raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:320360

MT-ATP6-related mitochondrial spastic paraplegia

Synonyms: Maternally-inherited SPG · Maternally-inherited spastic paraplegia

Type
Disease
Group
Disorder
Inheritance
Mitochondrial inheritance
Age of onset
Adult
Status
active

A rare complex hereditary spastic paraplegia characterized by adulthood-onset of slowly progressive, bilateral, mainly lower limb spasticity and distal weakness associated with lower limb pain, hyperreflexia, and reduced vibration sense. Axonal neuropathy is frequently observed on electromyography and nerve conduction examination.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMT-ATP6-related mitochondrial spastic paraplegiaMaternally-inherited SPG · Maternally-inherited spastic paraplegia
frParaplégie spastique mitochondriale associée à MT-AP6Paraplégie spastique de transmission maternelle · SPG de transmission maternelle
deMitochondriale spastische Paraplegie, MT-ATP6-assoziierteSPG, maternal-vererbte · Spastische Paraplegie, mütterlich-vererbte
esParaplejía espástica mitocondrial asociada a MT-ATP6Paraplejía espástica de herencia materna · SPG de herencia materna
itParaplegia spastica mitocondriale correlata a MT-ATP6SPG a trasmissione materna
nlMT-ATP6-gerelateerde mitochondriale spastische paraplegieMaternaal overgeërfde SPG · Maternaal overgeërfde spastische paraplegie
ptParaplegia espástica motocondrial MT-ATP6-relacionadaParaplegia espástica com hereditariedade materna
plParaplegia spastyczna mitochondrialna zależna od MT-ATP6SPG odziedziczona od matki
csMaternálně dědičná spastická paraplegieMaternálně dědičná SPG
ukМітохондріальна спастична параплегія, повязана з MT-ATP6Спастична параплегія, успадкована від матері · Успадкована по материнській лінії SPG
zhMT-ATP6基因相关的线粒体痉挛性截瘫母系遗传痉挛性截瘫
trMT-ATP6-ilişkili mitokondriyal spastik paraplejiMaternal-geçişli SPG · Maternal-geçişli spastik parapleji

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.0YNTBTattributedvalidated
MONDO0017917Evalidated
UMLSC4755299Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MT-ATP6Disease-causing germline mutation(s) inAssessedHGNC:7414ENSG00000198899516060mitochondriamitochondrially encoded ATP synthase membrane subunit 620656066[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 casesWorldwideCase(s)Validated20656066[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20656066[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

17 annotations · validated 2018-10-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002166Impaired vibration sensation in the lower limbs
HP:0012514Lower limb pain
HP:0007020Progressive spastic paraplegia
Frequent (79-30%)
HP:0009053Distal lower limb muscle weakness
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0002061Lower limb spasticity
HP:0003477Peripheral axonal neuropathy
Occasional (29-5%)
HP:0001317Abnormal cerebellum morphology
HP:0007256Abnormal pyramidal sign
HP:0003487Babinski sign
HP:0001638Cardiomyopathy
HP:0000819Diabetes mellitus
HP:0008969Leg muscle stiffness
HP:0005115Supraventricular arrhythmia
Excluded (0%)
HP:0002151Increased circulating lactate concentration
HP:0000648Optic atrophy

Run the differential on the 3 obligate / very frequent terms

Annotation source: 20656066[PMID]_23897027[PMID]

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Sources for this card