Preferred Label : Spastic paraplegia 3, autosomal dominant;
Symbol : SPG3A;
CISMeF acronym : FSP1; SPG3A; SPG3;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : FSP1; Strumpell disease; SPG3; Familial spastic paraplegia, autosomal dominant, 1;
Description : The hereditary spastic paraplegias are a group of clinically and genetically diverse
disorders characterized by progressive, usually severe, lower extremity spasticity;
see reviews of Fink et al. (1996) and Fink (1997). SPG is classified according to
both the mode of inheritance (autosomal dominant, autosomal recessive (see 270800),
and X-linked (see 303350)) and whether progressive spasticity occurs in isolation
('uncomplicated SPG') or with other neurologic abnormalities ('complicated SPG'),
including optic neuropathy, retinopathy, extrapyramidal disturbance, dementia, ataxia,
ichthyosis, mental retardation, and deafness. The major neuropathologic feature of
autosomal dominant, uncomplicated SPG is axonal degeneration that is maximal in the
terminal portions of the longest descending and ascending tracts (crossed and uncrossed
corticospinal tracts to the legs and fasciculus gracilis, respectively). Spinocerebellar
fibers are involved to a lesser extent. Since the description of 'pure' hereditary
spastic paraparesis of late onset by Strumpell (1904), many 'complicated' forms of
the disorder have been reported and the question as to whether a 'pure' form exists
has been raised off and on. Probably in large part because of their exceptional length,
the pyramidal tracts are unusually vulnerable to both acquired and genetic derangement.
Although a majority of reported families have displayed recessive inheritance, 10
to 30% of families have a dominant pattern and in fact recessive inheritance of a
'pure' spastic paraplegia may be rare. - Genetic Heterogeneity of Autosomal Dominant
Spastic Paraplegia In addition to SPG3A, which is caused by mutation in the ALT1 gene
on chromosome 14q22, other forms of autosomal dominant spastic paraplegia for which
the molecular basis is known include SPG4 (182601), caused by mutation in the SPAST
gene (604277) on 2p22-p21; SPG6 (600363), caused by mutation in the NIPA1 gene (608145)
on 15q11.1; SPG8 (603563), caused by mutation in the KIAA0196 gene (610657) on 8q24;
SPG10 (604187), caused by mutation in the KIF5A gene (602821) on 12q13; SPG12 (604805),
caused by mutation in the RTN2 gene (603183) on 19q13; SPG13 (605280), caused by mutation
in the SSPD1 gene (118190) on 2q33.1; SPG31 (610250), caused by mutation in the REEP1
gene (609139) on 2p11.2; and SPG33 (610244), caused by mutation in the ZFYVE27 gene
(610243) on 10q24.2. Autosomal dominant spastic paraplegia has been mapped to chromosomes
10q (SPG9; 601162), 9q (SPG19; 607152), 1p31-p21 (SPG29; 609727), 12q23-q24 (SPG36;
613096), 8p21.1-q13.3 (SPG37; 611945), 4p16-p15 (SPG38; 612335), and 11p14.1-p11.2
(SPG41; 613364).;
Inheritance : Autosomal dominant;
Molecular basis : Caused by mutation in the atlastin gene (SPG3A, 606439.0001);
Prefixed ID : #182600;
Origin ID : 182600;
UMLS CUI : C2931355;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to NTBT