Genotype and phenotype in Parkinson's disease: Lessons in heterogeneity from deep brain stimulation
Identifieur interne : 000973 ( Main/Exploration ); précédent : 000972; suivant : 000974Genotype and phenotype in Parkinson's disease: Lessons in heterogeneity from deep brain stimulation
Auteurs : Aikaterina Angeli [Royaume-Uni] ; Niccolo E. Mencacci [Royaume-Uni, Italie] ; Raquel Duran [Royaume-Uni] ; Iciar Aviles-Olmos [Royaume-Uni] ; Zinovia Kefalopoulou [Royaume-Uni] ; Joseph Candelario [Royaume-Uni] ; Sarah Rusbridge [Royaume-Uni] ; Jennifer Foley [Royaume-Uni] ; Priyanka Pradhan [Royaume-Uni] ; Marjan Jahanshahi [Royaume-Uni] ; Ludvic Zrinzo [Royaume-Uni] ; Marwan Hariz [Royaume-Uni] ; Nicholas W. Wood [Royaume-Uni] ; John Hardy [Royaume-Uni] ; Patricia Limousin [Royaume-Uni] ; Tom Foltynie [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Age of Onset, Antiparkinson Agents (therapeutic use), Child, Deep Brain Stimulation, Dopamine Agents (therapeutic use), Exons (genetics), Female, Gene Amplification, Genotype, Glucosylceramidase (genetics), Heterozygote, Humans, Levodopa (therapeutic use), Male, Middle Aged, Mutation (genetics), Parkinson Disease (genetics), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Phenotype, Polymerase Chain Reaction, Protein-Serine-Threonine Kinases (genetics), Ubiquitin-Protein Ligases (genetics), Young Adult.
- MESH :
- chemical , genetics : Glucosylceramidase, Protein-Serine-Threonine Kinases, Ubiquitin-Protein Ligases.
- chemical , therapeutic use : Antiparkinson Agents, Dopamine Agents, Levodopa.
- genetics : Exons, Mutation, Parkinson Disease.
- physiopathology : Parkinson Disease.
- therapy : Parkinson Disease.
- Adult, Age of Onset, Child, Deep Brain Stimulation, Female, Gene Amplification, Genotype, Heterozygote, Humans, Male, Middle Aged, Phenotype, Polymerase Chain Reaction, Young Adult.
Abstract
Variation in the genetic risk(s) of developing Parkinson's disease (PD) undoubtedly contributes to the subsequent phenotypic heterogeneity. Although patients with PD who undergo deep brain stimulation (DBS) are a skewed population, they represent a valuable resource for exploring the relationships between heterogeneous phenotypes and PD genetics. In this series, 94 patients who underwent DBS were screened for mutations in the most common genes associated with PD. The consequent genetic subgroups of patients were compared with respect to phenotype, levodopa (
Url:
DOI: 10.1002/mds.25535
PubMed: 23818421
PubMed Central: 3886301
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Genotype and phenotype in Parkinson's disease: Lessons in heterogeneity from deep brain stimulation</title>
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<author><name sortKey="Hariz, Marwan" sort="Hariz, Marwan" uniqKey="Hariz M" first="Marwan" last="Hariz">Marwan Hariz</name>
<affiliation wicri:level="3"><nlm:aff id="au1"><institution>Sobell Department of Motor Neuroscience, University College London (UCL) Institute of Neurology</institution>
<addr-line>Queen Square, London, United Kingdom</addr-line>
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<author><name sortKey="Wood, Nicholas W" sort="Wood, Nicholas W" uniqKey="Wood N" first="Nicholas W" last="Wood">Nicholas W. Wood</name>
<affiliation wicri:level="3"><nlm:aff id="au2"><institution>Reta Lila Weston Laboratories and Departments of Molecular Neuroscience, UCL Institute of Neurology</institution>
<addr-line>Queen Square, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
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</author>
<author><name sortKey="Hardy, John" sort="Hardy, John" uniqKey="Hardy J" first="John" last="Hardy">John Hardy</name>
<affiliation wicri:level="3"><nlm:aff id="au2"><institution>Reta Lila Weston Laboratories and Departments of Molecular Neuroscience, UCL Institute of Neurology</institution>
<addr-line>Queen Square, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
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<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Limousin, Patricia" sort="Limousin, Patricia" uniqKey="Limousin P" first="Patricia" last="Limousin">Patricia Limousin</name>
<affiliation wicri:level="3"><nlm:aff id="au1"><institution>Sobell Department of Motor Neuroscience, University College London (UCL) Institute of Neurology</institution>
<addr-line>Queen Square, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Queen Square, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Foltynie, Tom" sort="Foltynie, Tom" uniqKey="Foltynie T" first="Tom" last="Foltynie">Tom Foltynie</name>
<affiliation wicri:level="3"><nlm:aff id="au1"><institution>Sobell Department of Motor Neuroscience, University College London (UCL) Institute of Neurology</institution>
<addr-line>Queen Square, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Queen Square, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Movement Disorders</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><date when="2013">2013</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Age of Onset</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Child</term>
<term>Deep Brain Stimulation</term>
<term>Dopamine Agents (therapeutic use)</term>
<term>Exons (genetics)</term>
<term>Female</term>
<term>Gene Amplification</term>
<term>Genotype</term>
<term>Glucosylceramidase (genetics)</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation (genetics)</term>
<term>Parkinson Disease (genetics)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Phenotype</term>
<term>Polymerase Chain Reaction</term>
<term>Protein-Serine-Threonine Kinases (genetics)</term>
<term>Ubiquitin-Protein Ligases (genetics)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>Glucosylceramidase</term>
<term>Protein-Serine-Threonine Kinases</term>
<term>Ubiquitin-Protein Ligases</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Dopamine Agents</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Exons</term>
<term>Mutation</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age of Onset</term>
<term>Child</term>
<term>Deep Brain Stimulation</term>
<term>Female</term>
<term>Gene Amplification</term>
<term>Genotype</term>
<term>Heterozygote</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Phenotype</term>
<term>Polymerase Chain Reaction</term>
<term>Young Adult</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en"><p>Variation in the genetic risk(s) of developing Parkinson's disease (PD) undoubtedly contributes to the subsequent phenotypic heterogeneity. Although patients with PD who undergo deep brain stimulation (DBS) are a skewed population, they represent a valuable resource for exploring the relationships between heterogeneous phenotypes and PD genetics. In this series, 94 patients who underwent DBS were screened for mutations in the most common genes associated with PD. The consequent genetic subgroups of patients were compared with respect to phenotype, levodopa (<sc>l</sc>
-dopa), and DBS responsiveness. An unprecedented number (29%) of patients tested positive for at least 1 of the currently known PD genes. Patients with Parkin mutations presented at the youngest age but had many years of disease before needing DBS, whereas glucocerebrosidase (GBA) mutation carriers reached the threshold of needing DBS earlier, and developed earlier cognitive impairment after DBS. DBS cohorts include large numbers of gene positive PD patients and can be clinically instructive in the exploration of genotype-phenotype relationships.</p>
</div>
</front>
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<affiliations><list><country><li>Italie</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement><li>Londres</li>
</settlement>
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</region>
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<name sortKey="Duran, Raquel" sort="Duran, Raquel" uniqKey="Duran R" first="Raquel" last="Duran">Raquel Duran</name>
<name sortKey="Foley, Jennifer" sort="Foley, Jennifer" uniqKey="Foley J" first="Jennifer" last="Foley">Jennifer Foley</name>
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