RT Journal Article T1 Mutational spectrum of the SPG4 (SPAST) and SPG3A (ATL1) genes in Spanish patients with hereditary spastic paraplegia. A1 Alvarez, Victoria A1 Sánchez-Ferrero, Elena A1 Beetz, Christian A1 Díaz, Marta A1 Alonso, Belén A1 Corao, Ana I A1 Gámez, Josep A1 Esteban, Jesús A1 Gonzalo, Juan F A1 Pascual-Pascual, Samuel I A1 López de Munain, Adolfo A1 Moris, Germán A1 Ribacoba, Renne A1 Márquez, Celedonio A1 Rosell, Jordi A1 Marín, Rosario A1 García-Barcina, Maria J A1 Castillo, Emilia Del A1 Benito, Carmen A1 Coto, Eliecer K1 Análisis de mutaciones del ADN K1 GTP fosfohidrolasas K1 Proteínas de unión al GTP K1 Genotipo K1 Paraplejía espástica hereditaria K1 Adenosina trifosfatasas AB BACKGROUNDHereditary Spastic Paraplegias (HSP) are characterized by progressive spasticity and weakness of the lower limbs. At least 45 loci have been identified in families with autosomal dominant (AD), autosomal recessive (AR), or X-linked hereditary patterns. Mutations in the SPAST (SPG4) and ATL1 (SPG3A) genes would account for about 50% of the ADHSP cases.METHODSWe defined the SPAST and ATL1 mutational spectrum in a total of 370 unrelated HSP index cases from Spain (83% with a pure phenotype).RESULTSWe found 50 SPAST mutations (including two large deletions) in 54 patients and 7 ATL1 mutations in 11 patients. A total of 33 of the SPAST and 3 of the ATL1 were new mutations. A total of 141 (31%) were familial cases, and we found a higher frequency of mutation carriers among these compared to apparently sporadic cases (38% vs. 5%). Five of the SPAST mutations were predicted to affect the pre-mRNA splicing, and in 4 of them we demonstrated this effect at the cDNA level. In addition to large deletions, splicing, frameshifting, and missense mutations, we also found a nucleotide change in the stop codon that would result in a larger ORF.CONCLUSIONSIn a large cohort of Spanish patients with spastic paraplegia, SPAST and ATL1 mutations were found in 15% of the cases. These mutations were more frequent in familial cases (compared to sporadic), and were associated with heterogeneous clinical manifestations. PB BioMed Central YR 2010 FD 2010-10-08 LK http://hdl.handle.net/10668/1315 UL http://hdl.handle.net/10668/1315 LA en NO Alvarez V, Sánchez-Ferrero E, Beetz C, Díaz M, Alonso B, Corao AI, et al. Mutational spectrum of the SPG4 (SPAST) and SPG3A (ATL1) genes in Spanish patients with hereditary spastic paraplegia. BMC Neurol. 2010; 10:89 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 9, 2025