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Features include always present findings: Hyperglycinemia and Reduced tissue glycine cleavage enzyme activity; and very common findings: Progressive spasticity and Nonketotic hyperglycinemia. 36 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 15 | Spastic diplegia, Difficulty walking (gait disturbance), Babinski sign |
GLRX5 encodes glutaredoxin 5 (157 aa). Monothiol glutaredoxin involved in mitochondrial iron-sulfur (Fe/S) cluster transfer. Highest expression in Testis (65.0 TPM) and Adrenal Gland (55.8 TPM).
Spasticity-ataxia-gait anomalies syndrome is associated with mutations in the GLRX5 gene on chromosome 14.
The GLRX5 protein participates in Formation of 4Fe-4S cluster on ISCA1:ISCA2, FXN:NFS1:ISD11:ISCU assembles 2Fe-2S iron-sulfur cluster, and Mitochondrial iron-sulfur cluster biogenesis pathways.
GLRX5 is classified as a druggable target with score 0.0.
Genetic testing for GLRX5 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for spasticity-ataxia-gait anomalies syndrome has been reported in the published literature.
Phenotype severity distribution: 2 always present features, 2 very common features, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
200 publications have been identified in PubMed for spasticity-ataxia-gait anomalies syndrome. Kisho has analyzed 151 by research type. Research spans Review / Meta-Analysis (49%), Case Report / Case Series (21%), and Basic Science / Preclinical (11%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 74 |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 5:39 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Eyes |
4 |
Strabismus, Nystagmus, Damage to the optic nerve (optic atrophy) |
Lab test results | 3 | Increased circulating lactate concentration, Increased CSF glycine concentration, Decreased activity of the pyruvate dehydrogenase complex |
Muscles | 2 | Damage to the optic nerve (optic atrophy), Generalized hypotonia |
Digestive system | 1 | Feeding difficulties |
Heart and blood vessels | 1 | Thickened left heart wall (left ventricular hypertrophy) |
Patient case studies | 32 | 21% |
Laboratory research | 17 | 11% |
Disease patterns and progression | 14 | 9% |
Testing and diagnosis research | 6 | 4% |
Other research | 4 | 3% |
Clinical study results | 3 | 2% |
New treatment approaches | 1 | 1% |
Tana C (2026). [PMID: 41980458](https://pubmed.ncbi.nlm.nih.gov/41980458/). *J Fr Ophtalmol*. [Review / Meta-Analysis]
Tkemladze T (2026). [PMID: 41044236](https://pubmed.ncbi.nlm.nih.gov/41044236/). *Eur J Hum Genet*. [Diagnostic / Biomarker]
Palaparthi S (2026). [PMID: 42091310](https://pubmed.ncbi.nlm.nih.gov/42091310/). *Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu*. [Review / Meta-Analysis]
Zeppieri M (2026). [PMID: 30085540](https://pubmed.ncbi.nlm.nih.gov/30085540/). *Unknown Journal*. [Other]
Kamlungkuea T (2026). [PMID: 41751857](https://pubmed.ncbi.nlm.nih.gov/41751857/). *Int J Mol Sci*. [Review / Meta-Analysis]
Richert Q (2026). [PMID: 41619932](https://pubmed.ncbi.nlm.nih.gov/41619932/). *Chest*. [Review / Meta-Analysis]
Tripathi M (2026). [PMID: 36256770](https://pubmed.ncbi.nlm.nih.gov/36256770/). *Unknown Journal*. [Clinical Trial Publication]
Benichou L (2026). [PMID: 41194463](https://pubmed.ncbi.nlm.nih.gov/41194463/). *Am J Med Genet A*. [Epidemiology / Natural History]
Vialle R (2026). [PMID: 40976314](https://pubmed.ncbi.nlm.nih.gov/40976314/). *Orthop Traumatol Surg Res*. [Review / Meta-Analysis]
Chopra A (2026). [PMID: 41870099](https://pubmed.ncbi.nlm.nih.gov/41870099/). *Int Ophthalmol Clin*. [Review / Meta-Analysis]