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While ageing is a known contributor to these changes, certain neurodegenerative disorders can manifest early in life, progressively affecting a person\u2019s quality of life. Hereditary spastic paraplegia is one such condition that can appear in individuals of any age. In hereditary spastic paraplegia, a distinctive feature is the degeneration of long nerve fibres in the corticospinal tract of the lower limbs. This degeneration is linked to various cellular and metabolic processes, including mitochondrial dysfunction, remodelling of the endoplasmic reticulum membrane, autophagy, abnormal myelination processes and alterations in lipid metabolism. Additionally, hereditary spastic paraplegia affects processes like endosome membrane trafficking, oxidative stress and mitochondrial DNA polymorphisms. Disease-causing genetic loci and associated genes influence the progression and severity of hereditary spastic paraplegia, potentially affecting various cellular and metabolic functions. Although hereditary spastic paraplegia does not reduce a person\u2019s lifespan, it significantly impairs their quality of life as they age, particularly with more severe symptoms. Regrettably, there are currently no treatments available to halt or reverse the pathological progression of hereditary spastic paraplegia. This review aims to explore the metabolic mechanisms underlying the pathophysiology of hereditary spastic paraplegia, emphasising the interactions of various genes identified in recent network studies. By comprehending these associations, targeted molecular therapies that address these biochemical processes can be developed to enhance treatment strategies for hereditary spastic paraplegia and guide clinical practice effectively.<\/jats:p>","DOI":"10.1177\/20503121231221941","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:00:43Z","timestamp":1703833243000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Hereditary spastic paraplegia: Novel insights into the pathogenesis and management"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2380-2949","authenticated-orcid":false,"given":"Wireko Andrew","family":"Awuah","sequence":"first","affiliation":[{"name":"Sumy State University, Sumy, Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joecelyn 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