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Hereditary Spastic Paraplegia - paediatric v1.66 SPTSSA Zornitza Stark Phenotypes for gene: SPTSSA were changed from complex hereditary spastic paraplegia, MONDO:0015150 to Spastic paraplegia 90B, autosomal recessive , MIM# 620417; Spastic paraplegia 90A, autosomal dominant, MIM# 620416
Hereditary Spastic Paraplegia - paediatric v1.65 SPTSSA Zornitza Stark edited their review of gene: SPTSSA: Changed rating: AMBER
Hereditary Spastic Paraplegia - paediatric v1.65 SPTSSA Zornitza Stark edited their review of gene: SPTSSA: Changed rating: GREEN
Hereditary Spastic Paraplegia - paediatric v1.65 SPTSSA Zornitza Stark reviewed gene: SPTSSA: Rating: AMBER; Mode of pathogenicity: None; Publications: ; Phenotypes: Spastic paraplegia 90B, autosomal recessive , MIM# 620417, Spastic paraplegia 90A, autosomal dominant, MIM# 620416; Mode of inheritance: BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Hereditary Spastic Paraplegia - paediatric v1.57 SPTSSA Seb Lunke Marked gene: SPTSSA as ready
Hereditary Spastic Paraplegia - paediatric v1.57 SPTSSA Seb Lunke Gene: sptssa has been classified as Amber List (Moderate Evidence).
Hereditary Spastic Paraplegia - paediatric v1.57 SPTSSA Seb Lunke Classified gene: SPTSSA as Amber List (moderate evidence)
Hereditary Spastic Paraplegia - paediatric v1.57 SPTSSA Seb Lunke Gene: sptssa has been classified as Amber List (Moderate Evidence).
Hereditary Spastic Paraplegia - paediatric v1.56 SPTSSA Seb Lunke gene: SPTSSA was added
gene: SPTSSA was added to Hereditary Spastic Paraplegia - paediatric. Sources: Literature
Mode of inheritance for gene: SPTSSA was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Publications for gene: SPTSSA were set to 36718090
Phenotypes for gene: SPTSSA were set to complex hereditary spastic paraplegia, MONDO:0015150
Review for gene: SPTSSA was set to GREEN
Added comment: Three unrelated individuals with common neurological features of developmental delay, progressive motor impairment, progressive lower extremity spasticity, and epileptiform activity or seizures. Other additional features varied.

Two of the individuals had the same de-novo missense, Thr51Ile, while the third was homozygous for a late truncating variant, Gln58AlafsTer10. The patient with the hom variant was described as less severe.

Functional studies in fibroblasts showed dysregulation of the sphingolipid (SL) synthesis pathway, showing that both variants impair ORMDL regulation of the pathway leading to various levels of increased SL. Over expression of human SPTSSA was shown to lead to motor development in flies, rescued by expression of ORMDL for WT SPTSSA but not mutant SPTSSA.

The de-novo missense were shown to impact regulation more than the hom truncation, while the truncated region was shown to previously to be important for ORMDL regulation.

Mice with a hom KO of the functional equivalent sptssb had early onset ataxia and died prematurely, with evidence of axonic degeneration.
Sources: Literature