ATXN3 Repeat Expansion Testing

Description

Pathogenic CAG repeat expansions in the ATXN3 gene have been associated with autosomal dominant spinocerebellar ataxia 3 (SCA3), also known as Machado-Joseph disease. The pathogenic repeat expansions lead to expanded polyglutamine tracts that cause ATXN3 protein to aggregate and mislocalize in neurons, which may disrupt their function.

Pathogenicity is dependent upon CAG repeat length according to the following ranges 1-4:

Normal Alleles

Mutable Normal Alleles

Intermediate or Uncertain Alleles

Reduced Penetrance Alleles

Full Penetrance Alleles

44 or fewer

-

45-49

50-55

56 or more

*Repeats in this range may increase the risk for amyotrophic lateral sclerosis.