Curation SCA17 TBP

Gene TBP
Disease SCA17
Inheritance AD
Score

10 + 3.5 = 13.5 / 18

Genetic + experimental = total
Classification
0
18
Refuted
Moderate
Definitive
Last Updated 08/18/2025
Pubs Reviewed 7
Publication Span 19.06 years
Publication Interval 19.06 years
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

Category
Type
Citation
Score
Details
Singular Evidence
Probands
6

Two 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 Evidence
Allele
2

Expanded 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.

Statistics
Case-control data
2

PMIDs 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.

Experimental evidence

Total: 3.5

Category
Type
Citation
Score
Details
Function
Regulatory impact
1

PMID 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 Alteration
Non-patient cells
0.5

experimental 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.

Models
Non-human model organism
2

Transgenic mice expressing truncated polyQ-expanded TBP developed neuronal nuclear inclusions and severe early neurological phenotypes/early death, supporting in vivo neurotoxicity of expanded TBP.

Maximum score caps apply at evidence type, category, and supercategory levels, so section totals may be lower than the raw sum of row scores.