Spinocerebellar ataxia type 12 (SCA12) is an autosomal dominant neurodegene
rative disorder which has been described in pedigrees of German American an
d Indian descent. The phenotype typically begins with tremor in the fourth
decade, progressing to include ataxia and other cerebellar and cortical sig
ns. SCA12 is associated with an expansion of a CAG repeat in the 5' region
of the gene PPP2R2B, which encodes a brain-specific regulatory subunit of t
he protein phosphatase PP2A. The repeat size ranges from 55 to 78 triplets
in the mutant allele of affected individuals, and from 9 to 28 triplets in
normal alleles. It is possible that an expansion mutation in PPP2R2B may in
fluence PPP2R2B expression, perhaps altering the activity of PP2A, an enzym
e implicated in multiple cellular functions, including cell cycle regulatio
n, tau phosphorylation, and apoptosis. (C) 2001 Elsevier Science Inc.