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Distal hereditary motor neuropathy, Jerash type is a rare, genetic neuromuscular disease characterized by progressive, symmetrical, moderate to severe, distal muscle weakness and atrophy, without sensory involvement, first affecting the lower limbs (towards the end of the first decade) and then involving (within two years) the upper extremities. Patients typically develop foot drop, pes varus, hammer toes and claw hands. Pyramidal tract signs (e.g. brisk knee reflexes, positive Babinski sign, absent ankle reflexes) are initially associated but regress as disease stabilizes (~10 years after onset).
Features include always present findings: Decreased motor nerve conduction velocity, Distal amyotrophy, Distal muscle weakness, and Hyperactive patellar reflex and others; and common findings: Babinski sign and Claw hand deformity. 12 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 4 | Distal muscle weakness, Decreased compound muscle action potential amplitude, Foot dorsiflexor weakness |
Arms and legs | 2 | Claw hand deformity, Foot dorsiflexor weakness |
Brain and nerves | 1 | Babinski sign |
SIGMAR1 function has not been fully characterized.
Autosomal recessive distal spinal muscular atrophy 2 is associated with mutations in the SIGMAR1 gene on chromosome 9.
Genetic testing for SIGMAR1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for autosomal recessive distal spinal muscular atrophy 2 has been reported in the published literature.
3 FDA-approved treatments are available for autosomal recessive distal spinal muscular atrophy 2, including NUSINERSEN (SPINRAZA, approved 2016), onasemnogene abeparvovec-xioi (Zolgensma, approved 2019), and RISDIPLAM (EVRYSDI, approved 2020).
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
EVRYSDI | RISDIPLAM | — | 2020 | Available |
Zolgensma | onasemnogene abeparvovec-xioi | — | 2019 | Available |
SPINRAZA | NUSINERSEN | — | 2016 | Available |
Gene therapy approaches for autosomal recessive distal spinal muscular atrophy 2 have been reported in the published literature.
View trials for autosomal recessive distal spinal muscular atrophy 2
Phenotype severity distribution: 7 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autosomal recessive distal spinal muscular atrophy 2.
56 publications have been identified in PubMed for autosomal recessive distal spinal muscular atrophy 2. Research spans Case Report / Case Series (22%), Epidemiology / Natural History (18%), and Review / Meta-Analysis (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 12 | 22% |
Disease patterns and progression | 10 | 18% |
Research summaries | 9 | 16% |
Testing and diagnosis research | 8 | 15% |
Laboratory research | 7 | 13% |
Clinical study results | 5 | 9% |
New treatment approaches | 4 | 7% |
Gaviglio A (2026). [PMID: 40673334](https://pubmed.ncbi.nlm.nih.gov/40673334/). *Crit Rev Clin Lab Sci*. [Review / Meta-Analysis]
Kannan A (2026). [PMID: 41958916](https://pubmed.ncbi.nlm.nih.gov/41958916/). *Brain Commun*. [Diagnostic / Biomarker]
Dabaj I (2026). [PMID: 41825231](https://pubmed.ncbi.nlm.nih.gov/41825231/). *Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics*. [Diagnostic / Biomarker]
Koyutourk B (2026). [PMID: 42065819](https://pubmed.ncbi.nlm.nih.gov/42065819/). *J Community Genet*. [Epidemiology / Natural History]
Civit A (2026). [PMID: 41230573](https://pubmed.ncbi.nlm.nih.gov/41230573/). *Am J Med Genet A*. [Case Report / Case Series]
Warmann S (2026). [PMID: 41714394](https://pubmed.ncbi.nlm.nih.gov/41714394/). *Radiologie (Heidelb)*. [Review / Meta-Analysis]
Yuan J (2026). [PMID: 42081032](https://pubmed.ncbi.nlm.nih.gov/42081032/). *Patient*. [Epidemiology / Natural History]
Kalita M (2026). [PMID: 41334667](https://pubmed.ncbi.nlm.nih.gov/41334667/). *Neurol Neurochir Pol*. [Review / Meta-Analysis]
Xi H (2026). [PMID: 41572232](https://pubmed.ncbi.nlm.nih.gov/41572232/). *BMC Neurol*. [Case Report / Case Series]
Amuran GG (2026). [PMID: 41949145](https://pubmed.ncbi.nlm.nih.gov/41949145/). *Indian J Med Res*. [Diagnostic / Biomarker]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 5:52 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center