Congenital muscular dystrophy

Gene: TCAP

Amber List (moderate evidence)

TCAP (titin-cap)
EnsemblGeneIds (GRCh38): ENSG00000173991
EnsemblGeneIds (GRCh37): ENSG00000173991
OMIM: 604488, Gene2Phenotype
TCAP is in 9 panels

5 reviews

Achchuthan Shanmugasundram (Genomics England Curator)

I don't know

Comment on list classification: There are at least ten peer-reviewed scientific publications with over 80 reported patients from multiple descents/ geographic locations with autosomal recessive limb-girdle muscular dystrphy 7 (MIM #601954).

The phenotype includes progressive proximal lower limb muscle weakness with typical disease onset is in first to third decades of life. Although there are several patients reported with early/ childhood-onset muscular dystrophy, there is only patient from PMID:21530252 (2011) reported with onset in infancy and identified with biallelic TCAP variant.

This gene is already green on 'R82 Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies' panel. As reviewed by Anna Sarkozy, this gene should remain amber on this panel with the current evidence.
Created: 25 Jun 2026, 2:16 p.m. | Last Modified: 25 Jun 2026, 2:34 p.m.
Panel Version: 7.24

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Muscular dystrophy, limb-girdle, autosomal recessive 7, OMIM:601954; autosomal recessive limb-girdle muscular dystrophy type 2G, MONDO:0011170

Publications

Anna Sarkozy (Great Ormond Street Hospital)

I don't know

recessive variants cause LGMD, disease onset in the first to the third decade of life, proximal muscle weakness in the lower limbs. This gene is green in LGMD panel
Created: 27 May 2026, 9:42 a.m. | Last Modified: 27 May 2026, 9:42 a.m.
Panel Version: 7.9

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Arianna Tucci (Genomics England Curator)

I don't know

One case described with onset in infancy (21530252), otherwise typically associated with early onset (10-20 yrs) limb-girdle muscular dystrophy.
Created: 26 Jan 2017, 4:34 p.m.

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Ellen McDonagh (Genomics England Curator)

Comment on list classification: Keep as amber, due to reviewer's comments; only one case reported with onset in infancy.
Created: 27 Jan 2017, 2:03 p.m.
Comment on list classification: Literature search identified two cases where phenotype overlapped with a CMD presentation, and PMID: 21530252 states "Therefore telethonin analysis should be performed in patients suffering from congenital muscular dystrophy of unknown cause." I am therefore unsure whether this should be included on this panel.
Created: 25 Jan 2017, 12:29 p.m.

Emma Clement (Great Ormond Street Hospital)

Red List (low evidence)

causes LGMD presentation typically, one case report consistent with CMd presentation (mild features) Ferreiro et al 2011
Created: 19 Dec 2016, 11:47 a.m.

Phenotypes
Congenital muscular dystrophies

Details

Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Amber
  • Emory Genetics Laboratory
Phenotypes
  • Muscular dystrophy, limb-girdle, autosomal recessive 7, OMIM:601954
  • autosomal recessive limb-girdle muscular dystrophy type 2G, MONDO:0011170
OMIM
604488
Clinvar variants
Variants in TCAP
Penetrance
Complete
Publications
Panels with this gene

History Filter Activity

25 Jun 2026, Gel status: 2

Set Phenotypes

Achchuthan Shanmugasundram (Genomics England Curator)

Phenotypes for gene: TCAP were changed from Muscular dystrophy, limb-girdle, autosomal recessive 7, OMIM:601954 to Muscular dystrophy, limb-girdle, autosomal recessive 7, OMIM:601954; autosomal recessive limb-girdle muscular dystrophy type 2G, MONDO:0011170

25 Jun 2026, Gel status: 2

Set publications

Achchuthan Shanmugasundram (Genomics England Curator)

Publications for gene: TCAP were set to 23479141; 21530252; 18948002; 25055047; 29797799; 29935994; 32761539; 36463458; 37216648; 39015008

25 Jun 2026, Gel status: 2

Set publications

Achchuthan Shanmugasundram (Genomics England Curator)

Publications for gene: TCAP were set to 23479141; 21530252

25 Jun 2026, Gel status: 2

Entity classified by Genomics England curator

Achchuthan Shanmugasundram (Genomics England Curator)

Gene: tcap has been classified as Amber List (Moderate Evidence).

6 Feb 2023, Gel status: 2

Removed Source

Arina Puzriakova (Genomics England Curator)

Source was removed from TCAP.

6 Feb 2023, Gel status: 2

Set Phenotypes

Arina Puzriakova (Genomics England Curator)

Phenotypes for gene: TCAP were changed from Congenital muscular dystrophies to Muscular dystrophy, limb-girdle, autosomal recessive 7, OMIM:601954

27 Jan 2017, Gel status: 2

panel promoted to version 1

Ellen McDonagh (Genomics England Curator)

27.01.2017 Panel revised after expert review and internal review with further curation.

27 Jan 2017, Gel status: 2

Gene classified by Genomics England curator

Ellen McDonagh (Genomics England Curator)

This gene has been classified as Amber List (Moderate Evidence).

27 Jan 2017, Gel status: 2

Set Mode of Inheritance

Ellen McDonagh (Genomics England Curator)

Mode of inheritance for TCAP was changed to BIALLELIC, autosomal or pseudoautosomal

27 Jan 2017, Gel status: 2

Gene classified by Genomics England curator

Ellen McDonagh (Genomics England Curator)

This gene has been classified as Amber List (Moderate Evidence).

25 Jan 2017, Gel status: 2

Gene classified by Genomics England curator

Ellen McDonagh (Genomics England Curator)

This gene has been classified as Amber List (Moderate Evidence).

25 Jan 2017, Gel status: 1

Set publications

Ellen McDonagh (Genomics England Curator)

Publications for TCAP were set to 23479141;21530252

25 Jan 2017, Gel status: 1

Set publications

Ellen McDonagh (Genomics England Curator)

Publications for TCAP were set to 23479141

19 Dec 2016, Gel status: 1

Added New Source

Ellen McDonagh (Genomics England Curator)

TCAP was added to Congenital muscular dystrophypanel. Source:

23 Jul 2015, Gel status: 1

Added New Source

Ellen McDonagh (Genomics England Curator)

TCAP was added to Congenital muscular dystrophypanel. Sources: Emory Genetics Laboratory