Spastic paraplegia, 44 / Leukodystrophy, hypomyelinating, 2

Definition

The GJC2 gene (1q41-q42) encodes gap junction gamma-2 protein; biallelic loss-of-function variants disrupt oligodendrocyte gap junction function, leading to hypomyelination. HLD2 presents with early-onset nystagmus and progressive spasticity, whereas SPG44 is a milder, later-onset, slowly progressive form with mild ataxia.

Gene/region examined

GJC2 - Exon 2

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Inherited, autosomal recessive.

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