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Autosomal dominant spastic paraplegia type 6 (SPG6) is a form of hereditary spastic paraplegia which usually presents in late adolescence or early adulthood as a pure phenotype of lower limb spasticity with hyperreflexia and extensor plantar responses, as well as mild bladder disturbances and pes cavus. Rarely, it can present as a complex phenotype with additional manifestations including epilepsy, variable peripheral neuropathy and/or memory impairment.
Features include sometimes findings: Tremor. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 8 | Clonus, Babinski sign, Seizure |
Arms and legs | 3 | Impaired vibration sensation in the lower limbs, Lower limb spasticity, Lower limb muscle weakness |
Kidneys and urinary system | 3 | Urinary urgency, Urinary incontinence, Urinary bladder sphincter dysfunction |
Muscles | 1 | Lower limb muscle weakness |
NIPA1 encodes NIPA magnesium transporter 1 (329 aa). Acts as a Mg(2+) transporter. Can also transport other divalent cations such as Fe(2+), Sr(2+), Ba(2+), Zn(2+) and Co(2+) but to a much less extent than Mg(2+) Highest expression in Brain Spinal cord cervical c-1 (66.2 TPM) and Brain Substantia nigra (32.7 TPM).
Hereditary spastic paraplegia 6 is associated with mutations in the NIPA1 gene on chromosome 15.
The NIPA1 protein participates in NIPAs transport Mg2+ from extracellular region to cytosol pathway.
NIPA1 is classified as a druggable target (Transporter category) with score 0.0.
Genetic testing for NIPA1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hereditary spastic paraplegia 6 has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary spastic paraplegia 6.
67 publications have been identified in PubMed for hereditary spastic paraplegia 6. Research spans Basic Science / Preclinical (28%), Case Report / Case Series (23%), and Epidemiology / Natural History (20%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 18 | 28% |
Patient case studies | 15 | 23% |
Disease patterns and progression | 13 | 20% |
Clinical study results | 8 | 12% |
Research summaries | 5 | 8% |
Other research | 3 | 5% |
Testing and diagnosis research | 2 | 3% |
New treatment approaches | 1 | 2% |
Estiar MA (2026). [PMID: 41877227](https://pubmed.ncbi.nlm.nih.gov/41877227/). *BMC Med*. [Basic Science / Preclinical]
Stanton AN (2026). [PMID: 41961756](https://pubmed.ncbi.nlm.nih.gov/41961756/). *Pediatr Neurosurg*. [Clinical Trial Publication]
Mohan N (2026). [PMID: 41739645](https://pubmed.ncbi.nlm.nih.gov/41739645/). *Cell Rep*. [Clinical Trial Publication]
Falcone GMI (2026). [PMID: 41586951](https://pubmed.ncbi.nlm.nih.gov/41586951/). *Neurol Sci*. [Epidemiology / Natural History]
Sobanska A (2026). [PMID: 41507865](https://pubmed.ncbi.nlm.nih.gov/41507865/). *BMC Neurol*. [Epidemiology / Natural History]
Holla VV (2026). [PMID: 41798181](https://pubmed.ncbi.nlm.nih.gov/41798181/). *Tremor Other Hyperkinet Mov (N Y)*. [Review / Meta-Analysis]
Jang MA (2026). [PMID: 42225730](https://pubmed.ncbi.nlm.nih.gov/42225730/). *Sci Rep*. [Epidemiology / Natural History]
Koutsis G (2026). [PMID: 41277402](https://pubmed.ncbi.nlm.nih.gov/41277402/). *Clin Genet*. [Basic Science / Preclinical]
Zhang K (2026). [PMID: 42091194](https://pubmed.ncbi.nlm.nih.gov/42091194/). *Zhonghua Yi Xue Yi Chuan Xue Za Zhi*. [Case Report / Case Series]
Chiou SY (2026). [PMID: 41593782](https://pubmed.ncbi.nlm.nih.gov/41593782/). *BMC Sports Sci Med Rehabil*. [Clinical Trial Publication]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 11:55 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center