Rare & Orphan Lab · DeCure for X

DeCure for Hereditary spastic paraplegia 30

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for hereditary spastic paraplegia 30 — screening already-approved drugs against its 1-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module1 genesLead labRare & Orphan
All cures
Rare & OrphanDOID:0110781$DeCureRare

The disease map

Disease moduleHereditary spastic paraplegia 30 maps to a 1-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for hereditary spastic paraplegia 30 is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

kinesin family member 1A (KIF1A)KIF1A is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet gtpdrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 8UTS · 2.7 Å · ligand GUANOSINE-5'-TRIPHOSPHATE (GTP). Experimental structure, not a prediction.

What the evidence adds up to

Hereditary spastic paraplegia is a genetically transmitted disease, usually autosomal dominant, characterised by a slow progression of spastic paraparesis. In one series of six families with 26 affected members, all initial referrals were children with slowly progressive paraplegia, slightly delayed motor milestones, normal intellect, and no history of perinatal cerebral event. Each child was treated when necessary with appropriate tendon lengthenings. The authors state that recognition is the key to management, and that a careful patient and family history will reveal the hereditary nature of the disease.

In Caucasian populations, heterozygous Spastin mutations account for the majority of patients (SPG4), with predominant clinical manifestation within the third or fourth decade of life. Clinical manifestation during childhood is well known but more common in less frequent forms such as SPG3a or complicated HSP, for example SPG11. The hereditary spastic paraplegias are subdivided into pure and complicated forms according to whether the disorder is associated with other neurologic abnormalities. Autosomal dominant, recessive and X-linked forms have been defined.

No drug treatment is tested or recommended in any of these abstracts. The 1988 paper mentions only tendon lengthening surgery when necessary. No trial data, no survival rates, no response rates, and no sample sizes for any pharmacological intervention are reported. The abstracts provide no evidence for any drug repurposing.

What is still missing is any randomised controlled trial of a drug for hereditary spastic paraplegia 30, any patient stratification by genotype, and any funding for such a trial. The literature here describes natural history and surgical management only.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Journal of Pediatric Orthopaedics · 1988 · 11 citations

Hereditary Spastic Paraplegia

AbstractHereditary spastic paraplegia is a genetically transmitted disease that is usually autosomal dominant. Characterized by a slow progression of spastic paraparesis, it is frequently misdiagnosed as cerebral palsy. Our experience consists of six families with a total of 26 affected members. All initial referrals were children with a slowly progressive paraplegia. Each child was noted to have slightly delayed motor milestones, normal intellect, and no history of perinatal cerebral event. Each child was treated when necessary with appropriate tendon lengthenings. Recognition is the key to management. A careful patient and family history will reveal the hereditary nature of the disease and help develop treatment plans.

https://doi.org/10.1097/01241398-198807000-00006
Neuropediatrics · 2015 · 0 citations

Mutation Spectrum and Infantile Manifestation in Hereditary Spastic Paraplegia

AbstractAims: Hereditary spastic paraplegia (HSP) is genetically heterogeneous and clinically characterized by gait impairment because of weakness and spasticity of the lower limbs. In Caucasian populations, heterozygous Spastin mutations account for the majority of patients (SPG4) with predominant clinical manifestation within the third or fourth decade of life. A clinical manifestation during childhood is well known, but more common in less frequent forms such as SPG3a or complicated HSP, for example, SPG11.

https://doi.org/10.1055/s-0035-1550651
Neuropediatrics · 2005 · 0 citations

Hereditary spastic paraplegia with thin corpus callosum – childhood onset in two patients

AbstractBackground: The hereditary spastic paraplegias (HSPs) are a group of rare disorders with the predominant clinical feature of spastic gait. They are subdivided into pure and complicated forms according to whether the disorder is associated with other neurologic abnormalities. Autosomal dominant, recessive and X-linked forms of HSP have been defined.

https://doi.org/10.1055/s-2005-868103

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.