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Parkin dosage mutations have greater pathogenicity in familial PD than simple sequence mutations

Identifieur interne : 000865 ( Main/Curation ); précédent : 000864; suivant : 000866

Parkin dosage mutations have greater pathogenicity in familial PD than simple sequence mutations

Auteurs : N. Pankratz ; D Kissell ; M Pauciulo ; C Halter ; A. Rudolph ; R Pfeiffer ; K Marder ; T. Foroud ; W Nichols

Source :

RBID : PMC:2715211

English descriptors

Abstract

Objective:

Mutations in both alleles of parkin have been shown to result in Parkinson disease (PD). However, it is unclear whether haploinsufficiency (presence of a mutation in only 1 of the 2 parkin alleles) increases the risk for PD.

Methods:

We performed comprehensive dosage and sequence analysis of all 12 exons of parkin in a sample of 520 independent patients with familial PD and 263 controls. We evaluated whether presence of a single parkin mutation, either a sequence (point mutation or small insertion/deletion) or dosage (whole exon deletion or duplication) mutation, was found at increased frequency in cases as compared with controls. We then compared the clinical characteristics of cases with 0, 1, or 2 parkin mutations.

Results:

We identified 55 independent patients with PD with at least 1 parkin mutation and 9 controls with a single sequence mutation. Cases and controls had a similar frequency of single sequence mutations (3.1% vs 3.4%, p = 0.83); however, the cases had a significantly higher rate of dosage mutations (2.6% vs 0%, p = 0.009). Cases with a single dosage mutation were more likely to have an earlier age at onset (50% with onset at ≤45 years) compared with those with no parkin mutations (10%, p = 0.00002); this was not true for cases with only a single sequence mutation (25% with onset at ≤45 years, p = 0.06).

Conclusions:

Parkin haploinsufficiency, specifically for a dosage mutation rather than a point mutation or small insertion/deletion, is a risk factor for familial PD and may be associated with earlier age at onset.

GLOSSARYADL

= Activities of Daily Living;

GDS

= Geriatric Depression Scale;

MLPA

= multiplex ligation-dependent probe amplification;

MMSE

= Mini-Mental State Examination;

PD

= Parkinson disease;

UPDRS

= Unified Parkinson’s Disease Rating Scale.


Url:
DOI: 10.1212/WNL.0b013e3181af7a33
PubMed: 19636047
PubMed Central: 2715211

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PMC:2715211

Le document en format XML

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<italic>Parkin</italic>
dosage mutations have greater pathogenicity in familial PD than simple sequence mutations</title>
<author>
<name sortKey="Pankratz, N" sort="Pankratz, N" uniqKey="Pankratz N" first="N" last="Pankratz">N. Pankratz</name>
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<author>
<name sortKey="Kissell, D K" sort="Kissell, D K" uniqKey="Kissell D" first="D" last="Kissell">D Kissell</name>
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<name sortKey="Pauciulo, M W" sort="Pauciulo, M W" uniqKey="Pauciulo M" first="M" last="Pauciulo">M Pauciulo</name>
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<name sortKey="Halter, C A" sort="Halter, C A" uniqKey="Halter C" first="C" last="Halter">C Halter</name>
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<name sortKey="Rudolph, A" sort="Rudolph, A" uniqKey="Rudolph A" first="A" last="Rudolph">A. Rudolph</name>
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<name sortKey="Pfeiffer, R F" sort="Pfeiffer, R F" uniqKey="Pfeiffer R" first="R" last="Pfeiffer">R Pfeiffer</name>
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<name sortKey="Marder, K S" sort="Marder, K S" uniqKey="Marder K" first="K" last="Marder">K Marder</name>
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<name sortKey="Foroud, T" sort="Foroud, T" uniqKey="Foroud T" first="T" last="Foroud">T. Foroud</name>
</author>
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<name sortKey="Nichols, W C" sort="Nichols, W C" uniqKey="Nichols W" first="W" last="Nichols">W Nichols</name>
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<title xml:lang="en" level="a" type="main">
<italic>Parkin</italic>
dosage mutations have greater pathogenicity in familial PD than simple sequence mutations</title>
<author>
<name sortKey="Pankratz, N" sort="Pankratz, N" uniqKey="Pankratz N" first="N" last="Pankratz">N. Pankratz</name>
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<author>
<name sortKey="Kissell, D K" sort="Kissell, D K" uniqKey="Kissell D" first="D" last="Kissell">D Kissell</name>
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<name sortKey="Pauciulo, M W" sort="Pauciulo, M W" uniqKey="Pauciulo M" first="M" last="Pauciulo">M Pauciulo</name>
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<name sortKey="Halter, C A" sort="Halter, C A" uniqKey="Halter C" first="C" last="Halter">C Halter</name>
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<name sortKey="Rudolph, A" sort="Rudolph, A" uniqKey="Rudolph A" first="A" last="Rudolph">A. Rudolph</name>
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<author>
<name sortKey="Pfeiffer, R F" sort="Pfeiffer, R F" uniqKey="Pfeiffer R" first="R" last="Pfeiffer">R Pfeiffer</name>
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<name sortKey="Marder, K S" sort="Marder, K S" uniqKey="Marder K" first="K" last="Marder">K Marder</name>
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<name sortKey="Foroud, T" sort="Foroud, T" uniqKey="Foroud T" first="T" last="Foroud">T. Foroud</name>
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<name sortKey="Nichols, W C" sort="Nichols, W C" uniqKey="Nichols W" first="W" last="Nichols">W Nichols</name>
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<series>
<title level="j">Neurology</title>
<idno type="ISSN">0028-3878</idno>
<idno type="e-ISSN">1526-632X</idno>
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<date when="2009">2009</date>
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<term>Adolescent</term>
<term>Adult</term>
<term>Age of Onset</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Base Sequence (genetics)</term>
<term>DNA Mutational Analysis</term>
<term>Female</term>
<term>Gene Deletion</term>
<term>Gene Dosage (genetics)</term>
<term>Gene Frequency (genetics)</term>
<term>Genetic Markers (genetics)</term>
<term>Genetic Predisposition to Disease (genetics)</term>
<term>Genetic Testing</term>
<term>Genotype</term>
<term>Haplotypes (genetics)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation (genetics)</term>
<term>Parkinson Disease (genetics)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Point Mutation (genetics)</term>
<term>Risk Factors</term>
<term>Ubiquitin-Protein Ligases (genetics)</term>
<term>Young Adult</term>
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<term>Genetic Markers</term>
<term>Ubiquitin-Protein Ligases</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Base Sequence</term>
<term>Gene Dosage</term>
<term>Gene Frequency</term>
<term>Genetic Predisposition to Disease</term>
<term>Haplotypes</term>
<term>Mutation</term>
<term>Parkinson Disease</term>
<term>Point Mutation</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Age of Onset</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>DNA Mutational Analysis</term>
<term>Female</term>
<term>Gene Deletion</term>
<term>Genetic Testing</term>
<term>Genotype</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Young Adult</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objective:</title>
<p>Mutations in both alleles of
<italic>parkin</italic>
have been shown to result in Parkinson disease (PD). However, it is unclear whether haploinsufficiency (presence of a mutation in only 1 of the 2
<italic>parkin</italic>
alleles) increases the risk for PD.</p>
</sec>
<sec>
<title>Methods:</title>
<p>We performed comprehensive dosage and sequence analysis of all 12 exons of
<italic>parkin</italic>
in a sample of 520 independent patients with familial PD and 263 controls. We evaluated whether presence of a single
<italic>parkin</italic>
mutation, either a sequence (point mutation or small insertion/deletion) or dosage (whole exon deletion or duplication) mutation, was found at increased frequency in cases as compared with controls. We then compared the clinical characteristics of cases with 0, 1, or 2
<italic>parkin</italic>
mutations.</p>
</sec>
<sec>
<title>Results:</title>
<p>We identified 55 independent patients with PD with at least 1
<italic>parkin</italic>
mutation and 9 controls with a single sequence mutation. Cases and controls had a similar frequency of single sequence mutations (3.1% vs 3.4%,
<italic>p</italic>
= 0.83); however, the cases had a significantly higher rate of dosage mutations (2.6% vs 0%,
<italic>p</italic>
= 0.009). Cases with a single dosage mutation were more likely to have an earlier age at onset (50% with onset at ≤45 years) compared with those with no
<italic>parkin</italic>
mutations (10%,
<italic>p</italic>
= 0.00002); this was not true for cases with only a single sequence mutation (25% with onset at ≤45 years,
<italic>p</italic>
= 0.06).</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>
<italic>Parkin</italic>
haploinsufficiency, specifically for a dosage mutation rather than a point mutation or small insertion/deletion, is a risk factor for familial PD and may be associated with earlier age at onset.</p>
</sec>
<sec>
<title>GLOSSARY</title>
<def-list list-type="abr">
<def-item>
<term>
<bold>ADL</bold>
</term>
<def>
<p> = Activities of Daily Living; </p>
</def>
</def-item>
<def-item>
<term>
<bold>GDS</bold>
</term>
<def>
<p> = Geriatric Depression Scale; </p>
</def>
</def-item>
<def-item>
<term>
<bold>MLPA</bold>
</term>
<def>
<p> = multiplex ligation-dependent probe amplification; </p>
</def>
</def-item>
<def-item>
<term>
<bold>MMSE</bold>
</term>
<def>
<p> = Mini-Mental State Examination; </p>
</def>
</def-item>
<def-item>
<term>
<bold>PD</bold>
</term>
<def>
<p> = Parkinson disease; </p>
</def>
</def-item>
<def-item>
<term>
<bold>UPDRS</bold>
</term>
<def>
<p> = Unified Parkinson’s Disease Rating Scale.</p>
</def>
</def-item>
</def-list>
</sec>
</div>
</front>
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