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TPP1 gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

TPP1 gene

The TPP1 gene provides instructions for creating the tripeptidyl peptidase 1 enzyme, which is vital for breaking down proteins within cellular structures called lysosomes.

Normal Function

The TPP1 gene provides instructions for making an enzyme called tripeptidyl peptidase 1. This enzyme is produced as an inactive enzyme, called a proenzyme, which has an extra segment attached. This segment must be removed, followed by additional processing steps, for the enzyme to become active. The active tripeptidyl peptidase 1 enzyme is found in cell structures called lysosomes, which digest and recycle different types of molecules. Tripeptidyl peptidase 1 acts as a peptidase, which means that it breaks down protein fragments, known as peptides, into their individual building blocks (amino acids). Specifically, tripeptidyl peptidase 1 cuts (cleaves) peptides into groups of three amino acids.

Health Conditions Related to Genetic Changes

CLN2 disease

At least 115 mutations in the TPP1 gene have been found to cause CLN2 disease. This condition impairs motor and mental development, typically starting in early childhood, causing gradually worsening movement disorders and a decline in intellectual function. In addition, affected children often develop recurrent seizures (epilepsy) and vision impairment.

Most of the TPP1 gene mutations that cause CLN2 disease change single amino acids in tripeptidyl peptidase 1, resulting in a severe decrease in enzyme activity. A reduction in functional enzyme results in the incomplete breakdown of certain peptides. CLN2 disease is characterized by the accumulation of proteins or peptides and other substances in lysosomes. These accumulations occur in cells throughout the body; however, nerve cells seem to be particularly vulnerable to their effects. The accumulations can cause cell damage leading to cell death. The progressive death of nerve cells in the brain and other tissues leads to the signs and symptoms of CLN2 disease.

Other disorders

Mutations in the TPP1 gene have also been found to cause spinocerebellar ataxia, autosomal recessive 7 (SCAR7), which is a condition characterized by progressive problems with movement. During childhood, individuals with SCAR7 develop walking difficulties; impaired speech (dysarthria); and eye movement problems, such as involuntary movement of the eyes (nystagmus), rapid eye movements (saccades), and trouble moving the eyes side-to-side (oculomotor apraxia). People with SCAR7 have progressive loss of cells (atrophy) of various parts of the brain, particularly within the cerebellum.

Frequently Asked Questions

Early signs of CLN2 disease, often appearing between ages 2 and 4, can include language delays, frequent falls, clumsiness, or difficulty walking. Children may also experience recurrent seizures (epilepsy) or changes in vision, which can be subtle at first.
Current treatment options for CLN2 disease include enzyme replacement therapy (ERT) with cerliponase alfa, which is administered directly into the brain to replace the missing TPP1 enzyme. This therapy can slow the progression of the disease. Supportive care, including seizure management, physical therapy, and occupational therapy, is also crucial to manage symptoms and improve quality of life.
CLN2 disease is inherited in an autosomal recessive pattern. This means that a child must inherit two copies of a mutated TPP1 gene (one from each parent) to develop the condition. If both parents are carriers (meaning they each have one normal and one mutated TPP1 gene), there is a 25% chance with each pregnancy that their child will have CLN2 disease, a 50% chance the child will be a carrier, and a 25% chance the child will not have the disease and not be a carrier. Genetic counseling can help families understand their risks and explore family planning options.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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