Perspectives on the Genomics of HSP Beyond Mendelian Inheritance
Open accessAbstract
Hereditary Spastic Paraplegia is an extraordinarily heterogeneous disease caused by over 50 Mendelian genes. Recent applications of next-generation sequencing, large scale data analysis, and data sharing/matchmaking, have discovered a quickly expanding set of additional HSP genes. Since most recently discovered HSP genes are rare causes of the disease, there is a growing concern of a persisting diagnostic gap, estimated at 30-40%, and even higher for sporadic cases. This missing heritability may not be fully closed by classic Mendelian mutations in protein coding genes. Here we show strategies and published examples of broadening areas of attention for Mendelian and non-Mendelian causes of HSP. We suggest a more inclusive perspective on the potential final architecture of HSP genomics. Efforts to narrow the heritability gap will ultimately lead to more precise and comprehensive genetic diagnoses, which is the starting point for emerging, highly specific gene therapies.
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Hereditary spastic paraplegias are clinically and genetically very heterogeneous, with more than 80 genes described.
“The AMN phenotype is an important differential diagnosis to hereditary spastic paraplegias (HSP)6,7, which are clinically and genetically very heterogeneous (80+ genes are described—see8).”
From Defining diagnostic cutoffs in neurological patients for serum very long chain fatty acids (VLCFA) in genetically confirmed X-Adrenoleukodystrophy (2020) · cites this paper as [8]
The Introduction describes HSPs as genetically heterogeneous and distinguishes pure and complicated forms with different clinical features. It reports over 76 genomic loci but 58 corresponding genes, so it does not support the claim that more than 80 genes had been described. (LLM, conf=0.88)
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Varga, R.-E., Mumtaz, R., Jahić, A., Rudenskaya, G. E., Sánchez-Ferrero, E., Auer‐Grumbach, M., Hübner, C. A., & Beetz, C. (2011) · Analytical Biochemistry · doi:10.1016/j.ab.2011.12.002 · Cited by 14 · see citing works
Challenges in Rare Variant Association Studies for Complex Kidney Traits: CFHR5 and IgA Nephropathy
Kiryluk, K. (2016) · Journal of the American Society of Nephrology · doi:10.1681/asn.2016040383 · Cited by 5 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [77]Marras C Lang A van de Warrenburg BP Sue CM Tabrizi SJ Bertram L. Nomenclature of genetic movement disorders: recommendations of the International Parkinson and Movement Disorder Society task force. Mov Disord. (2017) 32: 724– 25. 10.1002/mds.27045 28513081 · DOI
Cited by
Sorted by citations
Rattay, T. W., Rautenberg, M., Söhn, A. S., Hengel, H., Traschütz, A., Röben, B., Hayer, S. N., Schüle, R., Wiethoff, S., Zeltner, L., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-71248-8 · Cited by 61 · see citing works
- Authors
- Bis-Brewer, D. M., & Züchner, S.
- Venue
- Frontiers in Neurology
- Publisher
- Frontiers Media SA
- Published
- 2018-11-26
- Volume
- 9
- Pages
- 958-958
- ISSN
- 1664-2295 (ISSN-L)
- PMC
- PMC6275194
- OpenAlex
- W2898383900
- Cited by
- 31
- References
- 84
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 7
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Neurology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R01NS072248, F31NS106859)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Genetic Neurodegenerative Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- hereditary spastic paraplegia, non-Mendelian inheritance, missing heritability, genetic diagnosis, sporadic cases, gene therapy, genetic heterogeneity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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