TUBB2A encodes a beta-tubulin isotype that incorporates into alpha/beta-tubulin heterodimers, and pathogenic de novo variants converge on disrupting heterodimer formation, microtubule dynamics, and spindle morphology in ways that scale with cortical malformation severity (PMID:24702957, PMID:41872443). Distinct surfaces of the protein carry distinct consequences: variants in a conserved loop predicted to contact the alpha-tubulin-bound GTP impair the intradimer interface and correct heterodimer assembly (PMID:24702957), while a variant at the longitudinal E-site interface destabilizes heterodimer binding at that contact (PMID:41080462); variants at or near the dimer interface produce the most pronounced effects on microtubule morphology/dynamics and the most severe cortical phenotypes (PMID:41872443). A separate solvent-exposed residue (Asp417) lies at the kinesin motor-binding surface, and its mutation selectively abolishes binding to the neuron-specific kinesin KIF1A while leaving microtubule assembly intact, additionally disrupting mitotic spindle bipolarity and M-phase progression (PMID:29547997). In neurons, TUBB2A acts downstream of FGF13, which binds it directly and promotes microtubule stability and mitochondrial function in a TUBB2A-dependent manner (PMID:41808420).