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

Background and Objectives: Hereditary spastic paraplegia (HSP) is a group of neurodegenerative disorders characterized by genetic and clinical diversity. It often overlaps with other neurological conditions, such as cerebellar ataxia, which complicates diagnosis and highlights the importance of mole...

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Main Authors: Taha Reşid Özdemir, Pınar Gençpınar, Roza Sarıteke, Safa M Dagdas, Senay Haspolat, Bedile I Tiftikcioglu, Nihal Olgaç Dündar, Berk Özyılmaz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Annals of Indian Academy of Neurology
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Online Access:https://journals.lww.com/10.4103/aian.aian_1068_24
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author Taha Reşid Özdemir
Pınar Gençpınar
Roza Sarıteke
Safa M Dagdas
Senay Haspolat
Bedile I Tiftikcioglu
Nihal Olgaç Dündar
Berk Özyılmaz
author_facet Taha Reşid Özdemir
Pınar Gençpınar
Roza Sarıteke
Safa M Dagdas
Senay Haspolat
Bedile I Tiftikcioglu
Nihal Olgaç Dündar
Berk Özyılmaz
author_sort Taha Reşid Özdemir
collection DOAJ
description Background and Objectives: Hereditary spastic paraplegia (HSP) is a group of neurodegenerative disorders characterized by genetic and clinical diversity. It often overlaps with other neurological conditions, such as cerebellar ataxia, which complicates diagnosis and highlights the importance of molecular genetic testing. This study aimed to investigate the molecular genetic basis of HSP in patients with clinical suspicion by identifying germline mutations in HSP-related genes and expanding the genetic spectrum of the disease through the discovery of novel variants. Methods: Between 2019 and 2024, 74 patients from 71 families underwent genetic evaluation for germline mutations in 41 HSP-associated genes using a targeted next-generation sequencing panel, with Sanger sequencing performed on family members of patients with identified pathogenic variants to confirm segregation. Results: We identified 23 variants, including six novel likely pathogenic (LP) variants, one novel variant classified as variant of uncertain significance (VUS)-LP, seven known pathogenic variants, and nine VUS. Conclusions: Overlapping clinical symptoms and laboratory findings between HSP and other neurological disorders frequently delay diagnosis, emphasizing the necessity of evaluating germline mutations in HSP genes for patients with suspected HSP to achieve a precise diagnosis. This study also contributes to the literature by reporting seven novel variants, enhancing the genetic understanding of HSP.
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institution Kabale University
issn 0972-2327
1998-3549
language English
publishDate 2025-05-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Indian Academy of Neurology
spelling doaj-art-d8f45ee1a351449883eb787f16d076102025-08-20T03:30:47ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492025-05-0128335336210.4103/aian.aian_1068_24Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel VariantsTaha Reşid ÖzdemirPınar GençpınarRoza SarıtekeSafa M DagdasSenay HaspolatBedile I TiftikciogluNihal Olgaç DündarBerk ÖzyılmazBackground and Objectives: Hereditary spastic paraplegia (HSP) is a group of neurodegenerative disorders characterized by genetic and clinical diversity. It often overlaps with other neurological conditions, such as cerebellar ataxia, which complicates diagnosis and highlights the importance of molecular genetic testing. This study aimed to investigate the molecular genetic basis of HSP in patients with clinical suspicion by identifying germline mutations in HSP-related genes and expanding the genetic spectrum of the disease through the discovery of novel variants. Methods: Between 2019 and 2024, 74 patients from 71 families underwent genetic evaluation for germline mutations in 41 HSP-associated genes using a targeted next-generation sequencing panel, with Sanger sequencing performed on family members of patients with identified pathogenic variants to confirm segregation. Results: We identified 23 variants, including six novel likely pathogenic (LP) variants, one novel variant classified as variant of uncertain significance (VUS)-LP, seven known pathogenic variants, and nine VUS. Conclusions: Overlapping clinical symptoms and laboratory findings between HSP and other neurological disorders frequently delay diagnosis, emphasizing the necessity of evaluating germline mutations in HSP genes for patients with suspected HSP to achieve a precise diagnosis. This study also contributes to the literature by reporting seven novel variants, enhancing the genetic understanding of HSP.https://journals.lww.com/10.4103/aian.aian_1068_24hereditary spastic paraplegiatargeted next-generation sequencing (ngs)novel genetic variantsmolecular diagnosisneurodegenerative disordersgenetic heterogeneity
spellingShingle Taha Reşid Özdemir
Pınar Gençpınar
Roza Sarıteke
Safa M Dagdas
Senay Haspolat
Bedile I Tiftikcioglu
Nihal Olgaç Dündar
Berk Özyılmaz
Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
Annals of Indian Academy of Neurology
hereditary spastic paraplegia
targeted next-generation sequencing (ngs)
novel genetic variants
molecular diagnosis
neurodegenerative disorders
genetic heterogeneity
title Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
title_full Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
title_fullStr Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
title_full_unstemmed Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
title_short Genetic Evaluation of Patients with Clinically Suspected Hereditary Spastic Paraplegia with Seven Novel Variants
title_sort genetic evaluation of patients with clinically suspected hereditary spastic paraplegia with seven novel variants
topic hereditary spastic paraplegia
targeted next-generation sequencing (ngs)
novel genetic variants
molecular diagnosis
neurodegenerative disorders
genetic heterogeneity
url https://journals.lww.com/10.4103/aian.aian_1068_24
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