raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:101006

Autosomal recessive spastic paraplegia type 26

Synonyms: GM2 synthase deficiency · SPG26

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

Autosomal recessive spastic paraplegia type 26 (SPG26) is a rare, complex type of hereditary spastic paraplegia characterized by the onset in childhood/adolescence (ages 2-19) of progressive spastic paraplegia associated mainly with mild to moderate cognitive impairment and developmental delay, cerebellar ataxia, dysarthria, and peripheral neuropathy. Less commonly reported manifestations include skeletal abnormalities (i.e. pes cavus, scoliosis), dyskinesia, dystonia, cataracts, cerebellar signs (i.e. saccadic dysfunction, nystagmus, dysmetria), bladder disturbances, and behavioral problems. SPG26 is caused by mutations in the <i>B4GALNT1</i> gene (12q13.3), encoding Beta-1, 4 N-acetylgalactosaminyltransferase 1.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 26GM2 synthase deficiency · SPG26
frParaplégie spastique autosomique récessive type 26Déficit en GM2 synthase · SPG26
deSpastische Paraplegie, autosomal-rezessive, Typ 26GM2-Synthase-Mangel · SPG26
esParaplejía espástica autosómica recesiva tipo 26Deficiencia de GM2 sintasa · SPG26
itParaplegia spastica autosomica recessiva, tipo 26Deficit di GM2 sintasi · SPG26
nlAutosomaal recessieve spastische paraplegie type 26GM2-synthasedeficiëntie · SPG26
ptParaplegia espástica autossómica recessiva tipo 26SPG26
plAutosomalna recesywna paraplegia spastyczna typu 26Niedobór syntazy GM2 · SPG26
csAutozomálně recesivní spastická paraplegie, typ 26Deficit GM2 syntázy · SPG26
ukАутосомно-рецесивна спастична параплегія, тип 26Дефіцит GM2-синтази · SPG26
zh常染色体隐性遗传痉挛性截瘫26型神经节苷脂酶缺乏
trOtozomal resesif spastik parapleji tip 26SPG26 · GM2 sentaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609195Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0012213Evalidated
MeSHC536862Evalidated
UMLSC1836632Evalidated
GARD9587Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
B4GALNT1Disease-causing germline mutation(s) inAssessedHGNC:4117ENSG0000013545460187312q13.3beta-1,4-N-acetyl-galactosaminyltransferase 123746551[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 familiesWorldwideFamily(ies)Validated24103911[PMID]_23746551[PMID]_24283893[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24103911[PMID]_23746551[PMID]_24283893[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

22 annotations · validated 2018-04-26
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0003487Babinski sign
HP:0002120Cerebral cortical atrophy
HP:0001288Gait disturbance
HP:0030890Hyperintensity of cerebral white matter on MRI
HP:0001347Hyperreflexia
HP:0001249Intellectual disability
HP:0002061Lower limb spasticity
HP:0001324Muscle weakness
HP:0007141Sensorimotor neuropathy
HP:0003202Skeletal muscle atrophy
Occasional (29-5%)
HP:0001317Abnormal cerebellum morphology
HP:0000079Abnormality of the urinary system
HP:0000518Cataract
HP:0100660Dyskinesia
HP:0001332Dystonia
HP:0006938Impaired vibration sensation at ankles
HP:0001761Pes cavus
HP:0007024Pseudobulbar paralysis
HP:0002650Scoliosis
Very rare (<4-1%)
HP:0040171Decreased serum testosterone concentration
HP:0001265Hyporeflexia
HP:0008209Premature ovarian insufficiency

Annotation source: 23746551[PMID]

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Sources for this card