title: Further clinical and genetic characterization of SPG11: hereditary spastic paraplegia with thin corpus callosum.
abstract: Hereditary spastic paraplegias (HSPs) are a heterogeneous group of neurodegenerative disorders leading to progressive spasticity of the lower limbs. Clinically, HSPs are divided into "pure" and "complicated" forms. In pure HSP, the spasticity of the lower limbs is the sole symptom, whereas in complicated forms additional neurological and non-neurological features are observed. Genetically, HSPs are divided into autosomal dominant (AD), autosomal recessive (AR) and X-linked (XL) forms. Up to date, 30 different HSPs are linked to different chromosomal loci and 11 genes could be defined for AR-HSP, AD-HSP and XL-HSP. SPG11, an AR-HSP (synonym: HSP11), is a complicated HSP associated with a slowly progressive spastic paraparesis, mental impairment and the development of a thin corpus callosum (TCC) during the course of the disease. SPG11 has been previously linked to chromosomal region 15q13 - 15. First, we applied rigid diagnostic criteria to systematically examine 20 Turkish families with autosomal recessive HSP for characteristic features of SPG11. We detected four large Turkish families with AR-HSP and TCC consistent with SPG11. Subsequent genetic linkage analysis of those 4 families refines the SPG11 locus further down to a small region of 2.93 cM with a maximum lod score of 11.84 at marker D15S659 and will guide further candidate gene analysis.
authors.affiliation: Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Olmez
authors.forename: G
authors.initials: G
authors.lastname: Uyanik
authors.forename: R K
authors.initials: RK
authors.lastname: Ozgül
authors.forename: C
authors.initials: C
authors.lastname: Gross
authors.forename: S
authors.initials: S
authors.lastname: Cirak
authors.forename: B
authors.initials: B
authors.lastname: Elibol
authors.forename: B
authors.initials: B
authors.lastname: Anlar
authors.forename: B
authors.initials: B
authors.lastname: Winner
authors.forename: U
authors.initials: U
authors.lastname: Hehr
authors.forename: H
authors.initials: H
authors.lastname: Topaloglu
authors.forename: J
authors.initials: J
authors.lastname: Winkler
mesh_terms: D000293:Adolescent; D000328:Adult; D002884:Chromosomes, Human, Pair 15 / Q000235:genetics; D003337:Corpus Callosum / Q000473:pathology*; D005260:Female; D005808:Genes, Recessive / Q000235:genetics; D008040:Genetic Linkage; D005838:Genotype; D006801:Humans; D019901:Locus Control Region / Q000235:genetics; D008297:Male; D010375:Pedigree; D015419:Spastic Paraplegia, Hereditary / Q000150:complications / Q000235:genetics* / Q000473:pathology*; D014421:Turkey