Movement Disorders (revue)

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Parkinson’s disease with Lewy bodies associated with a heterozygous PARKIN dosage mutation

Identifieur interne : 000855 ( Main/Exploration ); précédent : 000854; suivant : 000856

Parkinson’s disease with Lewy bodies associated with a heterozygous PARKIN dosage mutation

Auteurs : Madeleine E. Sharp [États-Unis] ; Karen S. Marder [États-Unis] ; Lucien Côté [États-Unis] ; Lorraine N. Clark [États-Unis] ; William C. Nichols ; Jean-Paul Vonsattel [États-Unis] ; Roy N. Alcalay [États-Unis]

Source :

RBID : PMC:4281030

English descriptors

Abstract

Background

PARKIN -related disease remains incompletely understood. First, the pathogenicity of heterozygous PARKIN mutations is unclear though some evidence supports causality. Second, unlike sporadic Parkinson’s disease (PD), Lewy bodies are present only in a minority of cases. Only one other heterozygote PARKIN carrier with autopsy findings has been described. Our case adds to the broadening pathological and clinical phenotype of PARKIN-related disease.

Methods

Clinical chart, genetic analysis and pathological findings of a patient with familial PD are reviewed.

Results

A 44-year-old man developed slowly progressive tremor-predominant PD with excellent response to levodopa. Genetic analysis revealed a heterozygous PARKIN exon 3-4 deletion, also present in two family members with early-onset PD. Post-mortem examination showed severe neuronal loss in the substantia nigra and nucleus coeruleus with presence of diffuse Lewy bodies.

Conclusions

The deletion is unlikely an incidental finding considering family history, age-at-onset and the presence of clinical and pathological features not typical of sporadic PD.


Url:
DOI: 10.1002/mds.25792
PubMed: 24375549
PubMed Central: 4281030


Affiliations:


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<term>Adult</term>
<term>Gene Dosage</term>
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<term>Levodopa (therapeutic use)</term>
<term>Lewy Bodies (genetics)</term>
<term>Lewy Bodies (pathology)</term>
<term>Male</term>
<term>Mutation</term>
<term>Parkinson Disease (drug therapy)</term>
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<title>Background</title>
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<italic>PARKIN</italic>
-related disease remains incompletely understood. First, the pathogenicity of heterozygous
<italic>PARKIN</italic>
mutations is unclear though some evidence supports causality. Second, unlike sporadic Parkinson’s disease (PD), Lewy bodies are present only in a minority of cases. Only one other heterozygote
<italic>PARKIN</italic>
carrier with autopsy findings has been described. Our case adds to the broadening pathological and clinical phenotype of
<italic>PARKIN</italic>
-related disease.</p>
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<sec id="S2">
<title>Methods</title>
<p id="P2">Clinical chart, genetic analysis and pathological findings of a patient with familial PD are reviewed.</p>
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<sec id="S3">
<title>Results</title>
<p id="P3">A 44-year-old man developed slowly progressive tremor-predominant PD with excellent response to levodopa. Genetic analysis revealed a heterozygous
<italic>PARKIN</italic>
exon 3-4 deletion, also present in two family members with early-onset PD. Post-mortem examination showed severe neuronal loss in the substantia nigra and nucleus coeruleus with presence of diffuse Lewy bodies.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">The deletion is unlikely an incidental finding considering family history, age-at-onset and the presence of clinical and pathological features not typical of sporadic PD.</p>
</sec>
</div>
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