SCA17_TBP

Gene
TBP
Disease
SCA17
Inheritance
AD
Classification
Definitive
Total Score
13.5
Publications Reviewed
7
Publication Span
19.06 years
Last Updated
08/18/2025
Curator(s)
Macayla Weiner, Laurel Hiatt

Description

Spinocerebellar ataxia type 17 (SCA17) is an autosomal dominant neurodegenerative disorder caused by CAG/CAA repeat expansion in the coding polyglutamine tract of TBP. Reported phenotypes include cerebellar ataxia, cognitive/psychiatric symptoms, chorea, dystonia, parkinsonism, and Huntington disease-like presentations. Genetic evidence includes unrelated probands with TBP expansions and population studies supporting pathogenicity of expanded alleles, although low-range alleles show reduced penetrance and uncertain thresholds. Experimental evidence supports altered TBP transcription-related function, condensate behavior, aggregation, and neurotoxicity in model systems.

Genetic evidence

Total: 10

Singular EvidenceProbandsPMID:128051146Two unrelated HDL probands carried TBP CAG/CAA expansions (44 and 46 repeats) after exclusion of HTT CAG expansions; both had early-onset behavioral/gait symptoms, ataxia, and dementia, with one also showing chorea.
Collective EvidenceAllelePMID:128051142Expanded alleles comprised 44 and 46 CAG/CAA repeats; the 46-repeat allele was inherited from an unaffected 59-year-old father, supporting reduced penetrance in the low-expansion range.
StatisticsCase-control dataPMID:27172828 PMID:26374734 PMID:262670672PMIDs 26374734 and 27172828 support association of low-range TBP expansions with SCA17/PD phenotypes in Thai cohorts, while PMID 26267067 found overlapping 41–44 repeat frequencies in Korean patients and controls; low-range alleles require cautious interpretation.
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Experimental evidence

Total: 3.5

FunctionRegulatory impactPMID:35868859 PMID:323865471PMID 32386547 showed disease-associated TBP polyQ expansion altered phase-separation behavior of TBP-containing transcriptional condensates; PMID 35868859 is TAF1/XDP-focused and is not TBP/SCA17 locus-specific.
Functional AlterationNon-patient cellsPMID:323865470.5experimental evidence using engineered constructs in non‑patient cells and in vitro systems. Pathogenic polyglutamine expansion in the TBP N‑terminal disordered region disrupts its normal phase separation behavior, providing a potential molecular mechanism for SCA17.
ModelsNon-human model organismPMID:182186372Transgenic mice expressing truncated polyQ-expanded TBP developed neuronal nuclear inclusions and severe early neurological phenotypes/early death, supporting in vivo neurotoxicity of expanded TBP.
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Note: Maximum score caps apply at evidence type, category, and supercategory levels, so section totals may be lower than the raw sum of row scores.