CACNA1A Repeat Expansion Testing

Description

Pathogenic CAG repeat expansions in the CACNA1A gene have been associated with autosomal dominant spinocerebellar ataxia 6 (SCA6). The pathogenic repeat expansions lead to an expanded polyglutamine tract which may be toxic and/or diminish CACNA1A transcriptional function.

Pathogenicity is dependent upon CAG repeat length according to the following ranges 1-2:

Normal Alleles

Mutable Normal Alleles

Intermediate or Uncertain Alleles

Reduced Penetrance Alleles

Full Penetrance Alleles

18 or fewer

-

19

-

20-33

Note: As SCA6 is typically adult onset, CACNA1A repeat expansions are not reported in minors in comprehensive analyses.