Movement Disorders (revue)

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Early‐onset L‐dopa‐responsive parkinsonism with pyramidal signs due to ATP13A2, PLA2G6, FBXO7 and spatacsin mutations

Identifieur interne : 000100 ( Istex/Corpus ); précédent : 000099; suivant : 000101

Early‐onset L‐dopa‐responsive parkinsonism with pyramidal signs due to ATP13A2, PLA2G6, FBXO7 and spatacsin mutations

Auteurs : Coro Paisán-Ruiz ; Rocio Guevara ; Monica Federoff ; Hasmet Hanagasi ; Fardaz Sina ; Elahe Elahi ; Susanne A. Schneider ; Petra Schwingenschuh ; Nin Bajaj ; Murat Emre ; Andrew B. Singleton ; John Hardy ; Kailash P. Bhatia ; Sebastian Brandner ; Andrew J. Lees ; Henry Houlden

Source :

RBID : ISTEX:2E3B8506FEF133B82EECBF1E333493CB60F5080E

English descriptors

Abstract

Seven autosomal recessive genes associated with juvenile and young‐onset Levodopa‐responsive parkinsonism have been identified. Mutations in PRKN, DJ‐1, and PINK1 are associated with a rather pure parkinsonian phenotype, and have a more benign course with sustained treatment response and absence of dementia. On the other hand, Kufor‐Rakeb syndrome has additional signs, which distinguish it clearly from Parkinson's disease including supranuclear vertical gaze palsy, myoclonic jerks, pyramidal signs, and cognitive impairment. Neurodegeneration with brain iron accumulation type I (Hallervorden‐Spatz syndrome) due to mutations in PANK2 gene may share similar features with Kufor‐Rakeb syndrome. Mutations in three other genes, PLA2G6 (PARK14), FBXO7 (PARK15), and Spatacsin (SPG11) also produce clinical similar phenotypes in that they presented with rapidly progressive parkinsonism, initially responsive to Levodopa treatment but later, developed additional features including cognitive decline and loss of Levodopa responsiveness. Here, using homozygosity mapping and sequence analysis in families with complex parkinsonisms, we identified genetic defects in the ATP13A2 (1 family), PLA2G6 (1 family) FBXO7 (2 families), and SPG11 (1 family). The genetic heterogeneity was surprising given their initially common clinical features. On careful review, we found the FBXO7 cases to have a phenotype more similar to PRKN gene associated parkinsonism. The ATP13A2 and PLA2G6 cases were more seriously disabled with additional swallowing problems, dystonic features, severe in some, and usually pyramidal involvement including pyramidal weakness. These data suggest that these four genes account for many cases of Levodopa responsive parkinsonism with pyramidal signs cases formerly categorized clinically as pallido‐pyramidal syndrome. © 2010 Movement Disorder Society.

Url:
DOI: 10.1002/mds.23221

Links to Exploration step

ISTEX:2E3B8506FEF133B82EECBF1E333493CB60F5080E

Le document en format XML

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<div type="abstract" xml:lang="en">Seven autosomal recessive genes associated with juvenile and young‐onset Levodopa‐responsive parkinsonism have been identified. Mutations in PRKN, DJ‐1, and PINK1 are associated with a rather pure parkinsonian phenotype, and have a more benign course with sustained treatment response and absence of dementia. On the other hand, Kufor‐Rakeb syndrome has additional signs, which distinguish it clearly from Parkinson's disease including supranuclear vertical gaze palsy, myoclonic jerks, pyramidal signs, and cognitive impairment. Neurodegeneration with brain iron accumulation type I (Hallervorden‐Spatz syndrome) due to mutations in PANK2 gene may share similar features with Kufor‐Rakeb syndrome. Mutations in three other genes, PLA2G6 (PARK14), FBXO7 (PARK15), and Spatacsin (SPG11) also produce clinical similar phenotypes in that they presented with rapidly progressive parkinsonism, initially responsive to Levodopa treatment but later, developed additional features including cognitive decline and loss of Levodopa responsiveness. Here, using homozygosity mapping and sequence analysis in families with complex parkinsonisms, we identified genetic defects in the ATP13A2 (1 family), PLA2G6 (1 family) FBXO7 (2 families), and SPG11 (1 family). The genetic heterogeneity was surprising given their initially common clinical features. On careful review, we found the FBXO7 cases to have a phenotype more similar to PRKN gene associated parkinsonism. The ATP13A2 and PLA2G6 cases were more seriously disabled with additional swallowing problems, dystonic features, severe in some, and usually pyramidal involvement including pyramidal weakness. These data suggest that these four genes account for many cases of Levodopa responsive parkinsonism with pyramidal signs cases formerly categorized clinically as pallido‐pyramidal syndrome. © 2010 Movement Disorder Society.</div>
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<name>Andrew B. Singleton PhD</name>
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<name>Kailash P. Bhatia MD</name>
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<name>Sebastian Brandner PhD</name>
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<caption>Supplementary_Material 2: Bead Studio Illumina plots for all autozygous segments detected by the Homozygosity detector plug‐in software within the Bead Studio program (Pink shadow, Illumina). The genetic defects identified in these autozygous segment and the chromosomal localization of ATP13A2, PLA2G6 and FBXO7 genes are shown in red.</caption>
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<supportingInfoItem>
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<caption>Supporting Video 1.</caption>
</supportingInfoItem>
<supportingInfoItem>
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<caption>Supporting Video 2.</caption>
</supportingInfoItem>
<supportingInfoItem>
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<caption>Supporting Video 3.</caption>
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</supportingInfoItem>
<supportingInfoItem>
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<supportingInfoItem>
<mediaResource alt="supporting information" href="urn-x:wiley:08853185:media:mds23221:MDS_23221_sm_suppvideo6"></mediaResource>
<caption>Supporting Video 6.</caption>
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<abstractGroup>
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<title type="main">Abstract</title>
<p>Seven autosomal recessive genes associated with juvenile and young‐onset Levodopa‐responsive parkinsonism have been identified. Mutations in
<i>PRKN</i>
,
<i>DJ‐1</i>
, and
<i>PINK1</i>
are associated with a rather pure parkinsonian phenotype, and have a more benign course with sustained treatment response and absence of dementia. On the other hand, Kufor‐Rakeb syndrome has additional signs, which distinguish it clearly from Parkinson's disease including supranuclear vertical gaze palsy, myoclonic jerks, pyramidal signs, and cognitive impairment. Neurodegeneration with brain iron accumulation type I (Hallervorden‐Spatz syndrome) due to mutations in
<i>PANK2</i>
gene may share similar features with Kufor‐Rakeb syndrome. Mutations in three other genes,
<i>PLA2G6</i>
(PARK14),
<i>FBXO7</i>
(PARK15), and Spatacsin (SPG11) also produce clinical similar phenotypes in that they presented with rapidly progressive parkinsonism, initially responsive to Levodopa treatment but later, developed additional features including cognitive decline and loss of Levodopa responsiveness. Here, using homozygosity mapping and sequence analysis in families with complex parkinsonisms, we identified genetic defects in the
<i>ATP13A2</i>
(1 family),
<i>PLA2G6</i>
(1 family)
<i>FBXO7</i>
(2 families), and SPG11 (1 family). The genetic heterogeneity was surprising given their initially common clinical features. On careful review, we found the
<i>FBXO7</i>
cases to have a phenotype more similar to PRKN gene associated parkinsonism. The
<i>ATP13A2</i>
and
<i>PLA2G6</i>
cases were more seriously disabled with additional swallowing problems, dystonic features, severe in some, and usually pyramidal involvement including pyramidal weakness. These data suggest that these four genes account for many cases of Levodopa responsive parkinsonism with pyramidal signs cases formerly categorized clinically as pallido‐pyramidal syndrome. © 2010 Movement Disorder Society.</p>
</abstract>
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<noteGroup>
<note xml:id="fn2">
<p>Potential conflict of interest: Nothing to report.</p>
</note>
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<abstract lang="en">Seven autosomal recessive genes associated with juvenile and young‐onset Levodopa‐responsive parkinsonism have been identified. Mutations in PRKN, DJ‐1, and PINK1 are associated with a rather pure parkinsonian phenotype, and have a more benign course with sustained treatment response and absence of dementia. On the other hand, Kufor‐Rakeb syndrome has additional signs, which distinguish it clearly from Parkinson's disease including supranuclear vertical gaze palsy, myoclonic jerks, pyramidal signs, and cognitive impairment. Neurodegeneration with brain iron accumulation type I (Hallervorden‐Spatz syndrome) due to mutations in PANK2 gene may share similar features with Kufor‐Rakeb syndrome. Mutations in three other genes, PLA2G6 (PARK14), FBXO7 (PARK15), and Spatacsin (SPG11) also produce clinical similar phenotypes in that they presented with rapidly progressive parkinsonism, initially responsive to Levodopa treatment but later, developed additional features including cognitive decline and loss of Levodopa responsiveness. Here, using homozygosity mapping and sequence analysis in families with complex parkinsonisms, we identified genetic defects in the ATP13A2 (1 family), PLA2G6 (1 family) FBXO7 (2 families), and SPG11 (1 family). The genetic heterogeneity was surprising given their initially common clinical features. On careful review, we found the FBXO7 cases to have a phenotype more similar to PRKN gene associated parkinsonism. The ATP13A2 and PLA2G6 cases were more seriously disabled with additional swallowing problems, dystonic features, severe in some, and usually pyramidal involvement including pyramidal weakness. These data suggest that these four genes account for many cases of Levodopa responsive parkinsonism with pyramidal signs cases formerly categorized clinically as pallido‐pyramidal syndrome. © 2010 Movement Disorder Society.</abstract>
<note type="content">*Potential conflict of interest: Nothing to report.</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>parkinsonism</topic>
<topic>recessive</topic>
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<topic>FBXO7</topic>
<topic>Spatacsin</topic>
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<note type="content"> Additional Supporting Information may be found in the online version of this article.Supporting Info Item: Supplementary_Material 1: Genomic sequences of the primes employed to amplify the coding and intron‐exon boundaries of the ATP13A2, PLA2G6, FBXO7 and Spatacsin genes. - Supplementary_Material 2: Bead Studio Illumina plots for all autozygous segments detected by the Homozygosity detector plug‐in software within the Bead Studio program (Pink shadow, Illumina). The genetic defects identified in these autozygous segment and the chromosomal localization of ATP13A2, PLA2G6 and FBXO7 genes are shown in red. - Supporting Video 1. - Supporting Video 2. - Supporting Video 3. - Supporting Video 4. - Supporting Video 5. - Supporting Video 6. - </note>
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<part>
<date>2010</date>
<detail type="volume">
<caption>vol.</caption>
<number>25</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>12</number>
</detail>
<extent unit="pages">
<start>1791</start>
<end>1800</end>
<total>10</total>
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