TBP Repeat Expansion Testing

Description

Pathogenic CAG/CAA repeat expansions in the TBP gene have been associated with autosomal dominant spinocerebellar ataxia 17 (SCA17). The pathogenic repeat expansions lead to the expression of a protein with an expanded polyglutamine tract that is thought to confer a toxic gain-of-function.

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

Normal Alleles

Mutable Normal Alleles

Intermediate/Uncertain Alleles

Reduced Penetrance Alleles

Full Penetrance Alleles

25-40

-

-

41-48

49 or more

*Pathogenic heterozygous variants in the STUB1 gene may contribute to the variable penetrance of TBP CAG/CAA repeats expansions.