Extension of the Clinical and Genetic Spectrum in SPG4 Discloses a New Form of Alzheimer's Disease

In this study, we investigated pathogenic SPG4/SPAST variants in an international cohort of HSP patients from three continents. Our results extend the clinical spectrum of HSP-SPG4, discovering a new type complicated by an atypical form of AD. Cautious evaluation of genotype-phenotype relationships proposes insights into patient counseling and future research planning.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-12-01
DOI
https://doi.org/10.1002/alz70855_102713
Primary Topic
Hereditary Neurological Disorders
Type
article
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article

Extension of the Clinical and Genetic Spectrum in SPG4 Discloses a New Form of Alzheimer's Disease

Haripriya Kuchi Bhotla, Ryosuke Miyamoto, Mario Stasi, Antonio Orlacchio et al.
Alzheimer s & Dementia
Hereditary Neurological Disorders
article

Extension of the Clinical and Genetic Spectrum in SPG4 Discloses a New Form of Alzheimer's Disease

Haripriya Kuchi Bhotla, Ryosuke Miyamoto, Mario Stasi, Antonio Orlacchio, Orlando Graziani Póvoas Barsottini, Preethi Basavaraju, José Luiz Pedroso, Arun Meyyazhagan, Eliseo Picchi, MC Franca, Ingrid Faber, Gustavo Ribas, Francesco Patti, Peter Henry St George‐Hyslop, Filippo Maria Santorelli, Toshitaka Kawarai, Hélio Afonso Ghizoni Teive, Emanuele Panza
article en

Abstract

In this study, we investigated pathogenic SPG4/SPAST variants in an international cohort of HSP patients from three continents. Our results extend the clinical spectrum of HSP-SPG4, discovering a new type complicated by an atypical form of AD. Cautious evaluation of genotype-phenotype relationships proposes insights into patient counseling and future research planning.

Alzheimer s & DementiaVol. 21(S1)
Bharathiar University (IN), University of Rome Tor Vergata (IT), Universidade de Brasília (BR), Universidade Estadual de Campinas (UNICAMP) (BR), University of Perugia (IT), Columbia University Irving Medical Center (US), University of Catania (IT), Fondazione Stella Maris (IT), Himeji Medical Center (JP), Fondazione Santa Lucia (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Universidade Federal do Paraná (BR), Universidade Federal de São Paulo (BR), Tokushima University (JP), University of Bologna (IT)
Good health and well-being
Openalex Percentile: Top 36%
Hereditary Neurological Disorders
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