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Any hereditary spastic paraplegia in which the cause of the disease is a mutation in the MAG gene.
Features include always present findings: Astigmatism, Spastic dysarthria, Hypermetropia, and Dysmetria and others; and common findings: Loss of ambulation and Glaucoma. 28 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 12 | Spastic dysarthria, Spastic gait, Difficulty with thinking and memory (cognitive impairment) |
MAG encodes myelin associated glycoprotein (626 aa). Adhesion molecule that mediates interactions between myelinating cells and neurons by binding to neuronal sialic acid-containing gangliosides and to the glycoproteins RTN4R and RTN4RL2. Highest expression in Brain Spinal cord cervical c-1 (839.0 TPM) and Brain Substantia nigra (181.8 TPM).
Hereditary spastic paraplegia 75 is associated with mutations in the MAG gene on chromosome 19.
MAG is classified as a druggable target (Druggable Genome category) with score 17.4.
Genetic testing for MAG is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for hereditary spastic paraplegia 75 has been reported in the published literature.
Phenotype severity distribution: 17 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for hereditary spastic paraplegia 75.
9 publications have been identified in PubMed for hereditary spastic paraplegia 75. Research spans Review / Meta-Analysis (25%), Case Report / Case Series (25%), and Basic Science / Preclinical (25%).
Koles K (2026). [PMID: 41708000](https://pubmed.ncbi.nlm.nih.gov/41708000/). *J Biol Chem*. [Review / Meta-Analysis]
Ma A (2025). [PMID: 40272610](https://pubmed.ncbi.nlm.nih.gov/40272610/). *J Mol Neurosci*. [Basic Science / Preclinical]
Alghamdi M (2025). [PMID: 40199965](https://pubmed.ncbi.nlm.nih.gov/40199965/). *J Hum Genet*. [Basic Science / Preclinical]
Miroglio R (2025). [PMID: 41180955](https://pubmed.ncbi.nlm.nih.gov/41180955/). *Brain Commun*. [Diagnostic / Biomarker]
Kavishwar M (2024). [PMID: 39689926](https://pubmed.ncbi.nlm.nih.gov/39689926/). *BMJ Case Rep*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 10:51 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles |
6 |
Shrinkage of the cerebellum (cerebellar atrophy), Low muscle tone (hypotonia), Corpus callosum atrophy |
Eyes | 3 | Nystagmus, Damage to the optic nerve (optic atrophy), Glaucoma |
Arms and legs | 3 | Areflexia of lower limbs, Hyporeflexia of lower limbs, Distal lower limb amyotrophy |
Pregnancy and birth | 1 | Neonatal hypotonia |
Age of onset: newborn period, adulthood.
Akram R (2024). [PMID: 39336794](https://pubmed.ncbi.nlm.nih.gov/39336794/). *Genes (Basel)*. [Case Report / Case Series]
Saijilafu (2024). [PMID: 39935762](https://pubmed.ncbi.nlm.nih.gov/39935762/). *Front Neurosci*. [Review / Meta-Analysis]