HSN w/SPG

CCT5 | 2006

What Is HSN w/SPG?

HSN w/SPG is a type of CMT caused by autosomal recessive mutations in the CCT5 gene. This gene provides instructions for making a component of a protein-folding complex that helps other proteins achieve their correct shape within nerve cells. Mutations in the CCT5 gene disrupt this function, leading to impaired nerve signal transmission.

HSN w/SPG is autosomal recessive, meaning that both copies of the gene must have a mutation to cause this subtype.

Clinical Features

Symptoms of HSN w/SPG combine a sensory neuropathy with spastic paraplegia, meaning that sensory loss occurs alongside stiffness and weakness of the legs from involvement of the upper motor neurons. Nerve conduction studies reflect a sensory and axonal process.

HSN w/SPG symptoms may include:

  • Reduced sensation in the feet and lower legs
  • Leg stiffness and spasticity
  • Progressive weakness of the lower limbs
  • A spastic gait
  • Painless injuries from reduced sensation
  • Foot drop
  • Additional symptoms not listed here

Disease Course

HSN w/SPG shows wide variability in severity and progression. Some individuals are mildly affected, while others develop a more severe disease. Disease progression is generally slow, and life expectancy is not reduced.

Clinical Basics

Subtype
HSN w/SPG

Classification
HSN

Neuropathy Type
Axonal

Inheritance Pattern
autosomal recessive

Genetic Context

HGNC-Approved Gene Symbol
CCT5

Gene Full Name
Chaperonin Containing TCP1 Subunit 5

HGNC Gene Alias(es)
CCTE, KIAA0098

Chromosome
5p15.2

Zygosity of Responsible Variant
Homozygous

Variant Mechanism

Loss of Function (LoF)

Details

Mechanistic basis:
Biallelic

Confidence:
Medium

Prediction:
The literature predicts a biallelic loss-of-function mechanism for HSN with spastic paraplegia: the recessive homozygous CCT5 His147Arg substitution impairs the CCT/TRiC chaperonin, so two defective copies reduce chaperonin protein-folding activity, and restored wild-type CCT5 is predicted to rescue, consistent with recessive loss rather than a dominant effect.

Rationale:
The recessive homozygous CCT5 His147Arg substitution impairs CCT/TRiC chaperonin activity, and unaffected heterozygous carriers argue against a dominant effect, so restored wild-type is predicted to rescue: a biallelic loss of function. The mutant subunit's exact functional consequence is only partly characterized, holding confidence at medium.

ClinVar Pathogenic Variants

View HSN w/SPG ClinVar Variants

HSN w/SPG OMIM Entry

HSN w/SPG OMIM

CCT5 OMIM Entry

CCT5 OMIM

More Info

HSN w/SPG Research Opportunity

CMT Natural History Study

Original Discovery Publication

Publication Title

Autosomal recessive mutilating sensory neuropathy with spastic paraplegia maps to chromosome 5p15.31-14.1

Authors

Bouhouche, A., Benomar, A., Bouslam, N., Ouazzani, R., Chkili, T., & Yahyaoui, M.

Publication Date
February 1, 2006

Updated: July 18, 2026 | By: K. Raymond

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