raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:139480

Autosomal recessive spastic paraplegia type 39

Synonyms: SPG39 · Spastic paraplegia due to NTE mutation · Spastic paraplegia due to neuropathy target esterase mutation

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

A rare autosomal recessive complex spastic paraplegia characterized by upper motor neuron involvement and peripheral neuropathy with an onset between childhood and early adulthood. Patients present with progressive spasticity, hyperreflexia, and distal upper and lower muscle wasting. Reduced cognitive functioning and cerebellar ataxia have also been reported. MR imaging may reveal cerebellar and/or spinal cord atrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 39SPG39 · Spastic paraplegia due to NTE mutation · Spastic paraplegia due to neuropathy target esterase mutation
frParaplégie spastique autosomique récessive type 39Paraplégie spastique due à une mutation de l'estérase neurotoxique · Paraplégie spastique due à une mutation de la NTE · SPG39
deSpastische Paraplegie, autosomal-rezessive, Typ 39SPG39 · Spastische Paraplegie durch NTE (neuropathy target esterase)-Genmutation
esParaplejía espástica autosómica recesiva tipo 39
itParaplegia spastica autosomica recessiva, tipo 39Paraplegia spastica da mutazione dell'esterasi bersaglio della neuropatia · Paraplegia spastica da mutazione di NTE · SPG39
nlAutosomaal recessieve spastische paraplegie type 39SPG39 · Spastische paraplegie door NTE-mutatie · Spastische paraplegie door neuropathisch target esterase-mutatie
ptParaplegia espástica autossómica recessiva tipo 39Paraplegia espástica por mutação NTE · SPG39
plAutosomalna recesywna paraplegia spastyczna typu 39Paraplegia spastyczna z powodu mutacji NTE · Spastyczna paraplegia z powodu mutacji neuropatycznej esterazy · SPG39
csAutozomálně recesivní spastická paraplegie, typ 39SPG39 · Spastická paraplegie způsobená mutacemi NTE genu · Spastická paraplegie způsobená mutací neuropatii cílené esterázou
ukАутосомно-рецесивна спастична параплегія, тип 39Спастична параплегія внаслідок мутації мішені естерази нейропатії · Спастична параплегія внаслідок мутації NTE · SPG39
zh常染色体隐性遗传痉挛性截瘫39型神经病靶标酯酶所致痉挛性截瘫
trOtozomal resesif spastik parapleji tip 39SPG39 · NTE mutasyonuna bağlı spastik parapleji · Nöropati hedef esteraz mutasyonuna bağlı spastik parapleji

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612020Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0012787Evalidated
MeSHC567433Evalidated
UMLSC2677586Evalidated
GARD4924Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PNPLA6Disease-causing germline mutation(s) inAssessedHGNC:16268ENSG0000003244460319719p13.2patatin like domain 6, lysophospholipase18313024[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 familiesWorldwideFamily(ies)Validated24355708[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24355708[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

9 annotations · validated 2018-04-04
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0006827Atrophy of the spinal cord
HP:0003487Babinski sign
HP:0009055Generalized limb muscle atrophy
HP:0001347Hyperreflexia
HP:0002061Lower limb spasticity
HP:0007002Motor axonal neuropathy
HP:0001258Spastic paraplegia
Occasional (29-5%)
HP:0001272Cerebellar atrophy
HP:0002066Gait ataxia

Annotation source: 18313024[PMID]_24355708[PMID]

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Sources for this card