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This syndrome is characterized by the association of an axonal sensory and autonomic neuropathy with spastic paraplegia.
Features include always present findings: Atrophy of the spinal cord, Spastic gait, Decreased circulating apolipoprotein B concentration, and Decreased amplitude of sensory action potentials and others; and very common findings: Distal sensory impairment of all modalities, Spastic paraplegia, Overactive reflexes (hyperreflexia), and Spasticity and others. 27 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 |
CCT5 encodes chaperonin containing TCP1 subunit 5 (541 aa). Component of the chaperonin-containing T-complex (TRiC), a molecular chaperone complex that assists the folding of actin, tubulin and other proteins upon ATP hydrolysis. Highest expression in Cells Cultured fibroblasts (241.9 TPM) and Cells EBV-transformed lymphocytes (237.7 TPM).
Hereditary sensory and autonomic neuropathy with spastic paraplegia is associated with mutations in the CCT5 gene on chromosome 5.
CCT5 is classified as a druggable target with score 0.0.
Genetic testing for CCT5 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features, 9 very common features, 7 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary sensory and autonomic neuropathy with spastic paraplegia.
5 publications have been identified in PubMed for hereditary sensory and autonomic neuropathy with spastic paraplegia. Research spans Case Report / Case Series (60%), Review / Meta-Analysis (20%), and Basic Science / Preclinical (20%).
Mercan M (2025). [PMID: 40085521](https://pubmed.ncbi.nlm.nih.gov/40085521/). *Amyotrophic lateral sclerosis & frontotemporal degeneration*. [Case Report / Case Series]
Hashiguchi A (2025). [PMID: 40350641](https://pubmed.ncbi.nlm.nih.gov/40350641/). *Brain and nerve = Shinkei kenkyu no shinpo*. [Review / Meta-Analysis]
Zubair U (2025). [PMID: 39807687](https://pubmed.ncbi.nlm.nih.gov/39807687/). *Annals of clinical and translational neurology*. [Case Report / Case Series]
Aloisio S (2025). [PMID: 40824590](https://pubmed.ncbi.nlm.nih.gov/40824590/). *Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 4:38 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs | 3 | Abnormal foot morphology, Lower limb spasticity, Foot osteomyelitis |
Muscles | 1 | Atrophy of the spinal cord |
Bones and joints | 1 | Foot osteomyelitis |
Skin | 1 | Skin ulcer |
Xu L (2024). [PMID: 37890998](https://pubmed.ncbi.nlm.nih.gov/37890998/). *Journal of medical genetics*. [Basic Science / Preclinical]