CMT-TUBB3

TUBB3 | 2010

What Is CMT-TUBB3?

CMT-TUBB3 is a type of CMT caused by autosomal dominant mutations in the TUBB3 gene. This gene provides instructions for making a component of microtubules, part of the internal scaffolding that supports the structure and transport functions of nerve cells. Mutations in the TUBB3 gene disrupt this function, leading to impaired nerve signal transmission.

CMT-TUBB3 is autosomal dominant, meaning that just one of the gene’s two copies needs a mutation to cause this subtype.

Clinical Features

The age of symptom onset in CMT-TUBB3 is variable, ranging from childhood to adulthood. Symptoms typically begin in the lower extremities and progress over time to involve the upper limbs. Nerve conduction studies usually show somewhat slowed conduction velocities and reduced amplitudes, consistent with an axonal form of CMT.

CMT-TUBB3 symptoms may include:

  • Weakness in the feet and lower legs
  • Muscle atrophy
  • Foot drop
  • Reduced or absent reflexes
  • Reduced sensation
  • A steppage-style walking pattern
  • Foot deformities, including high arches, and hammertoes (clawed toes)
  • Progressive involvement of the hands and forearms
  • Difficulty with fine motor skills and manual dexterity
  • Additional symptoms not listed here

Disease Course

CMT-TUBB3 shows wide variability in severity and progression. Some individuals are mildly affected, while others develop a more severe disease. Disease progression is generally slow, and life expectancy is not reduced.

Clinical Basics

Subtype
CMT-TUBB3

Classification
Unclassified Subtypes

Neuropathy Type
Axonal

Inheritance Pattern
autosomal dominant

Genetic Context

HGNC-Approved Gene Symbol
TUBB3

Gene Full Name
Tubulin Beta 3 Class III

Chromosome
16q24.3

Zygosity of Responsible Variant
Heterozygous

Variant Mechanism

Dominant-Negative

Details

Mechanistic basis:
Dominant-negative

Confidence:
Medium

Prediction:
The literature predicts a dominant-negative mechanism for CMT-TUBB3: heterozygous TUBB3 missense variants produce mutant β-tubulin that incorporates into the α/β-heterodimer and the microtubule lattice alongside wild-type, perturbing microtubule dynamics and kinesin interactions and impairing axonal transport, so supplementation is not predicted to rescue. There is no loss-of-function TUBB3 disease and no haploinsufficiency evidence, though some reports frame the altered microtubule behavior as a toxic gain of function, holding confidence at medium.

Rationale:
Mutant β-tubulin incorporates into the α/β-heterodimer and microtubule lattice alongside wild-type and disrupts the shared polymer, so wild-type supplementation is not predicted to rescue: a dominant-negative effect. Some reports read the altered kinesin behavior as a toxic gain of function, and that unsettled question holds confidence at medium.

ClinVar Pathogenic Variants

View CMT-TUBB3 ClinVar Variants

TUBB3 OMIM Entry

TUBB3 OMIM

More Info

CMT-TUBB3 Research Opportunity

CMT Natural History Study

Original Discovery Publication

Publication Title

Human TUBB3 Mutations Perturb Microtubule Dynamics, Kinesin Interactions, and Axon Guidance

Authors

Tischfield, M. A., Baris, H. N., Wu, C., Rudolph, G., Van Maldergem, L., He, W., Chan, W. M., Andrews, C., Demer, J. L., Robertson, R. L., Mackey, D. A., Ruddle, J. B., Bird, T. D., Gottlob, I., Pieh, C., Traboulsi, E. I., Pomeroy, S. L., Hunter, D. G., Soul, J. S., Newlin, A., … Engle, E. C.

Publication Date
January 8, 2010

Updated: July 18, 2026 | By: K. Raymond

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