Description
This panel contains genes that cause adolescent or adult onset hereditary spastic paraplegia, both pure and complicated. It was developed and is used in the adult neurogenetics at Royal Melbourne hospital and is a consensus panel used by VCGS.

This panel has been compared against the Genomics England 'Hereditary Spastic Paraplegia - adult onset' V1.11 panel, with all discrepancies resolved and reciprocal feedback provided to Genomics England, October 2020.

7 reviewers

  • Alison Yeung (Victorian Clinical Genetics Services)

  • Teresa Zhao (Victorian Clinical Genetics Services)

  • Ain Roesley (Victorian Clinical Genetics Services)

  • Elena Savva (Victorian Clinical Genetics Services)

  • Chern Lim (Victorian Clinical Genetics Services)

  • Bryony Thompson (Royal Melbourne Hospital)

  • Zornitza Stark (Victorian Clinical Genetics Services; Australian Genomics)

60 Entities

60 reviewed, 48 green

List Entity Reviews Mode of inheritance Details
60 Entitiess
Green Green List (high evidence)
ABCD1
1 review
1 green
X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • spastic paraparesis
  • Hereditary spastic paraplegia
  • Adrenoleukodystrophy, 300100
  • VLCFA accumulation
  • adrenal failure
Tags
Green Green List (high evidence)
ALDH18A1
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 9B, autosomal recessive, MIM# 616586
  • Spastic paraplegia 9A, autosomal dominant, MIM# 601162
Tags
Green Green List (high evidence)
AP5Z1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 48, autosomal recessive, MIM# 613647
  • MONDO:0013342
Tags
Green Green List (high evidence)
ATL1
3 reviews
3 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 3A, MIM 182600
  • Hereditary spastic paraplegia, AR
Tags
Green Green List (high evidence)
ATP13A2
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 78, autosomal recessive, 617225
  • Kufor-Rakeb syndrome, 606693 AR
  • complicated hereditary spastic paraplegia
  • Adult-onset lower-limb predominant spastic paraparesis
Tags
Green Green List (high evidence)
B4GALNT1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 26, autosomal recessive, 609195
Tags
Green Green List (high evidence)
BSCL2
2 reviews
2 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Silver spastic paraplegia syndrome, 270685
  • HSP 17, MONDO:0010043
Tags
Green Green List (high evidence)
C19orf12
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Neurodegeneration with brain iron accumulation 4, MIM# 614298
  • Spastic paraplegia 43, autosomal recessive, MIM# 615043
Tags
Green Green List (high evidence)
CAPN1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 76 autosomal recessive, 616907
  • MONDO:0014827
Tags
Green Green List (high evidence)
CPT1C
2 reviews
2 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 73, autosomal dominant, MIM#616282
  • MONDO:0014568
Tags
Green Green List (high evidence)
CYP27A1
2 reviews
2 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Cerebrotendinous xanthomatosis, 213700
  • MONDO:0008948
  • progressive lower extremity spasticity,often disproportionate to any degree of weakness
Tags
Green Green List (high evidence)
CYP7B1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 5A, autosomal recessive, 270800
  • MONDO:0010047
Tags
Green Green List (high evidence)
DARS
2 reviews
2 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Brain stem and spinal cord Hypomyelination
  • leg spasticity
  • Hypomyelination with brainstem and spinal cord involvement and leg spasticity, 615281
Tags
Green Green List (high evidence)
DDHD1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 28, autosomal recessive, 609340
  • MONDO:0012256
Tags
Green Green List (high evidence)
DDHD2
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Spastic paraplegia 54, autosomal recessive, MIM# 615033
  • MONDO:0014018
Tags
Green Green List (high evidence)
ERLIN2
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 18, autosomal recessive, MIM# 611225
  • Spastic paraplegia 18A, autosomal dominant, MIM# 620512
Tags
Green Green List (high evidence)
FA2H
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 35, autosomal recessive, 611026
  • MONDO:0012866
Tags
Green Green List (high evidence)
FBXO7
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Parkinson disease 15, autosomal recessive MIM#260300
Tags
Green Green List (high evidence)
FXN
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Friedreich ataxia, 229300
Tags
  • STR
  • SV/CNV
Green Green List (high evidence)
GALC
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Krabbe disease MIM#245200
Tags
Green Green List (high evidence)
GBA2
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 46, autosomal recessive, 614409
  • MONDO:0013737
Tags
Green Green List (high evidence)
GBE1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Polyglucosan body disease, adult form MIM#263570
Tags
Green Green List (high evidence)
GCH1
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Dystonia, DOPA-responsive, with or without hyperphenylalaninemia, MIM# 128230
Tags
Green Green List (high evidence)
GFAP
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Alexander disease MONDO:0008752
Tags
Green Green List (high evidence)
GJA1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hereditary spastic paraplegia
  • Oculodentodigital dysplasia, 164200, Oculodentodigital dysplasia, autosomal recessive, 257850
Tags
Green Green List (high evidence)
KCNA2
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Hereditary spastic paraplegia and ataxia
Tags
Green Green List (high evidence)
KIF1A
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 30, autosomal dominant MIM# 610357
  • Spastic paraplegia 30, autosomal recessive 620607
Tags
Green Green List (high evidence)
KIF5A
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 10, autosomal dominant, MIM# 604187
Tags
Green Green List (high evidence)
NIPA1
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 6, autosomal dominant, MIM# 600363
  • MONDO:0010878
Tags
Green Green List (high evidence)
NOTCH1
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Genetic cerebral small vessel disease (MONDO:0018787), NOTCH1-related
Tags
Green Green List (high evidence)
OPA3
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • 3-methylglutaconic aciduria, type III, MIM# 258501
Tags
Green Green List (high evidence)
PCYT2
2 reviews
2 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Spastic paraplegia 82, autosomal recessive, MIM# 618770
  • global developmental delay
  • regression
  • spastic parapesis or tetraparesis
  • epilepsy
  • progressive cerebral and cerebellar atrophy
Tags
Green Green List (high evidence)
PLP1
1 review
1 green
X-LINKED: hemizygous mutation in males, biallelic mutations in females
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 2, X-linked recessive, 312920
Tags
Green Green List (high evidence)
PNPLA6
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 39, autosomal recessive, 612020
Tags
Green Green List (high evidence)
POLR3A
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic ataxia
Tags
  • deep intronic
Green Green List (high evidence)
PSEN1
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Alzheimer disease, type 3, with spastic paraparesis and apraxia, MIM# 607822
Tags
Green Green List (high evidence)
REEP1
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 31, autosomal dominant, 610250
  • MONDO:0012453
Tags
Green Green List (high evidence)
RTN2
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 12, autosomal dominant, 604805
  • MONDO:0011489
Tags
Green Green List (high evidence)
SACS
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic ataxia, Charlevoix-Saguenay type, 270550
  • MONDO:0010041
Tags
  • SV/CNV
Green Green List (high evidence)
SLC25A15
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hyperornithinemia-hyperammonemia-homocitrullinemia syndrome MIM#238970
Tags
Green Green List (high evidence)
SPAST
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 4, autosomal dominant, 182601
Tags
Green Green List (high evidence)
SPG11
2 reviews
2 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 11, autosomal recessive, MIM# 604360
Tags
Green Green List (high evidence)
SPG21
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Mast syndrome, 248900
  • Spastic Paraplegia, autosomal recessive
Tags
  • new gene name
Green Green List (high evidence)
SPG7
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 7, autosomal recessive, 607259
  • MONDO:0011803
Tags
Green Green List (high evidence)
TUBA4A
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Hereditary ataxia MONDO:0100309, TUBA4A-related
Tags
Green Green List (high evidence)
UBAP1
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Literature
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 80, autosomal dominant 618418
Tags
Green Green List (high evidence)
WASHC5
1 review
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 8, autosomal dominant, 603563
  • MONDO:0011339
Tags
Green Green List (high evidence)
ZFYVE26
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 15, autosomal recessive, 270700
  • MONDO:0010044
Tags
Amber Amber List (moderate evidence)
ATP2B4
1 review
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • Pure and complicated hereditary spastic paraplegia
Tags
Amber Amber List (moderate evidence)
BICD2
1 review
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Amber
Phenotypes
  • Spinal muscular atrophy, lower extremity-predominant, 2A, autosomal dominant, MIM#615290
  • Spinal muscular atrophy, lower extremity-predominant, 2B, autosomal dominant, MIM#618291
Tags
Amber Amber List (moderate evidence)
GJC2
1 review
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • Leukodystrophy, hypomyelinating, 2, 608804, AR
  • Spastic paraplegia 44, autosomal recessive 613206, AR
Tags
Amber Amber List (moderate evidence)
HSPD1
1 review
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 13, autosomal dominant, MIM# 605280
Tags
Amber Amber List (moderate evidence)
LYST
1 review
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • spastic paraplegia
  • Spastic paraplegia
  • Chediak-Higashi syndrome, 214500
Tags
Amber Amber List (moderate evidence)
TUBB4A
1 review
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • ataxia
  • Leukodystrophy, hypomyelinating, 612438 AD
  • Dystonia 4, torsion, autosomal dominant, 128101
Tags
Amber Amber List (moderate evidence)
VAMP1
1 review
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Amber
  • Royal Melbourne Hospital
Phenotypes
  • Spastic ataxia 1, autosomal dominant, 108600
Tags
  • founder
Red Red List (low evidence)
COQ7
1 review
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Literature
Phenotypes
  • Hereditary spastic paraplegia, COQ7-related (MONDO#0019064)
Tags
Red Red List (low evidence)
DNM2
1 review
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Red
  • Royal Melbourne Hospital
Phenotypes
  • Complicated hereditary spastic paraplegia
Tags
Red Red List (low evidence)
SLC33A1
1 review
1 red
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Red
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 42, autosomal dominant
  • Congenital cataracts, hearing loss, and neurodegeneration 614482, AR:Spastic paraplegia 42, autosomal dominant, 612539 AD
Tags
Red Red List (low evidence)
TSPOAP1
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Red
  • Literature
Phenotypes
  • Dystonia 22, MIM# 620453
Tags
Red Red List (low evidence)
ZFYVE27
1 review
1 red
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Red
  • Royal Melbourne Hospital
Phenotypes
  • Spastic paraplegia 33, autosomal dominant, MIM#610244
Tags

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