Parkinson's disease in Ireland: Clinical presentation and genetic heterogeneity in patients with parkin mutations
Identifieur interne : 003C28 ( Main/Exploration ); précédent : 003C27; suivant : 003C29Parkinson's disease in Ireland: Clinical presentation and genetic heterogeneity in patients with parkin mutations
Auteurs : Joseph Wiley [Irlande (pays)] ; Timothy Lynch [Irlande (pays)] ; Sarah Lincoln [États-Unis] ; Lisa Skipper [États-Unis] ; Mary Hulihan [États-Unis] ; David Gosal [Irlande (pays)] ; Gina Bisceglio [États-Unis] ; Jennifer Kachergus [États-Unis] ; John Hardy [États-Unis] ; Matthew J. Farrer [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2004-06.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Adult, DNA Mutational Analysis, Female, Genetic Heterogeneity, Heterogeneity, Human, Humans, Ireland, Ireland (epidemiology), Male, Middle Aged, Mutation, Nervous system diseases, Parkin, Parkinson Disease (epidemiology), Parkinson Disease (genetics), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Point Mutation (genetics), Ubiquitin-Protein Ligases (genetics), genetics, parkin.
- MESH :
- chemical , genetics : Ubiquitin-Protein Ligases.
- geographic , epidemiology : Ireland.
- epidemiology : Parkinson Disease.
- genetics : Parkinson Disease, Point Mutation.
- physiopathology : Parkinson Disease.
- Adolescent, Adult, DNA Mutational Analysis, Female, Genetic Heterogeneity, Humans, Male, Middle Aged.
Abstract
Early‐onset autosomal recessive parkinsonism is associated with parkin gene mutations. Different parkin mutations occur in many ethnic backgrounds; however, the phenotype may vary. We studied 102 young‐onset (age at onset <60 years) Parkinson's disease (PD) patients. From 102 patients, 40 with early‐onset PD (<45 years at symptomatic onset) were selected for clinical assessment and parkin gene molecular analysis for duplications/deletions and point mutations. We identified parkin mutations in 7 of 40 early‐onset patients; including novel compound heterozygotes and potential splice site changes. The mean age at onset in the 7 parkin mutation‐positive patients was 33 ± 9 years (age range, 18–42 years), marginally lower than that of the 33 parkin‐negative early‐onset patients, 38 ± 7 years (age range, 17–45 years). A family history of PD was present in 4 of 7 patients with parkin mutations, compared with 6 of 33 early‐onset parkin‐negative patients. Overall, parkin mutations were found in 4 of 10 patients with a positive family history and 3 of 30 patients without a family history of PD. Patients with parkin mutations had more dystonia, dyskinesia, and sleep benefit compared with parkin‐negative patients. We subsequently identified a single point mutation among the 62 young‐onset (age at onset 45 to <60 years). Mutations in the parkin gene may account for ∼17% of early‐onset (age at onset <45 years) parkinsonism in Ireland, in agreement with previous European studies. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10703
Affiliations:
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Le document en format XML
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<term>Genetic Heterogeneity</term>
<term>Heterogeneity</term>
<term>Human</term>
<term>Humans</term>
<term>Ireland</term>
<term>Ireland (epidemiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Nervous system diseases</term>
<term>Parkin</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (genetics)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Point Mutation (genetics)</term>
<term>Ubiquitin-Protein Ligases (genetics)</term>
<term>genetics</term>
<term>parkin</term>
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<term>Point Mutation</term>
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<term>DNA Mutational Analysis</term>
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<front><div type="abstract" xml:lang="en">Early‐onset autosomal recessive parkinsonism is associated with parkin gene mutations. Different parkin mutations occur in many ethnic backgrounds; however, the phenotype may vary. We studied 102 young‐onset (age at onset <60 years) Parkinson's disease (PD) patients. From 102 patients, 40 with early‐onset PD (<45 years at symptomatic onset) were selected for clinical assessment and parkin gene molecular analysis for duplications/deletions and point mutations. We identified parkin mutations in 7 of 40 early‐onset patients; including novel compound heterozygotes and potential splice site changes. The mean age at onset in the 7 parkin mutation‐positive patients was 33 ± 9 years (age range, 18–42 years), marginally lower than that of the 33 parkin‐negative early‐onset patients, 38 ± 7 years (age range, 17–45 years). A family history of PD was present in 4 of 7 patients with parkin mutations, compared with 6 of 33 early‐onset parkin‐negative patients. Overall, parkin mutations were found in 4 of 10 patients with a positive family history and 3 of 30 patients without a family history of PD. Patients with parkin mutations had more dystonia, dyskinesia, and sleep benefit compared with parkin‐negative patients. We subsequently identified a single point mutation among the 62 young‐onset (age at onset 45 to <60 years). Mutations in the parkin gene may account for ∼17% of early‐onset (age at onset <45 years) parkinsonism in Ireland, in agreement with previous European studies. © 2003 Movement Disorder Society</div>
</front>
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<name sortKey="Lynch, Timothy" sort="Lynch, Timothy" uniqKey="Lynch T" first="Timothy" last="Lynch">Timothy Lynch</name>
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<country name="États-Unis"><region name="Floride"><name sortKey="Lincoln, Sarah" sort="Lincoln, Sarah" uniqKey="Lincoln S" first="Sarah" last="Lincoln">Sarah Lincoln</name>
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<name sortKey="Farrer, Matthew J" sort="Farrer, Matthew J" uniqKey="Farrer M" first="Matthew J." last="Farrer">Matthew J. Farrer</name>
<name sortKey="Hardy, John" sort="Hardy, John" uniqKey="Hardy J" first="John" last="Hardy">John Hardy</name>
<name sortKey="Hulihan, Mary" sort="Hulihan, Mary" uniqKey="Hulihan M" first="Mary" last="Hulihan">Mary Hulihan</name>
<name sortKey="Kachergus, Jennifer" sort="Kachergus, Jennifer" uniqKey="Kachergus J" first="Jennifer" last="Kachergus">Jennifer Kachergus</name>
<name sortKey="Skipper, Lisa" sort="Skipper, Lisa" uniqKey="Skipper L" first="Lisa" last="Skipper">Lisa Skipper</name>
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