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Paraplegia espástica hereditária pura
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Introdução

O que você precisa saber de cara

📋

Paraplegia espástica hereditária (PEH) é um grupo de doenças hereditárias cuja principal característica é um distúrbio progressivo da marcha. A doença se apresenta com rigidez progressiva (espasticidade) e contração nos membros inferiores. A PEH também é conhecida como paraparesia espástica hereditária, paraplegia espástica familiar, doença de French Settlement, doença de Strümpell ou doença de Strümpell-Lorrain. Os sintomas são resultado de disfunção de axônios longos na medula espinhal. As células afetadas são os neurônios motores primários; portanto, a doença é uma doença do neurônio motor superior. A PEH não é uma forma de paralisia cerebral, embora fisicamente possa parecer e se comportar de forma muito semelhante à diplegia espástica.

Publicações científicas
73 artigos
Último publicado: 1993
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SUS: Sem cobertura SUSScore: 0%
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Sinais e sintomas

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

Partes do corpo afetadas

🧠
Neurológico
22 sintomas
🦴
Ossos e articulações
13 sintomas
💪
Músculos
10 sintomas
🫘
Rins
3 sintomas
🫃
Digestivo
2 sintomas

+ 37 sintomas em outras categorias

Características mais comuns

Paraplegia espástica progressiva
Marcha arrastada
Reflexos exaltados
Fadiga
Instabilidade postural
Insensibilidade à dor
87sintomas
Sem dados (87)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 87 características clínicas mais associadas, ordenadas por frequência.

Paraplegia espástica progressivaProgressive spastic paraplegia
Marcha arrastadaShuffling gait
Reflexos exaltadosBrisk reflexes
FadigaFatigue
Instabilidade posturalPostural instability

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2025
Total histórico73PubMed
Últimos 10 anos38publicações
Pico20246 papers
Linha do tempo
2025Hoje · 2026🧪 2021Primeiro ensaio clínico📈 2024Ano 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

10 genes identificados com associação a esta condição.

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
KPNA3Importin subunit alpha-4Candidate gene tested inAltamente restrito
FUNÇÃO

Functions in nuclear protein import as an adapter protein for nuclear receptor KPNB1. Binds specifically and directly to substrates containing either a simple or bipartite NLS motif. Docking of the importin/substrate complex to the nuclear pore complex (NPC) is mediated by KPNB1 through binding to nucleoporin FxFG repeats and the complex is subsequently translocated through the pore by an energy requiring, Ran-dependent mechanism. At the nucleoplasmic side of the NPC, Ran binds to importin-beta

LOCALIZAÇÃO

CytoplasmNucleus

VIAS BIOLÓGICAS (3)
ISG15 antiviral mechanismNS1 Mediated Effects on Host PathwaysMaturation of DENV proteins
MECANISMO DE DOENÇA

Spastic paraplegia 88, 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. SPG88 is characterized by onset of symptoms in the first year of life. Most SPG88 patients have a pure form of the disorder, although rarely patients may manifest additional features, including peripheral neuropathy, speech delay, attention deficit-hyperactivity disorder, and non-specific brain imaging abnormalities.

EXPRESSÃO TECIDUAL(Ubíquo)
Músculo esquelético
81.0 TPM
Fibroblastos
66.7 TPM
Testículo
44.0 TPM
Linfócitos
44.0 TPM
Esôfago - Muscular
36.0 TPM
OUTRAS DOENÇAS (2)
spastic paraplegia 88, autosomal dominanthereditary spastic paraplegia 37
HGNC:6396UniProt:O00505
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
UBAP1Ubiquitin-associated protein 1Candidate gene tested 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
CPT1CPalmitoyl thioesterase CPT1CDisease-causing germline mutation(s) 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
REEP2Receptor expression-enhancing protein 2Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Required for endoplasmic reticulum (ER) network formation, shaping and remodeling. May enhance the cell surface expression of odorant receptors (By similarity)

LOCALIZAÇÃO

Membrane

MECANISMO DE DOENÇA

Spastic paraplegia 72A, 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. SPG72A is a pure form of spastic paraplegia with onset of difficulty walking and stiff legs associated with hyperreflexia and extensor plantar responses in early childhood. Some patients may have pes cavus or sphincter disturbances. Cognition, speech, and ocular function are normal.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
235.1 TPM
Cérebro - Hemisfério cerebelar
218.2 TPM
Brain Frontal Cortex BA9
159.0 TPM
Córtex cerebral
156.3 TPM
Brain Anterior cingulate cortex BA24
113.6 TPM
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (2)
hereditary spastic paraplegia 72spastic paraplegia 72b, autosomal recessive
HGNC:17975UniProt:Q9BRK0
WASHC5WASH complex subunit 5Disease-causing germline mutation(s) 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
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
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
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

Variantes genéticas (ClinVar)

160 variantes patogênicas registradas no ClinVar.

🧬 RTN2: GRCh38/hg38 19q13.31-13.32(chr19:44626066-46268105)x3 ()
🧬 RTN2: NM_005619.5(RTN2):c.831G>A (p.Trp277Ter) ()
🧬 RTN2: NM_005619.5(RTN2):c.271_289del (p.Arg91fs) ()
🧬 RTN2: NM_005619.5(RTN2):c.332G>A (p.Ser111Asn) ()
🧬 RTN2: NM_005619.5(RTN2):c.1222del (p.Asp408fs) ()
Ver todas no ClinVar

Diagnóstico

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Tratamento e manejo

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Onde tratar no SUS

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

🇧🇷 Atendimento SUS — Paraplegia espástica hereditária pura

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Publicações mais relevantes

Timeline de publicações
40 papers (10 anos)
#1

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

Journal of neurology2025 Jun 03

Spastic paraplegia type 4 (SPG4; also known as SPAST-HSP), the most prevalent variant among pure Hereditary Spastic Paraplegias (HSPs), is clinically characterized by progressive spasticity and weakness in the lower limbs. The present neuroimaging study specifically investigated possible changes in the corticospinal (CST) and thalamo-cortical tracts (TCT) structural integrity and broader cortical, subcortical and spinal pathways, topographically related to upper and lower limbs in SPG4. Forty patients with SPG4 and 40 age- and sex-matched healthy controls underwent 3 T MRI scanning. MRI analyses included: (1) global and primary motor areas cortical thickness; (2) cortical, basal ganglia, thalamic and cerebellar volumetry; (3) diffusion-based probabilistic tractography of CST and TCT serving the arms and legs; and (4) spinal cord area. SPG4 patients showed significant reductions in thalamic volumes as well as spinal cord area when compared with controls. The volume reduction in thalamic regions correlated with disease severity and spasticity-related impairments. Structural changes in CST and TCT tracts in SPG4 patients were prominent in bundles topographically related to the lower limbs compared with the upper limbs. Our findings point to significant thalamic atrophy as well as white matter tract degeneration topographically related to the lower limbs in SPG4 patients. The findings overall suggest new potential markers for disease progression and functional decline in SPG4 patients.

#2

Quantitative natural history modeling of HPDL-related disease based on cross-sectional data reveals genotype-phenotype correlations.

Genetics in medicine : official journal of the American College of Medical Genetics2025 Mar

Biallelic HPDL variants have been identified as the cause of a progressive childhood-onset movement disorder, with a broad clinical spectrum from severe neurodevelopmental disorder to juvenile-onset pure hereditary spastic paraplegia type 83. This study aims at delineating the geno- and phenotypic spectra of patients with HPDL-related disease, quantitatively modeling the natural history, and uncovering genotype-phenotype associations. A cross-sectional analysis of 90 published and 1 novel case was performed, using a Human-Phenotype-Ontology-based approach. Unsupervised phenotypic clustering was used alongside in silico analyses to identify distinct patient subgroups. The study models the natural history of the HPDL-related disease in a global cohort, clarifying the molecular and phenotypic spectrum and identifying 3 distinct subgroups characterized by differences in onset, clinical trajectories, and survival. It establishes genotype-phenotype associations, showing that the presence of moderately pathogenic missense variants in 1 allele leads to a milder, spastic paraplegic phenotype with later disease onset, whereas biallelic, highly pathogenic missense or truncating variants are associated with a more severe phenotype and reduced life span. Quantitative and unbiased natural history modeling in HPDL-related disease reveals significant genotype-phenotype associations, providing a foundation for variant interpretation, anticipatory guidance, and choice of outcome measures in future prospective and functional studies.

#3

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

Revue neurologique2025 Jun

Hereditary spastic paraplegia (HSP) describes a group of rare genetic neurological diseases characterized by a common clinical presentation made of progressive motor weakness and spasticity of the lower limbs. The global prevalence is estimated at 3.6 individuals per 100,000 inhabitants. The age of onset of first symptoms, the severity and the rate of progression are highly variable between different HSP subtypes, ranging from juvenile forms that present in the first years of life, to the later-onset forms, sometimes presenting after the age of 60. The medical history most often reveals an insidious onset of gait disturbances due to lower limb stiffness. The clinical examination reveals the key symptoms of HSP: pyramidal signs of the lower limbs with motor weakness predominantly involving the proximal muscles. As the condition progresses, moderate upper limb involvement as well as bladder and sphincter disorders may be present. When associated with other neurological or extra-neurological signs such as cerebellar ataxia, optic neuropathy, cardiomyopathy, or intellectual disability, HSP is referred to as "complex". This is in contrast to the pure forms of HSP, where the pyramidal syndrome of the lower limbs occurs in isolation, which will be treated here. HSPs are a genetically heterogeneous group of disorders involving numerous distinct molecular pathways. However, regardless of the initial mechanism, they share a common pathophysiology characterized by primary first motor-neuron involvement. Lesions tend to predominate in the spinal cord, following a phenomenon of retrograde degeneration ("dying-back") of the corticospinal tract. The diagnostic approach will first aim to eliminate all non-genetic acquired forms of spastic paraplegia as well as other various differential diagnoses. More than 100 genes and disorders are grouped under the term HSP, with age of onset, disease progression and clinical presentation being highly variable. Pure forms of HSP are primarily inherited in an autosomal dominant or recessive manner. Genetic counseling for the patient and their family is ideally provided by a clinical geneticist once the precise molecular diagnosis has been obtained. The management of pure HSP is multidisciplinary. Its goal is to prevent complications and to propose symptomatic treatment at all stages of the disease. It is primarily based on motor rehabilitation through physiotherapy and physical activity. Psychological support should be offered from the moment the diagnosis is announced and throughout the follow-up. Multidisciplinary follow-up is coordinated by the primary care physician, in consultation with the expert pediatric neurologist/neurologist or neurogeneticist, and equally involves a physical medicine and rehabilitation physician and paramedical professionals (such as physiotherapists, social workers, occupational therapists, and psychologists).

#4

Characterization of a novel TFG variant causing autosomal recessive pure hereditary spastic paraplegia.

Annals of clinical and translational neurology2024 Jul

TFG mutations have previously been implicated in autosomal recessive hereditary spastic paraplegia (HSP), also known as SPG57. This study aimed to investigate the clinical and molecular features of TFG mutations in a Taiwanese HSP cohort. Genetic analysis of TFG was conducted in 242 unrelated Taiwanese HSP patients using a targeted resequencing panel covering the entire coding regions of TFG. Functional assays were performed using an in vitro cell model to assess the impact of TFG variants on protein function. Additionally, other representative TFG mutant proteins were examined to understand the broader implications of TFG mutations in HSP. The study identified a novel homozygous TFG c.177A>C (p.(Lys59Asn)) variant in a family with adolescent-onset, pure form HSP. Functional analysis revealed that the Lys59Asn TFG variant, similar to other HSP-associated TFG mutants, exhibited a low affinity between TFG monomers and abnormal assembly of TFG homo-oligomers. These structural alterations led to aberrant intracellular distribution, compromising TFG's protein secretion function and resulting in decreased cellular viability. These findings confirm that the homozygous TFG c.177A>C (p.(Lys59Asn)) variant is a novel cause of SPG57. The study expands our understanding of the clinical and mutational spectrum of TFG-associated diseases, highlighting the functional defects associated with this specific TFG variant. Overall, this research contributes to the broader comprehension of the genetic and molecular mechanisms underlying HSP.

#5

Heterozygous de novo variants in HSPD1 cause hypomyelinating leukodystrophy through impaired HSP60 oligomerisation.

Journal of medical genetics2024 Dec 31

Hypomyelinating leukodystrophies are a group of genetic disorders, characterised by severe permanent myelin deficiency. Their clinical features include developmental delay with or without neuroregression, nystagmus, central hypotonia, progressing to spasticity and ataxia. HSPD1 encodes the HSP60 chaperonin protein, mediating ATP-dependent folding of imported proteins in the mitochondrial matrix. Pathogenic variants in HSPD1 have been related to a number of neurological phenotypes, including the dominantly inherited pure hereditary spastic paraplegia (MIM 605280) and the recessively inherited hypomyelinating leukodystrophy 4 (MIM 612233). Subsequently, an additional phenotype of hypomyelinating leukodystrophy has been reported due to de novo heterozygous HSPD1 variants.In the current work, we expand the clinical and genetic spectrum of this hypomyelinating disorder by describing a cohort of three patients, being heterozygous for HSPD1 variants involving residue Ala536 of HSP60 (the novel p.Ala536Pro variant and the previously reported p.Ala536Val). Clinical and radiological evaluation; whole exome sequencing, in vitro reconstitution assay and patient fibroblast cell lysate analysis. Clinical manifestation was of early-onset nystagmus, tremor and hypotonia evolving into spasticity and ataxia and childhood-onset neuroregression in one case. Brain MRI studies revealed diffuse hypomyelination.The 3D protein structure showed these variants to lie in spatial proximity to the previously reported Leu47Val variant, associated with a similar clinical phenotype. In vitro reconstitution assay and patient fibroblast cell lysate analysis demonstrated that these mutants display aberrant chaperonin protein complex assembly. We provide evidence that impaired oligomerisation of the chaperonin complex might underlie this HSPD1-related phenotype, possibly through exerting a dominant negative effect.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC42 artigos no totalmostrando 38

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

Quantitative natural history modeling of HPDL-related disease based on cross-sectional data reveals genotype-phenotype correlations.

Genetics in medicine : official journal of the American College of Medical Genetics
2024

Heterozygous de novo variants in HSPD1 cause hypomyelinating leukodystrophy through impaired HSP60 oligomerisation.

Journal of medical genetics
2024

Biallelic Variants in COQ4 Cause Childhood-Onset Pure Hereditary Spastic Paraplegia.

Movement disorders clinical practice
2024

Pure Hereditary Spastic Paraplegia in a Patient With a Novel Heterozygous KIDINS220 Gene Mutation.

Cureus
2024

Biallelic variants in RINT1 present as early-onset pure hereditary spastic paraplegia.

The Journal of clinical investigation
2024

Characterization of a novel TFG variant causing autosomal recessive pure hereditary spastic paraplegia.

Annals of clinical and translational neurology
2024

KCNJ3 is a novel candidate gene for autosomal dominant pure hereditary spastic paraplegia identified using whole genome sequencing.

American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics
2023

Cohort analysis of novel SPAST variants in SPG4 patients and implementation of in vitro and in vivo studies to identify the pathogenic mechanism caused by splicing mutations.

Frontiers in neurology
2023

A founder mutation in COQ7, p.(Leu111Pro), causes pure hereditary spastic paraplegia (HSP) in the Iranian population.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2022

Neuropathy-associated Fars2 deficiency affects neuronal development and potentiates neuronal apoptosis by impairing mitochondrial function.

Cell & bioscience
2022

MYO1H is a novel candidate gene for autosomal dominant pure hereditary spastic paraplegia.

Molecular genetics and genomics : MGG
2022

A novel variant of SPAST in a pedigree with pure hereditary spastic paraplegia in Yunnan Province.

Annals of translational medicine
2022

Tract-specific damage at spinal cord level in pure hereditary spastic paraplegia type 4: a diffusion tensor imaging study.

Journal of neurology
2022

SPTAN1 variants likely cause autosomal recessive complicated hereditary spastic paraplegia.

Journal of human genetics
2021

Biallelic variants in HPDL cause pure and complicated hereditary spastic paraplegia.

Brain : a journal of neurology
2021

A novel homozygous mutation in ATP13A2 gene causing pure hereditary spastic paraplegia.

Parkinsonism & related disorders
2021

A heterozygous mutation in the CCDC88C gene likely causes early-onset pure hereditary spastic paraplegia: a case report.

BMC neurology
2021

Thalamic atrophy in patients with pure hereditary spastic paraplegia type 4.

Journal of neurology
2020

Multimodal evaluation of an Italian family with a hereditary spastic paraplegia and POLR3A mutations.

Annals of clinical and translational neurology
2020

A Japanese SPG4 Patient with a Confirmed De Novo Mutation of the SPAST Gene.

Internal medicine (Tokyo, Japan)
2020

Is NIPA1-associated hereditary spastic paraplegia always 'pure'? Further evidence of motor neurone disease and epilepsy as rare manifestations.

Neurogenetics
2020

Experienced complaints, activity limitations and loss of motor capacities in patients with pure hereditary spastic paraplegia: a web-based survey in the Netherlands.

Orphanet journal of rare diseases
2019

Ascending Axonal Degeneration of the Corticospinal Tract in Pure Hereditary Spastic Paraplegia: A Cross-Sectional DTI Study.

Brain sciences
2019

A Novel CAPN1 Mutation Causes a Pure Hereditary Spastic Paraplegia in an Italian Family.

Frontiers in neurology
2019

Functional effects of botulinum toxin type A in the hip adductors and subsequent stretching in patients with hereditary spastic paraplegia.

Journal of rehabilitation medicine
2019

A Novel Homozygous CAPN1 Pathogenic Variant in a Chinese Patient with Pure Hereditary Spastic Paraplegia.

Journal of clinical neurology (Seoul, Korea)
2019

A novel CPT1C variant causes pure hereditary spastic paraplegia with benign clinical course.

Annals of clinical and translational neurology
2018

StartReact during gait initiation reveals differential control of muscle activation and inhibition in patients with corticospinal degeneration.

Journal of neurology
2018

A novel heterozygous variant in ERLIN2 causes autosomal dominant pure hereditary spastic paraplegia.

European journal of neurology
2017

Mutations in DDHD1, encoding a phospholipase A1, is a novel cause of retinopathy and neurodegeneration with brain iron accumulation.

European journal of medical genetics
2017

De novo REEP2 missense mutation in pure hereditary spastic paraplegia.

Annals of clinical and translational neurology
2016

Novel Mutations in Endoplasmic Reticulum Lipid Raft-associated Protein 2 Gene Cause Pure Hereditary Spastic Paraplegia Type 18.

Chinese medical journal
2016

SPAST mutation spectrum and familial occurrence among Czech patients with pure hereditary spastic paraplegia.

Journal of human genetics
2016

A series of Greek children with pure hereditary spastic paraplegia: clinical features and genetic findings.

Journal of neurology
2015

Microarray analysis unmasked two siblings with pure hereditary spastic paraplegia shared a run of homozygosity region on chromosome 3q28-q29.

Journal of the neurological sciences
2015

Mutation analysis of four Chinese families with pure hereditary spastic paraplegia: pseudo- X-linked dominant inheritance and male lethality due to a novel ATL1 mutation.

Genetics and molecular research : GMR
Ver todos os 42 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. Structural brain changes contributing to motor signs in pure hereditary spastic paraplegia type 4.
    Journal of neurology· 2025· PMID 40459733mais citado
  2. Quantitative natural history modeling of HPDL-related disease based on cross-sectional data reveals genotype-phenotype correlations.
    Genetics in medicine : official journal of the American College of Medical Genetics· 2025· PMID 39731469mais citado
  3. French guidelines for the diagnosis and management of pure hereditary spastic paraplegia.
    Revue neurologique· 2025· PMID 40450402mais citado
  4. Characterization of a novel TFG variant causing autosomal recessive pure hereditary spastic paraplegia.
    Annals of clinical and translational neurology· 2024· PMID 38837630mais citado
  5. Heterozygous de novo variants in HSPD1 cause hypomyelinating leukodystrophy through impaired HSP60 oligomerisation.
    Journal of medical genetics· 2024· PMID 39500555mais citado
  6. Uncomplicated (Pure) Hereditary Spastic Paraplegia Overview.
    · 1993· PMID 20301682recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:102012(Orphanet)
  2. MONDO:0015149(MONDO)
  3. GARD:19822(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q55345930(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

Compêndio · Raras BR

Paraplegia espástica hereditária pura

ORPHA:102012 · MONDO:0015149
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