Novel KIF5A variant in a patient with early-onset levodopa-responsive Parkinson's syndrome

Boyana R Kuzmanova1, Maria R Kuzmanova2, Magdeldin Elgizouli3

  • 1Neurology, Hirslanden Hospital Group, Zurich, Switzerland kuzmanob@gmail.com.

BMJ Case Reports
|February 2, 2026
PubMed

Insights

A novel KIF5A gene variant likely causes a complex neurological disorder including parkinsonism and spastic paraplegia. This finding expands the known spectrum of KIF5A-related neurodegenerative diseases.

Area of Science:

  • Neurogenetics
  • Neurology
  • Molecular Genetics

Background:

  • KIF5A gene mutations are linked to hereditary spastic paraplegia, Charcot-Marie-Tooth disease, and amyotrophic lateral sclerosis.
  • Complex neurological phenotypes present diagnostic challenges.

Purpose of the Study:

  • To report a novel KIF5A variant in a patient with a complex progressive neurological disorder.
  • To discuss the clinical, genetic, and prognostic implications of this KIF5A variant.

Main Methods:

  • Clinical case presentation.
  • Genetic analysis identifying a novel heterozygous variant in the KIF5A gene (c.937G>A, p.Glu313Lys).

Main Results:

  • A male patient in his mid-30s presented with levodopa-responsive parkinsonism, motor fluctuations, gait ataxia, peripheral neuropathy, and spastic paraplegia.
  • A likely pathogenic heterozygous variant, c.937G>A (p.Glu313Lys), was identified in the KIF5A gene.

Conclusions:

  • This case expands the phenotypic spectrum associated with KIF5A mutations.
  • The identified KIF5A variant is likely pathogenic and contributes to a complex neurological disorder.

Related Concept Videos

Lysosomal Hydrolases01:22

Lysosomal Hydrolases

Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
Parkinson's Disease: Overview01:15

Parkinson's Disease: Overview

Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is to...
Parkinson's Disease: Treatment01:24

Parkinson's Disease: Treatment

Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of its...
Parkinson Disease l: Introduction01:24

Parkinson Disease l: Introduction

Parkinson’s disease is a chronic, progressive neurodegenerative disorder that primarily affects movement. It is characterized by motor symptoms such as resting tremors, muscle rigidity, bradykinesia (slowness of movement), and postural instability. Patients may notice hand tremors at rest, stiffness during movement, or a shuffling gait. In addition to motor features, non-motor symptoms include sleep disturbances, mood and behavioral changes, constipation, and cognitive impairment, all of which...
Parkinson Disease ll: Pathophysiology01:24

Parkinson Disease ll: Pathophysiology

Parkinson disease (PD) is a progressive neurodegenerative disorder primarily affecting movement, with additional non-motor features. Its pathophysiology involves complex interactions among genetic susceptibility, environmental exposures, and cellular dysfunction, including dopaminergic neuron loss, protein aggregation, and mitochondrial impairment.Selective NeurodegenerationA key feature is the degeneration of dopaminergic neurons in the substantia nigra pars compacta, leading to reduced...
Huntington Disease l: Introduction01:21

Huntington Disease l: Introduction

Huntington disease or HD is a progressive, fatal neurodegenerative disorder inherited in an autosomal dominant pattern.PathophysiologyIt is caused by expansion of the CAG trinucleotide repeat in the HTT gene on chromosome 4 (4p16.3), producing an abnormal huntingtin protein with an expanded polyglutamine tract. This misfolded protein disrupts cellular function, leading to neuronal death. Normal alleles have ≤26 repeats, 27–35 are intermediate (risk of expansion), 36–39 show reduced penetrance,...