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RETREG1 gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

RETREG1 gene

The RETREG1 gene provides instructions for a protein involved in autophagy, a process essential for maintaining cellular health in sensory and autonomic nerve cells.

Normal Function

The RETREG1 gene provides instructions for making a protein involved in a cellular process called autophagy. Cells use this process to recycle worn-out or unnecessary cell parts and break down proteins when they are no longer needed. The RETREG1 protein specifically helps direct the autophagy of the endoplasmic reticulum, a structure important in protein processing and transport. Additionally, the protein appears to be important in the organization of the Golgi apparatus, which distributes proteins within the cell.

The RETREG1 protein is found in sensory and autonomic nerve cells (neurons). Sensory neurons transmit pain, touch, and temperature sensations, while autonomic neurons help control involuntary functions such as heart rate and blood pressure.

Health Conditions Related to Genetic Changes

Hereditary sensory and autonomic neuropathy type II

Mutations in the RETREG1 gene are responsible for a type of hereditary sensory and autonomic neuropathy type II (HSAN2) called HSAN2B. People with this condition lose the ability to feel pain or sense hot and cold.

  • Mechanism: Mutations may lead to an abnormally short and nonfunctional protein.
  • Impact: The lack of functioning RETREG1 protein impairs the autophagy of the endoplasmic reticulum and alters the structure of the Golgi apparatus.
  • Consequence: Researchers suspect that the inability to break down parts of the endoplasmic reticulum leads to an accumulation of structures and proteins, resulting in cell death and the loss of sensory and autonomic neurons.

Frequently Asked Questions

Currently there is no disease‑modifying drug. Management focuses on injury prevention, physical therapy to maintain mobility, and regular monitoring for autonomic complications. Some clinicians trial neuroprotective agents (e.g., vitamin B12, antioxidants) but evidence is limited.
Diagnosis combines clinical evaluation (loss of pain and temperature sensation, frequent injuries) with molecular testing. A blood sample is sent for sequencing of the RETREG1 gene; identification of two pathogenic variants confirms HSAN2B.
Parents often notice that the child does not withdraw from hot surfaces, does not cry when hurt, or repeatedly injures themselves (burns, cuts) without apparent pain. Reduced sweating, abnormal blood pressure regulation, or frequent unexplained fevers can also be clues.
Implement home safety modifications: use temperature‑controlled appliances, wear protective footwear, apply padded gloves for hand protection, and schedule regular skin checks for unnoticed wounds. Educate caregivers to monitor for signs of infection or injury, and consider medical alert bracelets indicating the condition.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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