Intermediate repeat expansions of TBP and STUB1: Genetic modifier or pure digenic inheritance in spinocerebellar ataxias?

CAG/CAA repeat expansions in TBP>49 are responsible for spinocerebellar ataxia (SCA) type 17 (SCA17). We previously detected cosegregation of STUB1 variants causing SCA48 with intermediate alleles of TBP in 2 families. This cosegregation questions the existence of SCA48 as a monogenic disease. We...

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Veröffentlicht in:Genetics in medicine 2023-02, Vol.25 (2), p.100327-100327, Article 100327
Hauptverfasser: Barbier, Mathieu, Davoine, Claire-Sophie, Petit, Emilien, Porché, Maximilien, Guillot-Noel, Léna, Sayah, Sabrina, Fauret, Anne-Laure, Neau, Jean-Philippe, Guyant-Maréchal, Lucie, Deffond, Didier, Tranchant, Christine, Goizet, Cyril, Coarelli, Giulia, Castrioto, Anna, Klebe, Stephan, Ewenczyk, Claire, Heinzmann, Anna, Charles, Perrine, Tchikviladzé, Maya, Van Broeckhoven, Christine, Brice, Alexis, Durr, Alexandra
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container_end_page 100327
container_issue 2
container_start_page 100327
container_title Genetics in medicine
container_volume 25
creator Barbier, Mathieu
Davoine, Claire-Sophie
Petit, Emilien
Porché, Maximilien
Guillot-Noel, Léna
Sayah, Sabrina
Fauret, Anne-Laure
Neau, Jean-Philippe
Guyant-Maréchal, Lucie
Deffond, Didier
Tranchant, Christine
Goizet, Cyril
Coarelli, Giulia
Castrioto, Anna
Klebe, Stephan
Ewenczyk, Claire
Heinzmann, Anna
Charles, Perrine
Tchikviladzé, Maya
Van Broeckhoven, Christine
Brice, Alexis
Durr, Alexandra
description CAG/CAA repeat expansions in TBP>49 are responsible for spinocerebellar ataxia (SCA) type 17 (SCA17). We previously detected cosegregation of STUB1 variants causing SCA48 with intermediate alleles of TBP in 2 families. This cosegregation questions the existence of SCA48 as a monogenic disease. We systematically sequenced TBP repeats in 34 probands of dominant ataxia families with STUB1 variants. In addition, we searched for pathogenic STUB1 variants in probands with expanded alleles of TBP>49 (n = 2) or intermediate alleles of TBP≥40 (n = 47). STUB1 variants were found in half of the TBP40-49 cohort. Mirroring this finding, TBP40-49 alleles were detected in 40% of STUB1 probands. The longer the TBP repeat length, the more likely the occurrence of cognitive impairment (P = .0129) and the faster the disease progression until death (P = .0003). Importantly, 13 STUB1 probands presenting with the full SCA48 clinical phenotype had normal TBP37-39 alleles, excluding digenic inheritance as the sole mode. We show that intermediate TBP40-49 alleles act as disease modifiers of SCA48 rather than a STUB1/TBP digenic model. This distinction from what has been proposed before has crucial consequences for genetic counseling in SCA48.
doi_str_mv 10.1016/j.gim.2022.10.009
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We previously detected cosegregation of STUB1 variants causing SCA48 with intermediate alleles of TBP in 2 families. This cosegregation questions the existence of SCA48 as a monogenic disease. We systematically sequenced TBP repeats in 34 probands of dominant ataxia families with STUB1 variants. In addition, we searched for pathogenic STUB1 variants in probands with expanded alleles of TBP&gt;49 (n = 2) or intermediate alleles of TBP≥40 (n = 47). STUB1 variants were found in half of the TBP40-49 cohort. Mirroring this finding, TBP40-49 alleles were detected in 40% of STUB1 probands. The longer the TBP repeat length, the more likely the occurrence of cognitive impairment (P = .0129) and the faster the disease progression until death (P = .0003). Importantly, 13 STUB1 probands presenting with the full SCA48 clinical phenotype had normal TBP37-39 alleles, excluding digenic inheritance as the sole mode. 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subjects Alleles
Cerebellar Ataxia - genetics
Humans
Phenotype
SCA17
SCA48
Spinocerebellar Ataxias - genetics
Spinocerebellar Ataxias - pathology
STUB1, Spinocerebellar ataxia
TBP
Trinucleotide Repeat Expansion - genetics
Ubiquitin-Protein Ligases - genetics
title Intermediate repeat expansions of TBP and STUB1: Genetic modifier or pure digenic inheritance in spinocerebellar ataxias?
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