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A rare type of hereditary spastic paraplegia usually characterized by a pure phenotype of proximal weakness of the lower extremities with spastic gait and brisk reflexes, with a bimodal age of onset of either childhood or adulthood (>30 years). In some cases, it can present as a complex phenotype with additional associated manifestations including peripheral neuropathy, bulbar palsy (with dysarthria and dysphagia), distal amyotrophy, and impaired distal vibration sense.
Features include always present findings: Babinski sign and Lower limb muscle weakness; and very common findings: Spastic gait, Brisk reflexes, and Proximal lower limb muscle weakness. 26 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Difficulty swallowing (dysphagia), Babinski sign, Dysarthria |
REEP1 function has not been fully characterized.
Hereditary spastic paraplegia 31 is associated with mutations in the REEP1 gene on chromosome 2.
Genetic testing for REEP1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hereditary spastic paraplegia 31 has been reported in the published literature.
Phenotype severity distribution: 2 always present features, 3 very common features, 10 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for hereditary spastic paraplegia 31.
24 publications have been identified in PubMed for hereditary spastic paraplegia 31. Research spans Epidemiology / Natural History (38%), Review / Meta-Analysis (21%), and Diagnostic / Biomarker (13%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 9 | 38% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 3:05 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Arms and legs
7 |
Lower limb spasticity, Lower limb muscle weakness, Proximal lower limb muscle weakness |
Muscles | 4 | Skeletal muscle atrophy, Lower limb muscle weakness, Proximal lower limb muscle weakness |
Bones and joints | 1 | Skeletal muscle atrophy |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Kidneys and urinary system | 1 | Urinary urgency |
Research summaries
5 |
21% |
Testing and diagnosis research | 3 | 13% |
Patient case studies | 2 | 8% |
Laboratory research | 2 | 8% |
New treatment approaches | 2 | 8% |
Other research | 1 | 4% |
Yousaf H (2026). [PMID: 41673897](https://pubmed.ncbi.nlm.nih.gov/41673897/). *Hum Genomics*. [Review / Meta-Analysis]
Sartorelli J (2026). [PMID: 41650577](https://pubmed.ncbi.nlm.nih.gov/41650577/). *J Neurol Sci*. [Diagnostic / Biomarker]
Bock A (2026). [PMID: 41268727](https://pubmed.ncbi.nlm.nih.gov/41268727/). *Adv Sci (Weinh)*. [Epidemiology / Natural History]
Koutsis G (2026). [PMID: 41277402](https://pubmed.ncbi.nlm.nih.gov/41277402/). *Clin Genet*. [Epidemiology / Natural History]
Choi Y (2026). [PMID: 41431411](https://pubmed.ncbi.nlm.nih.gov/41431411/). *Yonsei Med J*. [Epidemiology / Natural History]
Kang C (2026). [PMID: 41734945](https://pubmed.ncbi.nlm.nih.gov/41734945/). *Mov Disord Clin Pract*. [Review / Meta-Analysis]
Jang MA (2026). [PMID: 42225730](https://pubmed.ncbi.nlm.nih.gov/42225730/). *Sci Rep*. [Epidemiology / Natural History]
Safka Brozkova D (2026). [PMID: 41749354](https://pubmed.ncbi.nlm.nih.gov/41749354/). *Hum Genomics*. [Gene Therapy / Novel Therapeutics]
Zhi Y (2025). [PMID: 39932116](https://pubmed.ncbi.nlm.nih.gov/39932116/). *CNS Neurosci Ther*. [Review / Meta-Analysis]
Erkan DD (2025). [PMID: 40827465](https://pubmed.ncbi.nlm.nih.gov/40827465/). *Int J Dev Neurosci*. [Review / Meta-Analysis]