FB2026_02 , released June 18, 2026
Human Disease Model Report: spinal muscular atrophy, lower extremity-predominant 2
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General Information
Name
spinal muscular atrophy, lower extremity-predominant 2
FlyBase ID
FBhh0000905
Overview

This report describes spinal muscular atrophy, lower extremity-predominant 2 (SMALED2), an autosomal dominant form of spinal muscular atrophy. The human gene implicated in this disease is BICD2, which encodes an adaptor protein linking the dynein motor complex to various cargos; it is also involved in Golgi dynamics. Heterozygous mutation in the BICD2 gene can also cause SMALED2B (MIM:618291), a more severe disorder.

There is a single orthologous gene in Drosophila, Dmel\BicD, for which many amorphic mutations, RNAi targeting constructs, and alleles caused by insertional mutagenesis have been generated. There is a second gene in human, BICD1, that is orthologous to Dmel\BicD.

The human BICD2 gene has not been introduced into flies.

Mutational lesions analogous to variants implicated in SMALED2 have been introduced into flies via UAS transgenic constructs of Dmel\BicD. Neuron-specific expression of the variant forms (but not wild-type) results in reduced neuromuscular junction size in larvae and impaired locomotion in adult flies. Expression in muscles has no obvious effect on motor function. Variant(s) implicated in human disease tested (as analogous mutation in fly gene): S103L in the fly BicD gene (corresponds to S107L in the human BICD2 gene); T644M in the fly BicD@ gene (corresponds to T703M in the human BICD2 gene).

Females heterozygous for loss-of-function mutations of Dmel\BicD exhibit reduced fertility; homozygous females are sterile, producing embryos with a bicaudal phenotype (maternal-effect lethal). Many physical and genetic interactions of Dmel\BicD have been described; see below and in the BicD gene report.

[updated May 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: spinal muscular atrophy
Symptoms and phenotype

Spinal muscular atrophy (SMA) is characterized by progressive muscle weakness resulting from degeneration and loss of the anterior horn cells (i.e., lower motor neurons) in the spinal cord and the brain stem nuclei. Onset ranges from before birth to adolescence or young adulthood. Poor weight gain, sleep difficulties, pneumonia, scoliosis, and joint contractures are common complications. [From GeneReviews, Spinal Muscular Atrophy, pubmed:20301526 2016.07.11]

Specific Disease Summary: spinal muscular atrophy, lower extremity-predominant 2
OMIM report

[SPINAL MUSCULAR ATROPHY, LOWER EXTREMITY-PREDOMINANT, 2A, CHILDHOOD ONSET, AUTOSOMAL DOMINANT; SMALED2A](https://omim.org/entry/615290)

Human gene(s) implicated

[BICD CARGO ADAPTOR 2; BICD2](https://omim.org/entry/609797)

Symptoms and phenotype

Spinal muscular atrophy with lower extremity predominance (SMA-LED) is characterized by muscle weakness and wasting (atrophy) in the lower limbs, most severely affecting the thigh muscles (quadriceps). (In SMA-LED, the "D" stands for dominant.)[Genetics Home Reference, Spinal muscular atrophy with lower extremity predominance; 2018.10.02]

SMALED2 is an autosomal dominant form of spinal muscular atrophy characterized by early-childhood onset of muscle weakness and atrophy predominantly affecting the proximal and distal muscles of the lower extremity, although some patients may show upper extremity involvement. The disorder results in delayed walking, waddling gait, difficulty walking, and loss of distal reflexes. The disorder shows very slow progression throughout life (summary by Oates et al., 2013; pubmed:23664120). [from MIM:615290; 2018.10.02]

Genetics

Lower extremity-predominant spinal muscular atrophy-2 (SMALED2) is caused by heterozygous mutation in the BICD2 gene. [from MIM:615290; 2018.10.02]

Cellular phenotype and pathology
Molecular information

BICD2 encodes an adapter protein linking the dynein motor complex to various cargos, affecting minus-end-directed motility along microtubules. [Gene Cards, BICD2; 2018.10.02]

BICD2 is an evolutionarily conserved motor adaptor protein that is involved in dynein-mediated transport by linking the dynein motor complex to various cargoes (summary by Teuling et al., 2008; pubmed:18579581). BICD2 is also involved in Golgi dynamics and vesicular and mRNA transport and interacts with multiple proteins involved in intracellular transport (summary by Neveling et al., 2013; pubmed:23664116). [from MIM:609797; 2018.10.02]

External links
Disease synonyms
congenital autosomal-dominant spinal muscular atrophy
SMA-LED
SMALED2
spinal muscular atrophy, lower extremity-predominant, 2
spinal muscular atrophy with lower extremity predominance
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 2 human to 1 fly; the human genes are BICD2 and BICD1.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Bicaudal D (BicD) encodes a cytoplasmic protein that links diverse cargo to the dynein/dynactin motor. Cargos like mRNAs, proteins and organelles are transported along microtubules. Through this mechanism the product of BicDcontrols spatial aspects of gene expression and polarity formation during development. Additionally, it supports physiology of differentiated polar cells and the function of the nervous system. [Date last reviewed: 2019-03-07]
      Gene Groups / Pathways
        Comments on ortholog(s)

        Moderate- to high-scoring ortholog of human BICD2 and BICD1 (1 Drosophila to 2 human). Dmel\BicD shares 39% identity and 57-58% similarity with the human genes.

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Other Genes Used: Viral, Bacterial, Synthetic (0)
          Summary of Physical Interactions (21 groups)
          protein-protein
          Interacting group
          Assay
          References
          x-ray crystallography, electron microscopy, two hybrid, pull down, molecular weight estimation by staining, predetermined participant, molecular sieving, light scattering
          anti bait coimmunoprecipitation, western blot, anti tag western blot, anti tag coimmunoprecipitation, two hybrid, peptide massfingerprinting
          anti bait coimmunoprecipitation, western blot
          pull down, western blot
          anti tag coimmunoprecipitation, western blot
          two hybrid, pull down, anti tag western blot, anti tag coimmunoprecipitation, western blot, anti bait coimmunoprecipitation, autoradiography, Identification by mass spectrometry, full identification by DNA sequencing, peptide massfingerprinting, electron microscopy
          pull down, Identification by mass spectrometry, anti bait coimmunoprecipitation, western blot, two hybrid
          two hybrid, pull down, western blot
          experimental knowledge based
          anti tag coimmunoprecipitation, peptide massfingerprinting, experimental knowledge based
          anti bait coimmunoprecipitation, western blot, Identification by mass spectrometry
          experimental knowledge based
          pull down, anti tag western blot, peptide massfingerprinting
          molecular sieving, predetermined participant, pull down, peptide massfingerprinting, two hybrid, western blot, molecular weight estimation by staining, anti tag coimmunoprecipitation, protein cross-linking with a bifunctional reagent, isothermal titration calorimetry
          pull down, western blot, peptide massfingerprinting
          pull down, western blot, peptide massfingerprinting
          anti tag coimmunoprecipitation, western blot
          experimental knowledge based
          RNA-protein
          Interacting group
          Assay
          References
          two hybrid, pull down, anti tag western blot, anti tag coimmunoprecipitation, western blot, anti bait coimmunoprecipitation, autoradiography, Identification by mass spectrometry, full identification by DNA sequencing, peptide massfingerprinting, electron microscopy
          pull down, western blot, peptide massfingerprinting
          pull down, western blot
          pull down, peptide massfingerprinting, western blot
          Alleles Reported to Model Human Disease (Disease Ontology) (3 alleles)
          Alleles Representing Disease-Implicated Variants
          Genetic Tools, Stocks and Reagents
          Sources of Stocks
          Contact lab of origin for a reagent not available from a public stock center.
          Bloomington Stock Center Disease Page
          Related mammalian, viral, bacterial, or synthetic transgenes
          Allele
          Transgene
          Publicly Available Stocks
          Selected Drosophila transgenes
          Allele
          Transgene
          Publicly Available Stocks
          RNAi constructs available
          Allele
          Transgene
          Publicly Available Stocks
          Selected Drosophila classical alleles
          Allele
          Allele class
          Mutagen
          Publicly Available Stocks
          loss of function allele
          ethyl methanesulfonate
          loss of function allele
          X ray
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          amorphic allele - genetic evidence
          ethyl methanesulfonate
          References (5)