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Childhood onset hereditary spastic paraplegia v9.6 APOPT1 Achchuthan Shanmugasundram Classified gene: APOPT1 as Amber List (moderate evidence)
Childhood onset hereditary spastic paraplegia v9.6 APOPT1 Achchuthan Shanmugasundram Added comment: Comment on list classification: There is sufficient evidence available for the association of biallelic APOPT1 variants with childhood-onset spasticity (at least five unrelated cases). Hence, this gene can be promoted to green rating on this panel in the next GMS update.
Childhood onset hereditary spastic paraplegia v9.6 APOPT1 Achchuthan Shanmugasundram Gene: apopt1 has been classified as Amber List (Moderate Evidence).
Childhood onset hereditary spastic paraplegia v9.5 APOPT1 Achchuthan Shanmugasundram commented on gene: APOPT1: The 'new-gene-name' tag has been added as the official HGNC gene symbol for APOPT1 is COA8.
Childhood onset hereditary spastic paraplegia v9.5 APOPT1 Achchuthan Shanmugasundram Tag new-gene-name tag was added to gene: APOPT1.
Childhood onset hereditary spastic paraplegia v9.5 APOPT1 Achchuthan Shanmugasundram Tag Q3_26_promote_green tag was added to gene: APOPT1.
Childhood onset hereditary spastic paraplegia v9.5 APOPT1 Achchuthan Shanmugasundram gene: APOPT1 was added
gene: APOPT1 was added to Childhood onset hereditary spastic paraplegia. Sources: Literature
Mode of inheritance for gene: APOPT1 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: APOPT1 were set to 25175347
Phenotypes for gene: APOPT1 were set to Mitochondrial complex IV deficiency, nuclear type 17, OMIM:619061; mitochondrial complex IV deficiency, nuclear type 17, MONDO:0033652; hereditary spastic paraplegia, MONDO:0019064
Review for gene: APOPT1 was set to GREEN
Added comment: PMID:25175347 (2014) reported a total of six patients from five unrelated families identified with biallelic variants in APOPT1 gene. There were six different variants identified from these patients and all but one were homozygous, and one individual had compound heterozygous variants. Across the six individuals with APOPT1 mutations, all show infantile or childhood‑onset mitochondrial disease with profound COX deficiency, a characteristic cavitating leukodystrophy on MRI predominantly affecting posterior cerebral white matter and corpus callosum, and evidence of peripheral neuropathy. Clinically, they range from acute neurometabolic decompensation with spastic tetraparesis, seizures and cognitive impairment to much milder phenotypes with preserved cognition, but all have a chronic, long‑surviving course with stabilization or partial recovery of motor function despite persistent structural white matter changes. All patients except one of the two siblings presented with spastic tetraparesis with onset in early childhood (2-5 years of age).

This gene has been associated with relevant phenotype in OMIM (MIM #619061, last accessed 28 July 2026), Gene2Phenotype (with 'definitive' rating on the DD and Eye panels) and in ClinGen (associated with 'definitive' rating for mitochondrial disease (MONDO:0044970) by Mitochondrial Diseases GCEP - https://search.clinicalgenome.org/CCID:004493).
Sources: Literature