Movement Disorders (revue)

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

Identifieur interne : 000093 ( Pmc/Checkpoint ); précédent : 000092; suivant : 000094

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

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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PMC:4281030

Le document en format XML

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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<sec id="S1">
<title>Background</title>
<p id="P1">
<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>
</sec>
<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>
</sec>
<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>
</front>
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<journal-id journal-id-type="nlm-journal-id">8610688</journal-id>
<journal-id journal-id-type="pubmed-jr-id">5937</journal-id>
<journal-id journal-id-type="nlm-ta">Mov Disord</journal-id>
<journal-id journal-id-type="iso-abbrev">Mov. Disord.</journal-id>
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<journal-title>Movement disorders : official journal of the Movement Disorder Society</journal-title>
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<italic>PARKIN</italic>
dosage mutation</article-title>
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<contrib contrib-type="author">
<name>
<surname>Sharp</surname>
<given-names>Madeleine E</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marder</surname>
<given-names>Karen S</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
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<name>
<surname>Côté</surname>
<given-names>Lucien</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clark</surname>
<given-names>Lorraine N</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
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<contrib contrib-type="author">
<name>
<surname>Nichols</surname>
<given-names>William C</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vonsattel</surname>
<given-names>Jean-Paul</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alcalay</surname>
<given-names>Roy N</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Neurology, Columbia University</aff>
<aff id="A2">
<label>2</label>
Gertrude H. Sergievsky Center, Columbia University</aff>
<aff id="A3">
<label>3</label>
Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, Columbia University</aff>
<aff id="A4">
<label>4</label>
Department of Molecular Genetics, Columbia University</aff>
<aff id="A5">
<label>5</label>
Department of Pathology, Columbia University</aff>
<aff id="A6">
<label>6</label>
Division of Human Genetics, Cincinnati Children’s Hospital Medical Center and the Department of Pediatrics; University of Cincinnati College of Medicine</aff>
<author-notes>
<corresp id="FN1">Corresponding author: Madeleine E Sharp,
<email>ms4567@columbia.edu</email>
, 212-305-7004</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>25</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>12</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="ppub">
<month>4</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>4</month>
<year>2015</year>
</pub-date>
<volume>29</volume>
<issue>4</issue>
<fpage>566</fpage>
<lpage>568</lpage>
<pmc-comment>elocation-id from pubmed: 10.1002/mds.25792</pmc-comment>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">
<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>
</sec>
<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>
</sec>
<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>
</abstract>
</article-meta>
</front>
</pmc>
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<li>État de New York</li>
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<orgName>
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<name sortKey="Cote, Lucien" sort="Cote, Lucien" uniqKey="Cote L" first="Lucien" last="Côté">Lucien Côté</name>
<name sortKey="Cote, Lucien" sort="Cote, Lucien" uniqKey="Cote L" first="Lucien" last="Côté">Lucien Côté</name>
<name sortKey="Marder, Karen S" sort="Marder, Karen S" uniqKey="Marder K" first="Karen S" last="Marder">Karen S. Marder</name>
<name sortKey="Marder, Karen S" sort="Marder, Karen S" uniqKey="Marder K" first="Karen S" last="Marder">Karen S. Marder</name>
<name sortKey="Marder, Karen S" sort="Marder, Karen S" uniqKey="Marder K" first="Karen S" last="Marder">Karen S. Marder</name>
<name sortKey="Vonsattel, Jean Paul" sort="Vonsattel, Jean Paul" uniqKey="Vonsattel J" first="Jean-Paul" last="Vonsattel">Jean-Paul Vonsattel</name>
<name sortKey="Vonsattel, Jean Paul" sort="Vonsattel, Jean Paul" uniqKey="Vonsattel J" first="Jean-Paul" last="Vonsattel">Jean-Paul Vonsattel</name>
</country>
</tree>
</affiliations>
</record>

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