brain Frontal Cortex BA9
301.8 TPM
Cerebelo
266.3 TPM
Brain Anterior cingulate cortex BA24
262.4 TPM
Cérebro - Hemisfério cerebelar
235.1 TPM
OUTRAS DOENÇAS (5)
spastic paraplegia 30b, autosomal recessiveneuropathy, hereditary sensory, type 2Cintellectual disability, autosomal dominant 9hereditary sensory and autonomic neuropathy type 2
HGNC:888UniProt:Q12756
KIF1CKinesin-like protein KIF1CDisease-causing germline mutation(s) inRestrito
FUNÇÃO

Motor required for the retrograde transport of Golgi vesicles to the endoplasmic reticulum. Has a microtubule plus end-directed motility

LOCALIZAÇÃO

Cytoplasm, cytoskeleton

VIAS BIOLÓGICAS (2)
KinesinsCOPI-dependent Golgi-to-ER retrograde traffic
MECANISMO DE DOENÇA

Spastic ataxia 2, autosomal recessive

A neurologic disorder characterized by cerebellar ataxia, dysarthria, and variable spasticity of the lower limbs. Cognition is not affected.

EXPRESSÃO TECIDUAL(Ubíquo)
Músculo esquelético
308.2 TPM
Brain Spinal cord cervical c-1
252.4 TPM
Substância negra
164.6 TPM
Artéria tibial
160.2 TPM
Aorta
151.4 TPM
OUTRAS DOENÇAS (1)
spastic ataxia 2
HGNC:6317UniProt:O43896

Medicamentos e terapias

MIGLUSTATPhase 2

Mecanismo: Ceramide glucosyltransferase inhibitor

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

168 variantes patogênicas registradas no ClinVar.

🧬 SPG21: NM_016630.7(SPG21):c.-25+2T>G ()
🧬 SPG21: Single allele ()
🧬 SPG21: NM_016630.7(SPG21):c.137_138del (p.Leu46fs) ()
🧬 SPG21: NM_016630.7(SPG21):c.306+6T>A ()
🧬 SPG21: NM_016630.7(SPG21):c.118del (p.Arg40fs) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 20,188 variantes classificadas pelo ClinVar.

5047
4038
11103
Patogênica (25.0%)
VUS (20.0%)
Benigna (55.0%)
VARIANTES MAIS SIGNIFICATIVAS
AP4M1: NM_004722.4(AP4M1):c.893T>C (p.Leu298Pro) [Pathogenic]
ARL6IP1: NM_015161.3(ARL6IP1):c.407_409-197del [Likely pathogenic]
DDHD1: NM_001160148.2(DDHD1):c.259G>T (p.Glu87Ter) [Pathogenic]
PNPLA6: NM_001166114.2(PNPLA6):c.3050_3077del (p.Arg1017fs) [Pathogenic]
ARL6IP1: NM_015161.3(ARL6IP1):c.198_202del (p.Leu67fs) [Pathogenic]

Vias biológicas (Reactome)

106 vias biológicas associadas aos genes desta condição.

Prefoldin mediated transfer of substrate to CCT/TriC Formation of tubulin folding intermediates by CCT/TriC Folding of actin by CCT/TriC Association of TriC/CCT with target proteins during biosynthesis BBSome-mediated cargo-targeting to cilium Cooperation of PDCL (PhLP1) and TRiC/CCT in G-protein beta folding Gap junction assembly COPI-independent Golgi-to-ER retrograde traffic RAB GEFs exchange GTP for GDP on RABs Attachment of GPI anchor to uPAR Purine salvage Downstream signaling of activated FGFR1 COPII-mediated vesicle transport Signaling by ALK fusions and activated point mutants Mitochondrial iron-sulfur cluster biogenesis Antigen processing: Ubiquitination & Proteasome degradation Sealing of the nuclear envelope (NE) by ESCRT-III MHC class II antigen presentation RHO GTPases activate KTN1 COPI-dependent Golgi-to-ER retrograde traffic Kinesins PINK1-PRKN Mediated Mitophagy RHOT2 GTPase cycle Factors involved in megakaryocyte development and platelet production Translesion Synthesis by POLH HSF1 activation ABC-family proteins mediated transport N-glycan trimming in the ER and Calnexin/Calreticulin cycle Hedgehog ligand biogenesis Hh mutants are degraded by ERAD Defective CFTR causes cystic fibrosis Josephin domain DUBs Ovarian tumor domain proteases Neutrophil degranulation E3 ubiquitin ligases ubiquitinate target proteins Protein methylation Neddylation RHOH GTPase cycle Aggrephagy Attachment and Entry Attachment and Entry KEAP1-NFE2L2 pathway Dengue Virus Genome Translation and Replication AMPK-induced ERAD and lysosome mediated degradation of PD-L1(CD274) Ribosome Quality Control (RQC) complex extracts and degrades nascent peptide Budding and maturation of HIV virion Membrane binding and targetting of GAG proteins Endosomal Sorting Complex Required For Transport (ESCRT) HCMV Late Events Late endosomal microautophagy CPT1B transfers PALM to CAR CPT1A transfers PALM to CAR Mitochondrial ribosome-associated quality control Lysosome Vesicle Biogenesis Axonal growth inhibition (RHOA activation) Basigin interactions EGR2 and SOX10-mediated initiation of Schwann cell myelination Phosphate bond hydrolysis by NTPDase proteins Purinergic signaling in leishmaniasis infection Synthesis of bile acids and bile salts Synthesis of bile acids and bile salts via 7alpha-hydroxycholesterol Synthesis of bile acids and bile salts via 27-hydroxycholesterol Endogenous sterols Defective CYP7B1 causes SPG5A and CBAS3 Miscellaneous substrates Synthesis of (16-20)-hydroxyeicosatetraenoic acids (HETE) Defective CYP2U1 causes SPG56 Transport of vitamins, nucleosides, and related molecules Defective SLC33A1 causes spastic paraplegia 42 (SPG42) Glycosphingolipid catabolism Abacavir metabolism Purine catabolism Ribavirin ADME Signaling by FGFR1 in disease Signaling by plasma membrane FGFR1 fusions Alanine metabolism Ubiquinol biosynthesis Processing of SMDT1 Mitochondrial protein degradation Synthesis of PA Mitochondrial protein import TFAP2A acts as a transcriptional repressor during retinoic acid induced cell differentiation Mitochondrial unfolded protein response (UPRmt) Insulin processing L1CAM interactions Recycling pathway of L1 Interaction between L1 and Ankyrins Signal transduction by L1 ARMS-mediated activation RND2 GTPase cycle RND1 GTPase cycle Synthesis of PIPs at the ER membrane Synthesis of PIPs at the Golgi membrane Mitochondrial tRNA aminoacylation Degradation of the extracellular matrix Formation of the cornified envelope Deregulated CDK5 triggers multiple neurodegenerative pathways in Alzheimer's disease models Sphingolipid de novo biosynthesis Glycerophospholipid catabolism Glycosphingolipid biosynthesis Glutamate and glutamine metabolism Synthesis of PE UCH proteinases Golgi Associated Vesicle Biogenesis Expression and translocation of olfactory receptors Miscellaneous transport and binding events

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 31
2Fase 21
1Fase 11
·Pré-clínico18
Medicamentos catalogadosEnsaios clínicos· 1 medicamento · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Paraplegia espástica hereditária

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

20 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

NCT06692712 · Phase 3 Efficacy Study With Concurrent Control of IT MELPIDA…Recrutando
PHASE3
NCT06572046 · STOP-HSP.Net: a Registry for Hereditary Spastic Paraplegia a…Recrutando
NCT05354622 · Hereditary Spastic Paraplegia Genomic Sequencing Initiative …Recrutando
NCT04712812 · Registry and Natural History Study for Early Onset Hereditar…Recrutando
NCT06553976 · Spastic Paraplegia - Centers of Excellence Research NetworkRecrutando
NCT07478172 · Effects of Whole-body Electrical Muscle Stimulation Exercise…Recrutando
NA
NCT07090057 · The Effect of Targeting the Plantaris Muscle-tendon in Surgi…Recrutando
NA
NCT01568658 · Genetic and Physical Study of Childhood Nerve and Muscle Dis…Recrutando
NCT07417943 · Neuromodulation to Enhance Motor Function in HSPRecrutando
NA
NCT07136844 · Gait Analysis Parameter and Upper Limb Evaluation in Adult P…Recrutando
NA
NCT06573866 · Enhancement of Quality of Work And LifeRecrutando
NA
NCT06728787 · Robot-assisted Walking Treatment in Hereditary Spastic Parap…Recrutando
NCT06936163 · A Prospective Cohort Study of Surgical Treatment for Foot De…Recrutando
NCT05848271 · Natural History Study of Patients with HPDL MutationsRecrutando
NCT06844734 · A Prospective Cohort Study of ITB Treatment for HSPRecrutando
NCT06742697 · Flexibility, Resistance, Aerobic, Movement Execution Trainin…Recrutando
NA
NCT06229626 · Evaluation of an Intensive Training Program for Patients wit…Recrutando
NA
NCT06478238 · Calcium Folinate Treatment of Spastic Paraplegia 56Recrutando
EARLY_PHASE1
NCT03206190 · The preSPG4 Study - Studying the Prodromal and Early Phase o…Recrutando
NA
NCT03981276 · Phenotypes, Biomarkers and Pathophysiology in Hereditary Spa…Recrutando

Outros ensaios clínicos

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Publicações mais relevantes

🥇Melhor nível de evidência: Meta-análise
Timeline de publicações
1.488 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 1.488

#1

Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.

Proceedings of the National Academy of Sciences of the United States of America2026 Mar 10

FicD regulates Unfolded Protein Response (UPR) through reversible AMPylation and deAMPylation of BiP, an HSP70 chaperone and master regulator of the UPR. FicD activity is regulated by endoplasmic reticulum-stress, catalyzing BiP AMPylation under low stress conditions to hold inactive chaperone in reserve. In stressed cells, FicD deAMPylates BiP, acutely increasing its active pool to assist in protein folding. Variants in UPR machinery, including those in the FicD gene, are linked to hereditary diseases. Despite the known role of FicD in UPR, in-vivo regulation of its activity remains elusive, and identifying metabolites that alter FicD activity could prove useful pharmaceutically. We applied an unbiased high-throughput screening platform, known as Mass spectrometry Integrated with equilibrium Dialysis for the discovery of Allostery Systematically (MIDAS), to identify small molecule metabolites that might regulate FicD activity. MIDAS revealed interactions between FicD and two mevalonate pathway intermediates: geranyl-pyrophosphate and farnesyl-pyrophosphate. Biochemical characterization indicates that both potently inhibit FicD-mediated AMPylation and deAMPylation. The crystal structure of FicD bound to farnesyl-pyrophosphate demonstrates a competitive inhibition mechanism, with the pyrophosphate adopting the alpha and beta phosphate positions of adenosine triphosphate (ATP) and the hydrocarbon chain filling the nucleoside pocket. FicD variants previously appeared as biochemically indistinguishable, yet lead to different human pathologies. We demonstrate farnesyl-pyrophosphate inhibits FicDR374H and FicDR374C variants implicated in causing hereditary spastic paraplegia, but not the FicDR371S variant associated with neonatal diabetes. This study furthers our understanding of FicD inhibitors and distinguishes disease causing variants, providing insight into pharmacological targeting of UPR activity.

#2

Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.

Metabolic brain disease2026 Mar 03

Metabolism plays an important role in neurodegenerative diseases. Hereditary spastic paraplegias (HSP) are a heterogeneous group of rare genetic neurodegenerative disorders, commonly characterized by the clinical syndrome of progressive lower limb spasticity and mobility loss. Obesity has been linked to distinct genotypes, but the role of metabolism and nutrition in HSP remains unclear.We aimed to To evaluate metabolism and nutrition in specific HSP genotypes and to assess the impact of nutritional counseling on disease progression and body composition. In this prospective explorative pilot study, we assessed the neurological, metabolic and nutritional status of patients with HSP at baseline and one year after nutritional counseling. A total of 36 patients with genetically confirmed SPG4-, SPG7- and SPG11-associated HSP were recruited. BMI in SPG4 and SPG7 was comparable to healthy population data, whereas SPG11 showed significantly higher BMI (+ 22.9%, p < 0.05) with a considerable interindividual variability. Across all genotypes, disease severity according to the Spastic Paraplegia Rating Scale correlated negatively with leg muscle mass (ρ = -0.39, p < 0.05), protein (ρ = -0.35, p < 0.05) and fiber intake (ρ = -0.41, p < 0.05). After one year, there was a significant loss of relative muscle mass (-7.2%, p < 0.001). Progressive loss of muscle mass in HSP asks for an effective nutritional intervention combined with exercise in order to influence disease progression in HSP. The SPG11-associated obese phenotype may evolve with disease progression due to multifactorial metabolic changes, beyond reduced mobility.

#3

Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.

Cell reports2026 Feb 24

Spastic paraplegia 4 (SPG4), the most common form of hereditary spastic paraplegia, causes progressive gait deficiency due to corticospinal tract degeneration. SPG4 results from mutations in the SPAST gene, which encodes spastin, a microtubule-severing AAA-ATPase. To dissect genotype-phenotype relationships, we generated isogenic human induced pluripotent stem cell lines carrying either an SPAST missense (SPASTWT/C448Y) or truncation (SPASTWT/S245X) mutation and differentiated them into corticospinal motor neuron-enriched cortical organoids. These models revealed mutation-specific patterns of aberrant neuronal activity, microtubule hypoacetylation, and axonal degeneration. We identified mutant M1-spastin-induced hyperactivation of histone deacetylase 6 (HDAC6), a major tubulin deacetylase, as the key pathogenic culprit. Pharmacological inhibition of HDAC6 with tubastatin A restored microtubule acetylation and rescued axonal degeneration in organoids, with corresponding improvements in corticospinal tract integrity and gait defects in SPG4 transgenic mice. Our study uncovers HDAC6 hyperactivation as a targetable mechanism for SPG4 and verifies human organoids as a platform for therapeutic discovery.

#4

Loss of function variants in HPDL impair human cortical development via alterations of mitochondrial function.

Cell death &amp; disease2026 Feb 20

Human brain development is highly regulated by several spatiotemporal processes, which disruption can result in severe neurological disorders. Emerging evidence highlights the pivotal role of mitochondrial function as one of these fundamental pathways involved in neurodevelopment. Our study investigates the role of 4-hydroxyphenylpyruvate dioxygenase-like (HPDL) protein in cortical neurogenesis and mitochondrial activity, since mutations in the HPDL gene are associated with a childhood-onset form of hereditary spastic paraplegia characterized by corticospinal tract degeneration and cortical abnormalities. Starting from mutant neuroblastoma cells, we demonstrated that HPDL is important to respiratory chain supercomplex assembly and cellular redox balance. Moreover, RNA-seq studies revealed dysregulated pathways related to brain development. Generation of cortical neurons and organoids from HPDL patient-derived induced pluripotent stem cells exhibited premature neurogenesis at early differentiation stages, likely leading to depletion of cortical progenitors, as evidenced by decreased proliferation, slight increase of apoptosis, and unbalanced cortical type composition at later stages. Cortical organoids showed failure to grow at a normal rate, a feature highly reminiscent of the "microcephaly" observed in severe HPDL children. Mitochondrial morpho-functional characterization in mutant neurons confirmed disruption of OxPhos chain functionality in neuroblastoma knock-out model cells and HPDL mutant cortical progenitors also displayed defects in respirasome assembly and increased ROS generation rate. Treatment of mutant cortical cells with antioxidants and CoQ10 intermediates partially rescued premature neurogenesis depending on the mutational context, suggesting potential future personalized therapeutic strategies. Our findings reveal a critical role for HPDL in coordinating cortical progenitor proliferation, neurogenesis, and mitochondrial function, shedding light on a better understanding of the related clinical presentations.

#5

MK4 Repositioning for IAHSP: Overcoming In Vivo Data Gaps through In Silico Refinement and In Vitro Validation.

ACS chemical neuroscience2026 Mar 18

Infantile-onset Ascending Hereditary Spastic Paralysis (IAHSP) is an ultrarare, autosomal recessive form of Hereditary Spastic Paraplegia (HSP), caused by mutations in the ALS2 gene, which encodes the protein ALSIN. In a previous study, we proposed a personalized therapeutic strategy for an Italian IAHSP patient (AO), aiming to correct the aberrant function of the R1611W mutant ALSIN using Menatetrenone (MK4). While our results supported compassionate-use approval for a patient-specific therapeutic regimen, further investigation was needed to highlight the treatment's benefits in the absence of tractable biophysical assays and in vivo models. In this respect, we first characterized MK4's interaction with the mutation site through Molecular Dynamics simulations. Next, we established and characterized a skin fibroblast cell line derived from patient AO. We analyzed the expression and stability of the mutant ALSIN protein in AO's fibroblasts and observed elevated oxidative stress levels. Using advanced microscopy and automated image analysis, we identified a characteristic mitochondrial phenotype associated with AO's IAHSP. One specific morphological parameter of mitochondria (Mean Branch Diameter) accurately reflected the IAHSP phenotype and was selected as a cell marker. Treatment of IAHSP fibroblasts with MK4 highlighted the rescue of Mean Branch Diameter and ALSIN levels, supporting cellular efficacy. Overall, this work presents an approach that integrates computational and cell-based methodologies to overcome the data scarcity challenges of drug discovery in rare diseases. Our study provides a framework for preclinical, alternative drug discovery programs in monogenic rare disorders such as IAHSP.

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2026

Digenic inheritance of mutations in SPG7 and AFG3L2 causes motor neuron and cerebellar disorders.

BMC medicine
2026

X-linked adrenoleukodystrophy as an etiological cause of progressive spastic paraplegia: A case report.

The Journal of international medical research
2026

An MSA-P patient presenting with preserved glucose metabolism in the putamen, cerebellar hypometabolism and pronounced loss of presynaptic dopamine transporter in the striatum.

EJNMMI reports
2026

Functional validation of the novel KIF5A p.R17Q VUS reveals defective axonal transport in iPSC-motoneurons from a SPG10 patient.

Frontiers in genetics
2026

Repetitive Transcranial Magnetic Stimulation for Spasticity in Stroke and Other Neuromotor Disorders: A Systematic Review of Randomized Clinical Trials.

Journal of clinical medicine
2025

Fetal and Perinatal Brain MRI Findings in Adaptor Protein Complex 4-Associated Hereditary Spastic Paraplegia.

Annals of the Child Neurology Society
2026

Phosphatidylethanolamine: Its biological significance and responses to nutritional factors for neurohealth.

The Journal of nutrition
2026

Spastin Is Required to Prevent SPAST-Related Demyelination.

Journal of neurochemistry
2026

Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.

Proceedings of the National Academy of Sciences of the United States of America
2026

Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.

Metabolic brain disease
2026

Beyond motor impairment: investigating cognitive aspects of hereditary spastic paraplegia in a Greek case series.

Neurocase
2026

Children with suspected hereditary spastic paraplegia clearly benefit from whole exome analysis.

Human genomics
2026

A GJA1 Variant Triggers Earlier SPG4 Onset by Destabilizing Deubiquitinase VCPIP1 to Lower SPASTIN Levels.

Movement disorders : official journal of the Movement Disorder Society
2026

Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.

Cell reports
2026

MDSGene Systematic Review of Common Forms of Dominant Hereditary Spastic Paraplegia: Novel Insights.

Movement disorders clinical practice
2026

Loss of function variants in HPDL impair human cortical development via alterations of mitochondrial function.

Cell death &amp; disease
2026

Structural analysis of the plant glycoside hydrolase family 116 glucosylceramidase AtGCD3 by cryogenic electron microscopy.

International journal of biological macromolecules
2026

Rehabilitation with Intrathecal Baclofen and Gait Training Using Hybrid Assistive Limb in a Patient with Hereditary Spastic Paraplegia: A Case Report.

Progress in rehabilitation medicine
2026

Two pathogenetic intronic variants in SPG4/SPAST and expansion of the clinical presentation.

Gene
2026

[Analysis of a three-generation Chinese pedigree affected with Hereditary spastic paraplegia type 3A due to variant of ATL1 gene].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2026

MK4 Repositioning for IAHSP: Overcoming In Vivo Data Gaps through In Silico Refinement and In Vitro Validation.

ACS chemical neuroscience
2026

Identification of an additional deep intronic splice variant prompts critical evaluation of SPG7 inheritance.

Neurogenetics
2026

Plasma neurofilament light chain in pediatric hereditary spastic paraplegia.

Journal of the neurological sciences
2026

A multi-ancestry genetic reference for the Quebec population.

Nature communications
2026

C. elegans Spastin/spas-1 Is Required for Axon Regeneration and Maintenance.

eNeuro
2026

Novel KIF5A variant in a patient with early-onset levodopa-responsive Parkinson's syndrome.

BMJ case reports
2026

A Novel AP4M1 Variant in an Iranian Child with Spastic Paraplegia 50: A Case Report and Molecular Docking Approach.

Iranian journal of medical sciences
2026

Apoptosis and motor deficits in SPG76 hereditary spastic paraplegia: Calpain 2 inhibition as therapeutic strategy.

Pharmacological research
2026

Co-development and implementation of a group-based arm-crank exercise programme in the community for individuals with neurological impairments.

BMC sports science, medicine &amp; rehabilitation
2026

The genetics of autosomal recessive ALS: a review of the common forms and their phenotypes.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2026

TFG p.G269V Mutation Disrupts Motor Neuron Function in iPSC-Derived Models via Wnt Signaling Dysregulation.

Journal of neurochemistry
2025

Expansion of the genetic and phenotypic spectrum of hereditary spastic paraplegia caused by ABHD16A gene variants: an integrated analysis based on novel variants and literature review.

Frontiers in pediatrics
2026

Multiple Mitochondrial Dysfunction Syndrome Caused by IBA57 Gene Mutation: A Case Report and Literature Review.

Molecular genetics &amp; genomic medicine
2026

Novel MTHFR variants manifesting with hereditary spastic paraplegia and recurrent pulmonary embolism: a case report and literature review of adult-onset severe MTHFR deficiency.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Late-Onset X-linked Adrenoleukodystrophy: A Rare Cause of Progressive Spastic Paraparesis.

Cureus
2025

Association of spinal cord structure with cognition in hereditary spastic paraplegia type 5.

Frontiers in neurology
2026

Serendipitous Symptom Control: Allopurinol for Spasticity in a Case of SPG4-Linked Hereditary Spastic Paraplegia-A Case Report.

Clinical case reports
2026

Hereditary spastic paraplegia: from decades of therapy to future innovations.

Therapeutic advances in neurological disorders
2026

Effect of an evidence-based modified developmental physiotherapy intervention on muscle tone, motor functions, and trunk control in a child with hereditary spastic paraplegia type 47: A case report.

Physiotherapy theory and practice
2026

Subclinical involvement of central nervous system structures other than motor or sensory tracts in SPG3A and SPG4 patients.

BMC neurology
2026

Pearls & Oy-sters: Hereditary Spastic Paraplegia Type 15 Presenting as Juvenile Onset Levodopa-Responsive Parkinsonism.

Neurology
2026

Identification of myokymia in adult-onset hereditary spastic paraplegia type 79A: Implications for the phenotypic spectrum.

eNeurologicalSci
2026

Fampridine in Hereditary Spastic Paraplegia Type 4 With SPAST Variant c.683-2A>C: A Case Report.

The American journal of case reports
2026

Neurodevelopmental disorders in childhood-onset hereditary spastic paraplegia type 7: a case series and review of literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2026

Diagnostic Utility of the ATG9A Ratio in AP-4-Associated Hereditary Spastic Paraplegia.

Annals of clinical and translational neurology
2025

Finite Element-Based Biomechanical Evaluation of Patient-Specific Insoles for a Pediatric Patient with Hereditary Spastic Paraplegia Using the Taguchi Method.

Bioengineering (Basel, Switzerland)
2025

A Mutation in Vesicular Acetylcholine Transporter Increases Tubulin Acetylation Compromising Synaptic Vesicle Transport.

Journal of neurochemistry
2026

Comprehensive Characterization of Spastic Paraplegia in Korean Patients: A Single-Center Experience over Two Decades.

Yonsei medical journal
2025

Expanding the clinical phenotype of DYNC1H1 -associated mutations: a Chinese family with autosomal dominant complex hereditary spastic paraplegia.

BMC medical genomics
2026

Protrudin acts at ER-endosome contacts to promote KIF5-mediated endosomal tubule fission.

Neurobiology of disease
2025

Reversing Autophagy Inhibition Ameliorates Neurodegeneration in Hereditary Spastic Paraplegia Caused by a Degradation-Resistant SPAST Mutation.

Movement disorders : official journal of the Movement Disorder Society
2025

A new variant in the UCHL1 gene supporting its implication in late-onset ataxia with optic atrophy.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

[Hereditary spastic paraplegia of type 11: towards therapeutic options].

Medecine sciences : M/S
2025

Genetic and clinical characterization of SPG10: a case series of novel pathogenic variants and phenotypic diversity.

Annals of medicine and surgery (2012)
2025

Rare variation in neurological disease genes and its role in multiple sclerosis mimicry and phenotype.

Genome medicine
2025

Longitudinal Dynamics of Plasma Neurofilament Light Chain in Hereditary Spastic Paraplegia Type 11 (HSP-SPG11) and Type 15 (HSP-ZFYVE26).

Movement disorders : official journal of the Movement Disorder Society
2025

Deciphering Spastic Ataxia: Clinical and Genetic Profiles.

Neurology. Genetics
2025

Autonomic profiling in SPG11 hereditary spastic paraplegia.

Clinical autonomic research : official journal of the Clinical Autonomic Research Society
2025

Novel missense ALDH18A1 variant in a family with autosomal dominant spastic paraplegia.

Journal of neurology
2025

Novel SPTAN1 variant mimicking hereditary spastic paraplegia (HSP).

BMJ case reports
2025

Spectrum of Movement Disorders in Early-Onset Hereditary Spastic Paraplegia: A Study of 428 Cases.

Movement disorders : official journal of the Movement Disorder Society
2025

Clinical characteristics and gene mutation analysis of a family with hereditary spastic paraplegia type 11: a case report.

Journal of medical case reports
2026

Two homozygous KIF1C variants in a Turkish family presenting with cerebellar dysfunction and spastic paraparesis with MRI findings.

Parkinsonism &amp; related disorders
2025

Loss-of-Function Variants in CPT1C: No Support for a Causal Role in Hereditary Spastic Paraplegia.

Movement disorders : official journal of the Movement Disorder Society
2026

Intracerebroventricular SPAST-AAV9 gene therapy prevents manifestation of symptoms in a mouse model of SPG4 hereditary spastic paraplegia.

Molecular therapy : the journal of the American Society of Gene Therapy
2025

KIF1A-associated neurological disorders: therapeutic opportunities and challenges.

European journal of human genetics : EJHG
2025

Swiss Cheese Gene Is Important for Intestinal Barrier, Microbiome, and Lipid Metabolism Regulation in Drosophila Gut.

International journal of molecular sciences
2026

Infantile-Onset Ascending Hereditary Spastic Paraplegia due to a Homozygous ALS2 Exons 24-25 Deletion: Expanding the Genotypic Spectrum.

American journal of medical genetics. Part A
2025

Molecular Insights into IAHSP: Influence of the R1611W Mutation on the VPS9 Domain of Alsin.

ACS omega
2025

The Genetic Landscape of Hereditary Spastic Paraplegia in Greece.

Clinical genetics
2025

The genetic architecture of primary lateral sclerosis in a cohort of Italian patients.

Journal of neurology
2026

REEP1 Accumulation Disrupts ER Integrity and Drives Spinal Motoneuron Degeneration in Distal Hereditary Motor Neuropathy.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2025

DDHD2 possesses both lipase and transacylase capacities that remodel triglyceride acyl chains.

Proceedings of the National Academy of Sciences of the United States of America
2025

Microstructural Brain White Matter Changes and Clinical Correlates in SPG3A.

Movement disorders clinical practice
2026

Expanding the Phenotypic Spectrum of ERLIN1-Related SPG62: Report of Two Siblings With Behavioral Features and Hyperacusis.

Clinical genetics
2026

Dorsolateral Cervical Cord T2 Hyperintensity in KIF1C-Related Disease (Spastic Paraplegia 58): Two Long-Duration Cases.

Annals of clinical and translational neurology
2025

[Clinical characteristics and genetic study of a child with Spastic paraplegia 52 due to variant of AP4S1 gene and a literature review].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2025

Kyphoscoliosis peptidase deficiency-induced myofibrillar degeneration, focal depletion of mitochondria, and protein aggregation: A true myofibrillar myopathy?

Journal of neuromuscular diseases
2026

ERLIN1: A central regulator of protein quality control, lipid homeostasis, and cellular signaling at the endoplasmic reticulum.

Cellular signalling
2026

Health-Related Quality of Life in Rare Forms of Childhood-Onset Hereditary Spastic Paraplegia.

Annals of clinical and translational neurology
2025

Mild cognitive dysfunction in hereditary spastic paraplegia 4 disease related to fluorodesoxyglucose cerebral positron emission tomography.

Brain communications
2025

Artificial intelligence in genomics: transforming the diagnosis of hereditary spastic paraplegia.

Annals of medicine and surgery (2012)
2025

Role of Oxidative Stress in Human Neurodegenerative Pathologies: Lessons from the Drosophila Model.

Current topics in medicinal chemistry
2025

A novel KIDINS220 mutation associated with hereditary spastic paraplegia accompanied by severe peripheral neuropathy.

Frontiers in neuroscience
2025

Children with Genetically Confirmed Hereditary Spastic Paraplegia: A Single-Center Experience.

Children (Basel, Switzerland)
2025

Fluid Biomarkers in Hereditary Spastic Paraplegia: A Narrative Review and Integrative Framework for Complex Neurodegenerative Mechanisms.

Genes
2025

Botulinum Toxin Treatment in Hereditary Spastic Paraplegia-A Comprehensive Review and Update.

Toxins
2025

The Neuro-Ophthalmologic Manifestations of SPG7-Associated Disease.

Journal of personalized medicine
2025

A Novel Frameshift Variant in the SPAST Gene Causing Hereditary Spastic Paraplegia in a Bulgarian-Turkish Family.

Neurology international
2025

Hyperactivity of the non-canonical inflammasome in SPG11 and SPG48.

EBioMedicine
2025

Endoplasmic reticulum in the axon: Insights into structural dynamics and implications in neurodegeneration.

Neurobiology of disease
2025

Tubular ER dysfunction in neurodegenerative diseases.

Neurobiology of disease
2025

4-Phenylbutyric Acid Improves Gait Ability of UBAP1-Related Spastic Paraplegia Mouse Model: Therapeutic Potential for SPG80.

International journal of molecular sciences
2025

SPG7-Associated Ataxia May Involve Peripheral Neuropathy as a Key Phenotypic Feature.

Internal medicine (Tokyo, Japan)
2025

Hereditary Spastic Paraplegy Associated with the AP4S1 Gene: A Case Series Highlighting Diagnostic Pitfalls and Phenotypic Variability.

Molecular syndromology
2025

Development of a Human iPSC-Derived "Corticospinal Tract-on-a-Chip" for Neurodegenerative Disease Research.

bioRxiv : the preprint server for biology
2025

The cognitive profile of hereditary spastic paraplegia: a systematic review of the literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

DDHD2 provides a flux of saturated fatty acids for neuronal energy and function.

Nature metabolism
2025

A Case of Hereditary Spastic Paraplegia Type 50 With a Novel AP4M1 Variant and a Brief Review of the Literature.

Clinical case reports
2026

An atypical case of FA2H-related HSP35 with subtle neuroimaging findings and a novel variant in a young adult with spastic paraparesis.

Acta neurologica Belgica
2025

Wings of Discovery: Using Drosophila to Decode Hereditary Spastic Paraplegia and Ataxias.

Cells
2025

Dysregulation of SELENOI Is Associated with TDP-43 Neuropathology in Amyotrophic Lateral Sclerosis.

Cells
2025

Genetic analysis of a family with skeletal muscle ion channelopathy and hereditary spastic paraplegia type 7 caused by SCN4A and SPG7 double mutations.

Gene
2025

Genetic and Clinical Investigations of C12orf65 Gene Mutations in Three Chinese Pedigrees.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2025

Ziclague® (Alpinia Zerumbet oil) in patients with hereditary spastic paraplegia - the randomized controlled ZISPAST trial.

Orphanet journal of rare diseases
2026

Serum NfL, but not GFAP, differentiates primary lateral sclerosis from adrenomyeloneuropathy and hereditary spastic paraplegia type 4.

Amyotrophic lateral sclerosis &amp; frontotemporal degeneration
2025

Evidence of Dual Molecular Diagnosis of a Young Male Patient With Hereditary Spastic Paraplegia Carrying Two Rare Autosomal Mutations.

Cureus
2025

Pathogenic KIF1A R350 Variants Disrupt A Conserved Kinesin-Tubulin Salt Bridge.

bioRxiv : the preprint server for biology
2025

Expanding the Phenotypic Spectrum of SPG4: Autism Spectrum Disorder in Early-Onset and Complex SPAST-HSP and Case Study.

Genes
2026

The Impact of VAMP1 Mutations on Synaptic Vesicle Fusion Dynamics in Familial Spastic Disorders.

Journal of child neurology
2025

A founder variant in TBCB is associated with global developmental delay, autism spectrum, and spastic paraparesis.

Genetics in medicine : official journal of the American College of Medical Genetics
2025

Whole genome sequencing analysis in primary lateral sclerosis (PLS) patients reveals mutations in neurological diseases-causing genes.

Journal of neurology
2025

[A case of hereditary spastic paraplegia type 64 with ENTPD1 gene variant].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2025

The hereditary spastic paraplegia type 21 (SPG21) protein is a RAB7A effector that promotes noncanonical mTORC1-catalyzed TFEB phosphorylation and cytoplasmic retention.

Molecular biology of the cell
2025

Long-Term Clinical Characterization of ENTPD1-Related Spastic Paraplegia: A Novel Variant and Comprehensive Literature Review.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
2025

SPG7 p.A510V heterozygosity as a cause of adult-onset cerebellar ataxia without spasticity: longitudinal evidence from a sporadic case.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Neuroaxonal Degeneration as a Converging Mechanism in Motor Neuron Diseases (MNDs): Molecular Insights into RNA Dysregulation and Emerging Therapeutic Targets.

International journal of molecular sciences
2025

Efficacy of radial extracorporeal shock wave therapy in hereditary spastic paraplegia: A case report.

Medicine
2025

KIF1C-related disorders: spastic ataxia or hypomyelinating leukodystrophy? A paradigm of classification ambiguity.

Neurogenetics
2025

Genotype-Phenotype Distinctions in Spastic Paraplegia 4 Reveal HDAC6 as a Therapeutic Target.

bioRxiv : the preprint server for biology
2025

Charting the genetic landscape of autosomal recessive hereditary spastic paraplegia: A deep dive into 10 exceptionally rare cases.

Neurogenetics
2025

Spinal cord structural changes in SPG4: insights from a large cohort using advanced neuroimaging.

Journal of neurology
2025

Downbeat nystagmus in hereditary spastic paraplegia type 6.

Journal of neurology
2025

When ganglioside pathways go awry: congenital disorders and experimental insights.

Journal of human genetics
2025

AAV8-based gene replacement therapy for hereditary spastic paraplegia type 5.

Molecular therapy. Methods &amp; clinical development
2025

Yield of Whole Exome Sequencing in Children With Cryptogenic Cerebral Palsy.

Pediatric neurology
2025

HPDL Biallelic Variants in Cerebral Palsy and Childhood-Onset Hereditary Spastic Paraplegia: Human and Zebrafish Insights.

Movement disorders : official journal of the Movement Disorder Society
2025

Hereditary Spastic Paraplegia Type 7 With Early-Onset Parkinsonism Responsive to Subthalamic Deep Brain Stimulation.

Annals of Indian Academy of Neurology
2025

Entropy, Irreversibility, and Time-Series Deep Learning of Kinematic and Kinetic Data for Gait Classification in Children with Cerebral Palsy, Idiopathic Toe Walking, and Hereditary Spastic Paraplegia.

Sensors (Basel, Switzerland)
2025

Adaptive Torque Control of Exoskeletons Under Spasticity Conditions via Reinforcement Learning.

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]
2026

Implications of mitochondrial phosphatidylethanolamine in neuronal health and neurodegeneration.

Neural regeneration research
2025

The epidemiology of hereditary spastic paraplegia and associated common mental health outcomes in England and Northern Ireland.

Orphanet journal of rare diseases
2025

Triglycerides are an important fuel reserve for synapse function in the brain.

Nature metabolism
2025

Conformational dynamics and membrane insertion mechanism of B4GALNT1 in ganglioside synthesis.

Nature communications
2025

Connecting tubules: mechanisms of endoplasmic reticulum membrane fusion.

Biochemical Society transactions
2025

Homozygous COQ9 mutation: a new cause of potentially treatable hereditary spastic paraplegia.

European journal of human genetics : EJHG
2025

New variants and genotype-phenotype correlation in KIF5A mutation: the contribution of a large Italian cohort.

Journal of medical genetics
2025

Maternal uniparental isodisomy in a patient with autosomal recessive spastic paraplegia type 20.

Gene
2025

Naringenin and SMER28 target lysosomal reformation and rescue SPG11 and SPG15 hereditary spastic paraplegia phenotypes.

Pharmacological research
2025

Exploring gastrocnemius medialis behavior during gait in children with cerebral palsy across different gait patterns.

Clinical biomechanics (Bristol, Avon)
2025

Twenty years of misdiagnosis of X-linked adrenoleukodystrophy: a case report.

American journal of translational research
2025

Genotype variability in early-onset Hereditary Spastic Paraplegia: a single-center study.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
2025

One gene, many phenotypes: the role of KIF5A in neurodegenerative and neurodevelopmental diseases.

Cell communication and signaling : CCS
2026

Intrafamilial Phenotypic Variation in Taiwanese Patients with Hereditary Spastic Paraplegia and Charcot-Marie-Tooth Disease Due to KIF5A Mutations: A Cross-Sectional Observational Study.

Acta neurologica Taiwanica
2025

Burden of pathogenetic and likely pathogenetic variants in SPG7, SPG11 and AP4 genes in Amyotrophic Lateral Sclerosis. A case-control study.

Journal of neurology
2025

Unravelling axonal transcriptional landscapes: insights from induced pluripotent stem cell-derived cortical neurons and implications for motor neuron degeneration.

Open biology
2025

Outcome measures of instrumented gait analysis in hereditary spastic paraplegia: a systematic review.

Journal of neuroengineering and rehabilitation
2025

French guidelines for the diagnosis and management of pure hereditary spastic paraplegia.

Revue neurologique
2025

Structural brain changes contributing to motor signs in pure hereditary spastic paraplegia type 4.

Journal of neurology
2025

Case Report: Hereditary spastic paraplegia associated with monoallelic variant in the motor domain of KIF1A.

Frontiers in human neuroscience
2025

A Japanese patient with hereditary spastic paraplegia with a rare KIF5A nonsense variant.

Human genome variation
2025

Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants.

Annals of Indian Academy of Neurology
2025

Exotropia in a Patient With a Novel Homozygous 4-Hydroxyphenylpyruvate Dioxygenase-Like Protein (HPDL) Variant.

Cureus
2025

A Rare Homozygous AP4S1 Variant in Rwandan Siblings with Autosomal Recessive Hereditary Spastic Paraplegia Type 52 (SPG52).

Genes
2025

Frequently observed polyneuropathy expands phenotypic spectrum of apparently pure autosomal dominant hereditary spastic paraplegias.

Neurologia i neurochirurgia polska
2025

Generation of an induced pluripotent stem cell (iPSC) line carrying a KCNA2 homozygous (p.Arg294His, R294H) mutation related to hereditary spastic paraplegia.

Stem cell research
2025

Pathway Analyses of Inherited Neuropathies Identify Putative Common Mechanisms of Axon Degeneration.

Annals of clinical and translational neurology
2025

Keratoconus in hereditary spastic paraplegia 15 and Kjellin syndrome: a case report.

Ophthalmic genetics
2025

Phenotypic and molecular characterization of a recurrent SPTAN1 mutation causing SPG91.

Molecular biology reports
2025

Primary Lateral Sclerosis: Implications for Diagnostic Criteria From a Natural History Study in the Netherlands.

Neurology
2025

Spastic paraplegia with short stature: Think of Troyer syndrome.

Acta neurologica Belgica
2025

Diagnostic journey and genetic analysis of a novel homozygous CYP2U1 mutation causing autosomal recessive spastic paraplegia type 56 (SPG56) in a consanguineous family.

BMC neurology
2025

HPDL Variant Type Correlates With Clinical Disease Onset and Severity.

Annals of clinical and translational neurology
2025

A decade of whole-exome sequencing in Brazilian Neurology: from past insights to future perspectives.

Arquivos de neuro-psiquiatria
2025

[Genetics of Motor Neuron Diseases and Hereditary Spastic Paraplegia].

Brain and nerve = Shinkei kenkyu no shinpo
2025

Hereditary Spastic Paraplegia in Alberta: Lessons from a Well-Defined Cohort Including the Indigenous Population.

Movement disorders clinical practice
2025

KIF5A variant in familial dystonia: A clinicogenetic study of a large Roma kindred.

Parkinsonism &amp; related disorders
2025

Expanding the Allelic and Clinical Heterogeneity of Movement Disorders Linked to Defects of Mitochondrial Adenosine Triphosphate Synthase.

Movement disorders : official journal of the Movement Disorder Society
2025

UCHL1-Mediated Spastin Degradation Regulates Microtubule Severing and Hippocampal Neurite Outgrowth.

Journal of molecular neuroscience : MN
2025

ap4b1 -/- zebrafish demonstrate morphological and motor abnormalities.

Human molecular genetics
2025

Microglia and CD8+ T cell activation precede neuronal loss in a murine model of spastic paraplegia 15.

The Journal of experimental medicine
2025

Impact of pathogenic mutations on the refolding ability and stability of human mitochondrial Phenylalanyl-tRNA synthetase.

Archives of biochemistry and biophysics
2025

Lipid Droplet in Lipodystrophy and Neurodegeneration.

Biology of the cell
2025

Arginase 1 deficiency: a treatable form of spastic paraplegia.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Gait Training for Walking Acquisition in a Child with Hereditary Spastic Paraplegia: A Case Report.

Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association
2025

Incidence and health burden of 20 rare neurological diseases in South China from 2016 to 2022: a hospital-based observational study.

Orphanet journal of rare diseases
2025

Pathogenic mutation impairs functional dynamics of Hsp60 in mono- and oligomeric states.

Nature communications
2025

Expanding the Clinical Spectrum of SPG26: A Case Report and Review of B4GALNT1-Associated Hereditary Spastic Paraplegia.

Movement disorders clinical practice
2025

Patient-specific mutation of contact site protein Tomm70 causes neurodegeneration.

Disease models &amp; mechanisms
2025

Sensory Dysfunction in ALS and Other Motor Neuron Diseases: Clinical Relevance, Histopathology, Neurophysiology, and Insights from Neuroimaging.

Biomedicines
2025

Insights from selenoprotein I mouse models for understanding biological roles of this enzyme.

Archives of biochemistry and biophysics
2025

Toxoplasmosis accelerates the progression of hereditary spastic paraplegia.

mSphere
2025

Hereditary spastic paraplegia HSP26: clinical and electrophysiological characteristics.

Neurophysiologie clinique = Clinical neurophysiology
2025

FIC Domain Protein Adenylyltransferase (FICD)-Related Complex Hereditary Spastic Paraplegia with Diabetes Mellitus.

Movement disorders clinical practice
2025

Flexibility, Resistance, Aerobic, Movement Execution (FRAME) training program to improve gait capacity in adults with Hereditary Spastic Paraplegia: protocol for a single-cohort feasibility trial.

Frontiers in neurology
2025

Motor Neuron Involvement in Two ATP13A2-Related Families: ALS And HSP-Like Phenotypes.

Movement disorders clinical practice
2025

Arrayed CRISPR/Cas9 Loss-Of-Function Screen in a Neuronal Model of Adaptor Protein Complex 4 Deficiency Identifies Modulators of ATG9A Trafficking.

bioRxiv : the preprint server for biology
2025

Novel SPAST Deletion Mutation in an American Family With Hereditary Spastic Paraplegia: A Case Report.

Journal of investigative medicine high impact case reports
2025

Targeted Long-Read Sequencing as a Single Assay Improves the Diagnosis of Spastic-Ataxia Disorders.

Annals of clinical and translational neurology
2025

Novel Aspects of Hereditary Spastic Paraplegia: A Clinicopathologic and Biochemical Study of a Patient With a Heterozygous GCH1 Variant.

Neuropathology and applied neurobiology
2025

The Spastic Paraplegia-Centers of Excellence Research Network (SP-CERN): Clinical Trial Readiness for Hereditary Spastic Paraplegia.

Neurology. Genetics
2025

Partial loss of FITM2 function causes hereditary spastic paraplegia.

medRxiv : the preprint server for health sciences
2025

If at first you don't succeed, try, try again.

Survey of ophthalmology
2025

Neurogenic arthrogryposis, hypotonia, dysmorphic features plus malformation of cortical development further expands the ARL6IP1 loss-of-function phenotype.

Neuromuscular disorders : NMD
2025

Spastic Paraplegia Type 78 Associated With ATP13A2 Gene Variants in Compound Heterozygosity.

Molecular genetics &amp; genomic medicine
2025

Oculodentodigital Dysplasia Presenting as Spastic Ataxic Syndrome in an Indian Patient.

Annals of Indian Academy of Neurology
2025

Neurodevelopmental Implications Underpinning Hereditary Spastic Paraplegia.

CNS neuroscience &amp; therapeutics
Ver todos os 1.238 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

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Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Inhibition of FicD-mediated AMPylation and deAMPylation by isoprenoid diphosphates.
    Proceedings of the National Academy of Sciences of the United States of America· 2026· PMID 41779785mais citado
  2. Beyond mobility: A prospective study on diet and metabolism in hereditary spastic paraplegia.
    Metabolic brain disease· 2026· PMID 41774218mais citado
  3. Modeling spastic paraplegia 4 with corticospinal motor neuron-enriched cortical organoids reveals genotype-phenotype and HDAC6-targetable pathology.
    Cell reports· 2026· PMID 41739645mais citado
  4. Loss of function variants in HPDL impair human cortical development via alterations of mitochondrial function.
    Cell death &amp; disease· 2026· PMID 41720761mais citado
  5. MK4 Repositioning for IAHSP: Overcoming In Vivo Data Gaps through In Silico Refinement and In Vitro Validation.
    ACS chemical neuroscience· 2026· PMID 41657105mais citado
  6. Expanding the clinical and mutational spectrum of hereditary spastic paraplegia type 4 in a cohort of patients from central China.
    Front Genet· 2026· PMID 41978773recente
  7. Correction to "Loss-of-Function Variants in CPT1C: No Support for a Causal Role in Hereditary Spastic Paraplegia".
    Mov Disord· 2026· PMID 41969176recente
  8. Selective Dorsal Rhizotomy in Children with Hereditary Spastic Paraplegia.
    Pediatr Neurosurg· 2026· PMID 41961756recente
  9. ER discontinuities are common in C. elegans neurons, revealing a genetically tractable model for ER network maintenance.
    bioRxiv· 2026· PMID 41959216recente
  10. Lipid droplets in neurodegenerative diseases: pathological drivers and therapeutic vulnerabilities.
    Cell Death Discov· 2026· PMID 41956992recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:685(Orphanet)
  2. MONDO:0019064(MONDO)
  3. GARD:6637(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Artigo Wikipedia(Wikipedia)
  7. Q657516(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Paraplegia espástica hereditária
Compêndio · Raras BR

Paraplegia espástica hereditária

ORPHA:685 · MONDO:0019064
Prevalência
1-9 / 100 000
Herança
Autosomal dominant, Autosomal recessive, X-linked recessive
CID-10
G11.4 · Paraplegia espástica hereditária
CID-11
Ensaios
23 ativos
Medicamentos
1 registrados
Início
All ages
Prevalência
4.8 (Europe)
MedGen
UMLS
C0037773
EuropePMC
Wikidata
Wikipedia
Papers 10a
Evidência
🥇 Meta-análise
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