Skip to main content

Table 1 Summary of known neurological diseases caused by short tandem repeat expansions

From: An update on the neurological short tandem repeat expansion disorders and the emergence of long-read sequencing diagnostics

Abbreviated phenotype (MIM number)

Gene

Mode of inheritance

Repeat Motif

Location on Gene

Pathogenic repeat numbera

Chromosome

Coordinates (hg38)

Clinical phenotype

References

C9-FTD

C9-ALS

(#10550)

C9orf72

AD

GGGGCC

5’ Region

24–4000

chr9

27573485

27573546

Frontotemporal dementia, amyotrophic lateral sclerosis

[32, 47, 65]

CANVAS

(#614575)

RFC1

AR

(AAGGG)400–2000

(ACAGG)exp

AAAAG (normal)

Intron 2

400–2000

chr4

39348425

39348483

Cerebellar ataxia, neuropathy, and vestibular areflexia syndrome

[11, 28, 138]

DM1

(#160900)

DMPK

AD

CTG

(Interruptions: CCG)

3’ Region

50–10,000

chr19

45770205

45770266

Myotonic dystrophy 1

[60, 176]

DM2

(#602668)

CNBP (ZNF9)

AD

CCTG

Intron 1

50–11,000

chr3

129172577

129172656

Myotonic dystrophy 2

[176]

DRPLA

(#125370)

ATN1

AD

CAG

Exon 5

49–93

chr12

6936717

6936775

Dentatorubral-pallidoluysian atrophy

[78]

EIEE1/XLID

(#308350)

(#300419)

(#300215)

ARX

XL

GCC

Exon 2

17–27

chrX

25013654

25013697

Clinical spectrum of disorders including developmental and epileptic encephalopathy 1, hydranencephaly with abnormal genitalia, X-linked lissencephaly 2 and X-linked mental retardation 29

[73, 150]

FAME1 (#601068)

SAMD12

AD

TTTCA

within TTTTA repeat region

Intron 4

105–3680

chr8

118366813

118366918

Familial adult myoclonic epilepsy 1

[22, 68]

FAME2

(#607876)

STARD7

AD

ATTTC

within ATTTT repeat region

Intron 1

150–460

chr2

96197067

96197124

Familial adult myoclonic epilepsy 2

[27]

FAME3

(#613608)

MARCHF6

AD

TTTCA

within TTTTA repeat region

Intron 1

700–1035

chr5

10356339

10356411

Familial adult myoclonic epilepsy 3

[40]

FAME6

(#618074)

TNRC6A

AD

TTTCA

within TTTTA repeat region

Intron 1

?

(only 1 family)

chr16

24613439

24613532

Familial adult myoclonic epilepsy 6

[68]

FAME7

(#618075)

RAPGEF2

AD

TTTCA

within TTTTA repeat region

Intron 14

?

(only 1 family)

chr4

159342527

159342618

Familial adult myoclonic epilepsy 7

[68]

FRAXE

(#309548)

FMR2 (AFF2)

XLR

CCG

5’ Region

 > 200

chrX

148500605

148500753

Mental retardation, X-linked, FRAXE type

[53]

FRDA

(#229300)

FXN

AR

GAA

Intron 1

66–1300

chr9

69037275

69037314

Friedreich ataxia

[5, 19, 162]

FXS

(#300624)

FXTAS

(#300623)

FMR1

XL

CGG

5’ Region

200–3000

55–200

chrX

147911979

147912111

Fragile X syndrome

Fragile X tremor/ataxia syndrome, premature ovarian failure 1

[162]

[56]

HD

(#143100)

HTT

AD

CAG

(Interruptions: CAA)

Exon 1

36–250

chr4

3074876

3074941

Huntington disease

[96, 101]

HDL1

(#603218)

PRNP

AD

24-base

octapeptide PHGGGWGQ

Exon 2

8–14

chr20

4699379

4699380

Huntington disease-like 1

[108]

HDL2

(#606438)

JPH3

AD

CTG

Exon 2A

40–59

chr16

87604283

87604329

Huntington disease-like 2

[62]

HMN

VWA1

AR

GGCGCGGAGC

Exon 1

3

chr1

1435799

1435820

Hereditary axonal motor neuropathy

[121]

NIID

(#603472)

NOTCH2NLC

AD

CGG

5' Region

66–517

chr1

149390803

149390842

Neuronal intranuclear inclusion disease

[55, 118, 146]

OPDM1

(#164310)

LRP12

AD

CGG

5' Region

90–130

chr8

104588965

104588999

Oculopharyngodistal myopathy

[69]

OPDM2

(#618940)

GIPC1

AD

CGG

5’ Region

70–164

chr19

14496029

14496104

Oculopharyngodistal myopathy

[172]

OPMD

(#164300)

PABPN1

AD

GCG

Exon 1

7–18

chr14

23321472

23321511

Oculopharyngeal muscular dystrophy

[15, 129]

OPML1

(#618637)

NUTM2B-AS1

AD

CGG

5' Region

16–160

chr10

79826364

79826403

Oculopharyngeal myopathy with leukoencephalopathy 1

[69]

SBMA

(#313200)

AR

XLR

CAG

Exon 1

38–68

chrX

67545317

67545419

Spinal and bulbar muscular atrophy of Kennedy (Kennedy's disease)

[44, 82, 147]

SCA1

(#164400)

ATXN1

AD

CAG

(Interruptions: CAT)

Exon 8

39–91

chr6

16327636

16327723

Spinocerebellar ataxia 1

[120, 141]

SCA2

(#183090)

ATXN2

AD

CAG

(Interruptions: CAA, CGG, CGC)

Exon 1

33–200

(29–32

increased ALS risk)

chr12

111598950

111599019

Spinocerebellar ataxia 2

[18, 133, 141, 148]

SCA3

(#109150)

ATXN3

AD

CAG

Exon 10

53–87

chr14

92071011

92071052

Spinocerebellar ataxia 3

[74]

SCA6

(183086)

CACNA1A

AD

CAG

Exon 47

19–33

chr19

13207858

13207897

Spinocerebellar ataxia 6

[141, 181]

SCA7

(#164500)

ATXN7

AD

CAG

Exon 1

34–460

chr3

63912685

63912716

Spinocerebellar ataxia 7

[18, 30]

SCA8

(#608768)

ATXN8

AD

CAG/TAG

3’ UTR

74–1300

chr13

70139383

70139428

Spinocerebellar ataxia 8

[79, 141, 155]

SCA10

(#603516)

ATXN10

AD

ATTCT

(Interruptions: ATCCT)

Intron 9

280–4500

chr22

45795355

45795424

Spinocerebellar ataxia 10

[88, 100, 141]

SCA12

(#604326)

PPP2R2B

AD

CAG

5’ Region

51–78

chr5

146878729

146878758

Spinocerebellar ataxia 12

[63, 94, 141]

SCA17

(#607136)

TBP

AD

CAG

(Interruptions: CAT, CAA)

Exon 3

43–66

chr6

170561907

170562017

Spinocerebellar ataxia 17, Huntington disease-like 4

[97, 115, 141]

SCA31

(#117210)

BEAN1

AD

TGGAA

within TAAAA and TAGAA repeat region

Intron/

Intergenic region

500–760

(> 110 TGGAA repeats)

chr16

66495475

66495509

Spinocerebellar ataxia 31

[134]

SCA36

(#614153)

NOP56

AD

GGCCTG

Intron 1

650–2500

chr20

2652733

2652775

Spinocerebellar ataxia 36

[77]

SCA37

(#615945)

DAB1

AD

ATTTC

within (ATTTT)7–400 repeat region

5’ Region

31–75

chr1

57367044

57367125

Spinocerebellar ataxia 37

[139]

ULD

(#254800)

CSTB

AR

CCCCGCCCCGCG

Upstream

5’ UTR

30–125

chr21

43776444

43776479

Progressive myoclonic epilepsy 1A (Unverricht and Lundborg disease)

[87, 91]

  1. ALS, amyotrophic lateral sclerosis; AS, antisense RNA; CANVAS, cerebellar ataxia neuropathy and vestibular areflexia syndrome; DM1; myotonic dystrophy 1; DM2; myotonic dystrophy 2; DRPLA, dentatorubral-pallidoluysian atrophy; EIEE1, early infantile epileptic encephalopathy 1; FAME, familial adult myoclonic epilepsy; FRAXE, fragile-XE syndrome; FRDA, Friedreich’s ataxia; FTD, frontotemporal dementia; FXS, fragile-X syndrome; FXTAS, fragile-x tremor/ataxia syndrome; HMN, hereditary motor neuropathy; HD, Huntington’s disease; HDL2, Huntington disease-like 2; HDL1, Huntington disease-like 1; LMN, lower motor neuron; NIID, neuronal intranuclear inclusion disease; OPDM, oculopharyngodistal myopathy; OPMD, oculopharyngeal muscular dystrophy; OPML, oculopharyngeal myopathy with leukoencephalopathy; SBMA, spinal and bulbar muscular atrophy; SCA, spinocerebellar ataxia; ULD, Unverricht-Lundborg disease; UMN, upper motor neuron; XLID, x-linked intellectual disability;
  2. aThese ranges vary between studies and often the upper limit is unknown. It is important to note that these are only potentially pathogenic. There is a small (< 1%) subsection of the healthy control population who have expanded alleles with no clinical manifestations. Similarly, there are alleles lower than the given range who may have intermediate alleles and premutation syndromes