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A rare, complex form of hereditary spastic paraplegia characterized by an onset in infancy of spastic paraplegia (presenting with the inability to walk unsupported and a scissors gait) associated with a motor and sensory polyneuropathy with loss of terminal digits and acropathy. SPG61 is due to a mutation in the ARL6IP1 gene (16p12-p11.2) encoding the ADP-ribosylation factor-like protein 6-interacting protein 1.
Features include always present findings: Inability to walk, Sensory neuropathy, and Absent Achilles reflex; and common findings: Hyperactive patellar reflex, Motor polyneuropathy, Scissor gait, and Spasticity and others. 13 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Inability to walk, Motor polyneuropathy, Scissor gait |
ARL6IP1 encodes ARL6 interacting reticulophagy regulator 1 (203 aa). Positively regulates SLC1A1/EAAC1-mediated glutamate transport by increasing its affinity for glutamate in a PKC activity-dependent manner. Highest expression in Brain Cerebellar Hemisphere (434.0 TPM) and Brain Frontal Cortex BA9 (395.5 TPM).
Hereditary spastic paraplegia 61 is associated with mutations in the ARL6IP1 gene on chromosome 16.
ARL6IP1 is classified as a druggable target with score 0.0.
Genetic testing for ARL6IP1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hereditary spastic paraplegia 61 has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 8 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary spastic paraplegia 61.
4 publications have been identified in PubMed for hereditary spastic paraplegia 61. Research spans Case Report / Case Series (50%), Diagnostic / Biomarker (25%), and Epidemiology / Natural History (25%).
Choi Y (2026). [PMID: 41431411](https://pubmed.ncbi.nlm.nih.gov/41431411/). *Yonsei medical journal*. [Case Report / Case Series]
Alawadhi A (2026). [PMID: 42147656](https://pubmed.ncbi.nlm.nih.gov/42147656/). *Cureus*. [Case Report / Case Series]
Jeyakumar H (2025). [PMID: 40598191](https://pubmed.ncbi.nlm.nih.gov/40598191/). *Orphanet journal of rare diseases*. [Epidemiology / Natural History]
Di Folco C (2025). [PMID: 40832806](https://pubmed.ncbi.nlm.nih.gov/40832806/). *Movement disorders : official journal of the Movement Disorder Society*. [Diagnostic / Biomarker]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:55 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
1 |
Abnormal Achilles tendon morphology |
Age of onset: childhood.