Serveur d'exploration sur la maladie de Parkinson

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Angiogenin variants in Parkinson disease and amyotrophic lateral sclerosis

Identifieur interne : 000768 ( Main/Corpus ); précédent : 000767; suivant : 000769

Angiogenin variants in Parkinson disease and amyotrophic lateral sclerosis

Auteurs : Michael A. Van Es ; Helenius J. Schelhaas ; Paul W. J. Van Vught ; Nicola Ticozzi ; Peter M. Andersen ; Ewout J. N. Groen ; Claudia Schulte ; Hylke M. Blauw ; Max Koppers ; Frank P. Diekstra ; Katsumi Fumoto ; Ashley Lyn Leclerc ; Pamela Keagle ; Bastiaan R. Bloem ; Hans Scheffer ; Bart F. L. Van Nuenen ; Marka Van Blitterswijk ; Wouter Van Rheenen ; Anne-Marie Wills ; Patrick P. Lowe ; Guo-Fu Hu ; Wenhao Yu ; Hiroko Kishikawa ; David Wu ; Rebecca D. Folkerth ; Claudio Mariani ; Stefano Goldwurm ; Gianni Pezzoli ; Philip Van Damme ; Robin Lemmens ; Caroline Dahlberg ; Anna Birve ; Rubén Fernández-Santiago ; Stefan Waibel ; Christine Klein ; Markus Weber ; Anneke J. Van Der Kooi ; Marianne De Visser ; Dagmar Verbaan ; Jacobus J. Van Hilten ; Peter Heutink ; Eric A. M. Hennekam ; Edwin Cuppen ; Daniela Berg ; Robert H. Brown Jr ; Vincenzo Silani ; Thomas Gasser ; Albert C. Ludolph ; Wim Robberecht ; Roel A. Ophoff ; Jan H. Veldink ; R. Jeroen Pasterkamp ; Paul I. W. De Bakker ; John E. Landers ; Bart P. Van De Warrenburg ; Leonard H. Van Den Berg

Source :

RBID : ISTEX:1104402D2CD5B78610B101FB2326A7D93EC038A3

Abstract

Objective:: Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (ANG) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying ANG variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether ANG variants could predispose to both ALS and PD. Methods:: We reviewed all previous studies on ANG in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios. Results:: Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of ANG variants in both ALS and PD patients compared to control subjects (p = 9.3 × 10−6 for ALS and p = 4.3 × 10−5 for PD). The odds ratio for any ANG variant in patients versus controls was 9.2 for ALS and 6.7 for PD. Interpretation:: The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and ANG variants. ANG is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973

Url:
DOI: 10.1002/ana.22611

Links to Exploration step

ISTEX:1104402D2CD5B78610B101FB2326A7D93EC038A3

Le document en format XML

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<name sortKey="Ticozzi, Nicola" sort="Ticozzi, Nicola" uniqKey="Ticozzi N" first="Nicola" last="Ticozzi">Nicola Ticozzi</name>
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<mods:affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</mods:affiliation>
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<name sortKey="Groen, Ewout J N" sort="Groen, Ewout J N" uniqKey="Groen E" first="Ewout J. N." last="Groen">Ewout J. N. Groen</name>
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<name sortKey="Schulte, Claudia" sort="Schulte, Claudia" uniqKey="Schulte C" first="Claudia" last="Schulte">Claudia Schulte</name>
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<mods:affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</mods:affiliation>
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<name sortKey="Blauw, Hylke M" sort="Blauw, Hylke M" uniqKey="Blauw H" first="Hylke M." last="Blauw">Hylke M. Blauw</name>
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<name sortKey="Koppers, Max" sort="Koppers, Max" uniqKey="Koppers M" first="Max" last="Koppers">Max Koppers</name>
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<name sortKey="Diekstra, Frank P" sort="Diekstra, Frank P" uniqKey="Diekstra F" first="Frank P." last="Diekstra">Frank P. Diekstra</name>
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<name sortKey="Fumoto, Katsumi" sort="Fumoto, Katsumi" uniqKey="Fumoto K" first="Katsumi" last="Fumoto">Katsumi Fumoto</name>
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<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
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<name sortKey="Leclerc, Ashley Lyn" sort="Leclerc, Ashley Lyn" uniqKey="Leclerc A" first="Ashley Lyn" last="Leclerc">Ashley Lyn Leclerc</name>
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<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
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<author>
<name sortKey="Keagle, Pamela" sort="Keagle, Pamela" uniqKey="Keagle P" first="Pamela" last="Keagle">Pamela Keagle</name>
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<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
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</author>
<author>
<name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name>
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<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
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<name sortKey="Scheffer, Hans" sort="Scheffer, Hans" uniqKey="Scheffer H" first="Hans" last="Scheffer">Hans Scheffer</name>
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<mods:affiliation>Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands</mods:affiliation>
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<name sortKey="Van Nuenen, Bart F L" sort="Van Nuenen, Bart F L" uniqKey="Van Nuenen B" first="Bart F. L." last="Van Nuenen">Bart F. L. Van Nuenen</name>
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<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Van Blitterswijk, Marka" sort="Van Blitterswijk, Marka" uniqKey="Van Blitterswijk M" first="Marka" last="Van Blitterswijk">Marka Van Blitterswijk</name>
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<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
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<author>
<name sortKey="Van Rheenen, Wouter" sort="Van Rheenen, Wouter" uniqKey="Van Rheenen W" first="Wouter" last="Van Rheenen">Wouter Van Rheenen</name>
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<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wills, Anne Arie" sort="Wills, Anne Arie" uniqKey="Wills A" first="Anne-Marie" last="Wills">Anne-Marie Wills</name>
<affiliation>
<mods:affiliation>Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA</mods:affiliation>
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</author>
<author>
<name sortKey="Lowe, Patrick P" sort="Lowe, Patrick P" uniqKey="Lowe P" first="Patrick P." last="Lowe">Patrick P. Lowe</name>
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<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
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</author>
<author>
<name sortKey="Hu, Guo U" sort="Hu, Guo U" uniqKey="Hu G" first="Guo-Fu" last="Hu">Guo-Fu Hu</name>
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<mods:affiliation>Department of Pathology, Harvard Medical School, Boston, MA</mods:affiliation>
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</author>
<author>
<name sortKey="Yu, Wenhao" sort="Yu, Wenhao" uniqKey="Yu W" first="Wenhao" last="Yu">Wenhao Yu</name>
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<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kishikawa, Hiroko" sort="Kishikawa, Hiroko" uniqKey="Kishikawa H" first="Hiroko" last="Kishikawa">Hiroko Kishikawa</name>
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<mods:affiliation>Department of Pathology, Harvard Medical School, Boston, MA</mods:affiliation>
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</author>
<author>
<name sortKey="Wu, David" sort="Wu, David" uniqKey="Wu D" first="David" last="Wu">David Wu</name>
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<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
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<author>
<name sortKey="Folkerth, Rebecca D" sort="Folkerth, Rebecca D" uniqKey="Folkerth R" first="Rebecca D." last="Folkerth">Rebecca D. Folkerth</name>
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<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mariani, Claudio" sort="Mariani, Claudio" uniqKey="Mariani C" first="Claudio" last="Mariani">Claudio Mariani</name>
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<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Goldwurm, Stefano" sort="Goldwurm, Stefano" uniqKey="Goldwurm S" first="Stefano" last="Goldwurm">Stefano Goldwurm</name>
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<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pezzoli, Gianni" sort="Pezzoli, Gianni" uniqKey="Pezzoli G" first="Gianni" last="Pezzoli">Gianni Pezzoli</name>
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<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Damme, Philip" sort="Van Damme, Philip" uniqKey="Van Damme P" first="Philip" last="Van Damme">Philip Van Damme</name>
<affiliation>
<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lemmens, Robin" sort="Lemmens, Robin" uniqKey="Lemmens R" first="Robin" last="Lemmens">Robin Lemmens</name>
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<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
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<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
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<author>
<name sortKey="Dahlberg, Caroline" sort="Dahlberg, Caroline" uniqKey="Dahlberg C" first="Caroline" last="Dahlberg">Caroline Dahlberg</name>
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<mods:affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Birve, Anna" sort="Birve, Anna" uniqKey="Birve A" first="Anna" last="Birve">Anna Birve</name>
<affiliation>
<mods:affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Fernandez Antiago, Ruben" sort="Fernandez Antiago, Ruben" uniqKey="Fernandez Antiago R" first="Rubén" last="Fernández-Santiago">Rubén Fernández-Santiago</name>
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<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department for Clinical and Experimental Neurology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Spain</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Graduate School of Cellular and Molecular Neuroscience, International Max Planck Research School, Graduate Training Center of Neuroscience, Eberhard‐Karls University, Tübingen, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Waibel, Stefan" sort="Waibel, Stefan" uniqKey="Waibel S" first="Stefan" last="Waibel">Stefan Waibel</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Ulm, Ulm, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name>
<affiliation>
<mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Weber, Markus" sort="Weber, Markus" uniqKey="Weber M" first="Markus" last="Weber">Markus Weber</name>
<affiliation>
<mods:affiliation>Neuromuscular Diseases Unit, Kantonspital St Gallen, St Gallen, Switzerland</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Der Kooi, Anneke J" sort="Van Der Kooi, Anneke J" uniqKey="Van Der Kooi A" first="Anneke J." last="Van Der Kooi">Anneke J. Van Der Kooi</name>
<affiliation>
<mods:affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Visser, Marianne" sort="De Visser, Marianne" uniqKey="De Visser M" first="Marianne" last="De Visser">Marianne De Visser</name>
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<mods:affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Verbaan, Dagmar" sort="Verbaan, Dagmar" uniqKey="Verbaan D" first="Dagmar" last="Verbaan">Dagmar Verbaan</name>
<affiliation>
<mods:affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Hilten, Jacobus J" sort="Van Hilten, Jacobus J" uniqKey="Van Hilten J" first="Jacobus J." last="Van Hilten">Jacobus J. Van Hilten</name>
<affiliation>
<mods:affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Heutink, Peter" sort="Heutink, Peter" uniqKey="Heutink P" first="Peter" last="Heutink">Peter Heutink</name>
<affiliation>
<mods:affiliation>Department of Clinical Genetics, Section of Medical Genomics, VU University Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hennekam, Eric A M" sort="Hennekam, Eric A M" uniqKey="Hennekam E" first="Eric A. M." last="Hennekam">Eric A. M. Hennekam</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Cuppen, Edwin" sort="Cuppen, Edwin" uniqKey="Cuppen E" first="Edwin" last="Cuppen">Edwin Cuppen</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Hubrecht Institute for Developmental Biology and Stem Cell Research, Cancer Genomics Center, Royal Netherlands Academy of Sciences, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Brown Jr, Robert H" sort="Brown Jr, Robert H" uniqKey="Brown Jr R" first="Robert H." last="Brown Jr">Robert H. Brown Jr</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Silani, Vincenzo" sort="Silani, Vincenzo" uniqKey="Silani V" first="Vincenzo" last="Silani">Vincenzo Silani</name>
<affiliation>
<mods:affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University of Milan Medical School, “Dino Ferrari” Center, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name>
<affiliation>
<mods:affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ludolph, Albert C" sort="Ludolph, Albert C" uniqKey="Ludolph A" first="Albert C." last="Ludolph">Albert C. Ludolph</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Ulm, Ulm, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Robberecht, Wim" sort="Robberecht, Wim" uniqKey="Robberecht W" first="Wim" last="Robberecht">Wim Robberecht</name>
<affiliation>
<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ophoff, Roel A" sort="Ophoff, Roel A" uniqKey="Ophoff R" first="Roel A." last="Ophoff">Roel A. Ophoff</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>University of California at Los Angeles Center for Neurobehavioral Genetics, Los Angeles, CA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Veldink, Jan H" sort="Veldink, Jan H" uniqKey="Veldink J" first="Jan H." last="Veldink">Jan H. Veldink</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pasterkamp, R Jeroen" sort="Pasterkamp, R Jeroen" uniqKey="Pasterkamp R" first="R. Jeroen" last="Pasterkamp">R. Jeroen Pasterkamp</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Bakker, Paul I W" sort="De Bakker, Paul I W" uniqKey="De Bakker P" first="Paul I. W." last="De Bakker">Paul I. W. De Bakker</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Program in Medical and Population Genetics, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Landers, John E" sort="Landers, John E" uniqKey="Landers J" first="John E." last="Landers">John E. Landers</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van De Warrenburg, Bart P" sort="Van De Warrenburg, Bart P" uniqKey="Van De Warrenburg B" first="Bart P." last="Van De Warrenburg">Bart P. Van De Warrenburg</name>
<affiliation>
<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Den Berg, Leonard H" sort="Van Den Berg, Leonard H" uniqKey="Van Den Berg L" first="Leonard H." last="Van Den Berg">Leonard H. Van Den Berg</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</mods:affiliation>
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<title level="a" type="main" xml:lang="en">Angiogenin variants in Parkinson disease and amyotrophic lateral sclerosis</title>
<author>
<name sortKey="Van Es, Michael A" sort="Van Es, Michael A" uniqKey="Van Es M" first="Michael A." last="Van Es">Michael A. Van Es</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schelhaas, Helenius J" sort="Schelhaas, Helenius J" uniqKey="Schelhaas H" first="Helenius J." last="Schelhaas">Helenius J. Schelhaas</name>
<affiliation>
<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Vught, Paul W J" sort="Van Vught, Paul W J" uniqKey="Van Vught P" first="Paul W. J." last="Van Vught">Paul W. J. Van Vught</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ticozzi, Nicola" sort="Ticozzi, Nicola" uniqKey="Ticozzi N" first="Nicola" last="Ticozzi">Nicola Ticozzi</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Andersen, Peter M" sort="Andersen, Peter M" uniqKey="Andersen P" first="Peter M." last="Andersen">Peter M. Andersen</name>
<affiliation>
<mods:affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Groen, Ewout J N" sort="Groen, Ewout J N" uniqKey="Groen E" first="Ewout J. N." last="Groen">Ewout J. N. Groen</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schulte, Claudia" sort="Schulte, Claudia" uniqKey="Schulte C" first="Claudia" last="Schulte">Claudia Schulte</name>
<affiliation>
<mods:affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Blauw, Hylke M" sort="Blauw, Hylke M" uniqKey="Blauw H" first="Hylke M." last="Blauw">Hylke M. Blauw</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Koppers, Max" sort="Koppers, Max" uniqKey="Koppers M" first="Max" last="Koppers">Max Koppers</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Diekstra, Frank P" sort="Diekstra, Frank P" uniqKey="Diekstra F" first="Frank P." last="Diekstra">Frank P. Diekstra</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Fumoto, Katsumi" sort="Fumoto, Katsumi" uniqKey="Fumoto K" first="Katsumi" last="Fumoto">Katsumi Fumoto</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Leclerc, Ashley Lyn" sort="Leclerc, Ashley Lyn" uniqKey="Leclerc A" first="Ashley Lyn" last="Leclerc">Ashley Lyn Leclerc</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Keagle, Pamela" sort="Keagle, Pamela" uniqKey="Keagle P" first="Pamela" last="Keagle">Pamela Keagle</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name>
<affiliation>
<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Scheffer, Hans" sort="Scheffer, Hans" uniqKey="Scheffer H" first="Hans" last="Scheffer">Hans Scheffer</name>
<affiliation>
<mods:affiliation>Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Nuenen, Bart F L" sort="Van Nuenen, Bart F L" uniqKey="Van Nuenen B" first="Bart F. L." last="Van Nuenen">Bart F. L. Van Nuenen</name>
<affiliation>
<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Blitterswijk, Marka" sort="Van Blitterswijk, Marka" uniqKey="Van Blitterswijk M" first="Marka" last="Van Blitterswijk">Marka Van Blitterswijk</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Rheenen, Wouter" sort="Van Rheenen, Wouter" uniqKey="Van Rheenen W" first="Wouter" last="Van Rheenen">Wouter Van Rheenen</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wills, Anne Arie" sort="Wills, Anne Arie" uniqKey="Wills A" first="Anne-Marie" last="Wills">Anne-Marie Wills</name>
<affiliation>
<mods:affiliation>Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lowe, Patrick P" sort="Lowe, Patrick P" uniqKey="Lowe P" first="Patrick P." last="Lowe">Patrick P. Lowe</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hu, Guo U" sort="Hu, Guo U" uniqKey="Hu G" first="Guo-Fu" last="Hu">Guo-Fu Hu</name>
<affiliation>
<mods:affiliation>Department of Pathology, Harvard Medical School, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Yu, Wenhao" sort="Yu, Wenhao" uniqKey="Yu W" first="Wenhao" last="Yu">Wenhao Yu</name>
<affiliation>
<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Kishikawa, Hiroko" sort="Kishikawa, Hiroko" uniqKey="Kishikawa H" first="Hiroko" last="Kishikawa">Hiroko Kishikawa</name>
<affiliation>
<mods:affiliation>Department of Pathology, Harvard Medical School, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wu, David" sort="Wu, David" uniqKey="Wu D" first="David" last="Wu">David Wu</name>
<affiliation>
<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Folkerth, Rebecca D" sort="Folkerth, Rebecca D" uniqKey="Folkerth R" first="Rebecca D." last="Folkerth">Rebecca D. Folkerth</name>
<affiliation>
<mods:affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Mariani, Claudio" sort="Mariani, Claudio" uniqKey="Mariani C" first="Claudio" last="Mariani">Claudio Mariani</name>
<affiliation>
<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Goldwurm, Stefano" sort="Goldwurm, Stefano" uniqKey="Goldwurm S" first="Stefano" last="Goldwurm">Stefano Goldwurm</name>
<affiliation>
<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pezzoli, Gianni" sort="Pezzoli, Gianni" uniqKey="Pezzoli G" first="Gianni" last="Pezzoli">Gianni Pezzoli</name>
<affiliation>
<mods:affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Damme, Philip" sort="Van Damme, Philip" uniqKey="Van Damme P" first="Philip" last="Van Damme">Philip Van Damme</name>
<affiliation>
<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Lemmens, Robin" sort="Lemmens, Robin" uniqKey="Lemmens R" first="Robin" last="Lemmens">Robin Lemmens</name>
<affiliation>
<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Dahlberg, Caroline" sort="Dahlberg, Caroline" uniqKey="Dahlberg C" first="Caroline" last="Dahlberg">Caroline Dahlberg</name>
<affiliation>
<mods:affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Birve, Anna" sort="Birve, Anna" uniqKey="Birve A" first="Anna" last="Birve">Anna Birve</name>
<affiliation>
<mods:affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Fernandez Antiago, Ruben" sort="Fernandez Antiago, Ruben" uniqKey="Fernandez Antiago R" first="Rubén" last="Fernández-Santiago">Rubén Fernández-Santiago</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department for Clinical and Experimental Neurology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Spain</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Graduate School of Cellular and Molecular Neuroscience, International Max Planck Research School, Graduate Training Center of Neuroscience, Eberhard‐Karls University, Tübingen, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Waibel, Stefan" sort="Waibel, Stefan" uniqKey="Waibel S" first="Stefan" last="Waibel">Stefan Waibel</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Ulm, Ulm, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name>
<affiliation>
<mods:affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Weber, Markus" sort="Weber, Markus" uniqKey="Weber M" first="Markus" last="Weber">Markus Weber</name>
<affiliation>
<mods:affiliation>Neuromuscular Diseases Unit, Kantonspital St Gallen, St Gallen, Switzerland</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Der Kooi, Anneke J" sort="Van Der Kooi, Anneke J" uniqKey="Van Der Kooi A" first="Anneke J." last="Van Der Kooi">Anneke J. Van Der Kooi</name>
<affiliation>
<mods:affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Visser, Marianne" sort="De Visser, Marianne" uniqKey="De Visser M" first="Marianne" last="De Visser">Marianne De Visser</name>
<affiliation>
<mods:affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Verbaan, Dagmar" sort="Verbaan, Dagmar" uniqKey="Verbaan D" first="Dagmar" last="Verbaan">Dagmar Verbaan</name>
<affiliation>
<mods:affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Hilten, Jacobus J" sort="Van Hilten, Jacobus J" uniqKey="Van Hilten J" first="Jacobus J." last="Van Hilten">Jacobus J. Van Hilten</name>
<affiliation>
<mods:affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Heutink, Peter" sort="Heutink, Peter" uniqKey="Heutink P" first="Peter" last="Heutink">Peter Heutink</name>
<affiliation>
<mods:affiliation>Department of Clinical Genetics, Section of Medical Genomics, VU University Medical Center, Amsterdam, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Hennekam, Eric A M" sort="Hennekam, Eric A M" uniqKey="Hennekam E" first="Eric A. M." last="Hennekam">Eric A. M. Hennekam</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Cuppen, Edwin" sort="Cuppen, Edwin" uniqKey="Cuppen E" first="Edwin" last="Cuppen">Edwin Cuppen</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Hubrecht Institute for Developmental Biology and Stem Cell Research, Cancer Genomics Center, Royal Netherlands Academy of Sciences, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Brown Jr, Robert H" sort="Brown Jr, Robert H" uniqKey="Brown Jr R" first="Robert H." last="Brown Jr">Robert H. Brown Jr</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Silani, Vincenzo" sort="Silani, Vincenzo" uniqKey="Silani V" first="Vincenzo" last="Silani">Vincenzo Silani</name>
<affiliation>
<mods:affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University of Milan Medical School, “Dino Ferrari” Center, Milan, Italy</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name>
<affiliation>
<mods:affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ludolph, Albert C" sort="Ludolph, Albert C" uniqKey="Ludolph A" first="Albert C." last="Ludolph">Albert C. Ludolph</name>
<affiliation>
<mods:affiliation>Department of Neurology, University of Ulm, Ulm, Germany</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Robberecht, Wim" sort="Robberecht, Wim" uniqKey="Robberecht W" first="Wim" last="Robberecht">Wim Robberecht</name>
<affiliation>
<mods:affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Ophoff, Roel A" sort="Ophoff, Roel A" uniqKey="Ophoff R" first="Roel A." last="Ophoff">Roel A. Ophoff</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>University of California at Los Angeles Center for Neurobehavioral Genetics, Los Angeles, CA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Veldink, Jan H" sort="Veldink, Jan H" uniqKey="Veldink J" first="Jan H." last="Veldink">Jan H. Veldink</name>
<affiliation>
<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Pasterkamp, R Jeroen" sort="Pasterkamp, R Jeroen" uniqKey="Pasterkamp R" first="R. Jeroen" last="Pasterkamp">R. Jeroen Pasterkamp</name>
<affiliation>
<mods:affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Bakker, Paul I W" sort="De Bakker, Paul I W" uniqKey="De Bakker P" first="Paul I. W." last="De Bakker">Paul I. W. De Bakker</name>
<affiliation>
<mods:affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Program in Medical and Population Genetics, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Landers, John E" sort="Landers, John E" uniqKey="Landers J" first="John E." last="Landers">John E. Landers</name>
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<mods:affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</mods:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van De Warrenburg, Bart P" sort="Van De Warrenburg, Bart P" uniqKey="Van De Warrenburg B" first="Bart P." last="Van De Warrenburg">Bart P. Van De Warrenburg</name>
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<mods:affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</mods:affiliation>
</affiliation>
</author>
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<name sortKey="Van Den Berg, Leonard H" sort="Van Den Berg, Leonard H" uniqKey="Van Den Berg L" first="Leonard H." last="Van Den Berg">Leonard H. Van Den Berg</name>
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<mods:affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</mods:affiliation>
</affiliation>
<affiliation>
<mods:affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</mods:affiliation>
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<div type="abstract" xml:lang="en">Objective:: Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (ANG) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying ANG variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether ANG variants could predispose to both ALS and PD. Methods:: We reviewed all previous studies on ANG in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios. Results:: Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of ANG variants in both ALS and PD patients compared to control subjects (p = 9.3 × 10−6 for ALS and p = 4.3 × 10−5 for PD). The odds ratio for any ANG variant in patients versus controls was 9.2 for ALS and 6.7 for PD. Interpretation:: The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and ANG variants. ANG is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973</div>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<name>Helenius J. Schelhaas MD, PhD</name>
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<json:string>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</json:string>
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<name>Paul W. J. van Vught PhD</name>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
<json:string>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</json:string>
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<name>Peter M. Andersen MD, PhD</name>
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<json:string>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</json:string>
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<name>Ewout J. N. Groen MSc</name>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<json:string>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</json:string>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<name>Katsumi Fumoto PhD</name>
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<json:string>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
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<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
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<name>Pamela Keagle BS</name>
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<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
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<name>Bastiaan R. Bloem MD, PhD</name>
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<json:string>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</json:string>
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<json:string>Department of Human Genetics, Radboud University Medical Center, Nijmegen, the Netherlands</json:string>
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<name>Bart F. L. van Nuenen MD</name>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<name>Wouter van Rheenen MD</name>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<name>Anne‐Marie Wills MD</name>
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<json:string>Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA</json:string>
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<name>Patrick P. Lowe</name>
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<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
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<json:item>
<name>Guo‐fu Hu PhD</name>
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<json:string>Department of Pathology, Harvard Medical School, Boston, MA</json:string>
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<name>Wenhao Yu PhD</name>
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<name>Hiroko Kishikawa PhD</name>
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<json:string>Department of Pathology, Harvard Medical School, Boston, MA</json:string>
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<name>David Wu MD, PhD</name>
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<json:string>Department of Pathology, Brigham and Women's Hospital, Boston, MA</json:string>
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<name>Rebecca D. Folkerth MD</name>
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<name>Stefano Goldwurm MD</name>
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<name>Gianni Pezzoli MD</name>
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<name>Philip Van Damme MD, PhD</name>
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<json:item>
<name>Robin Lemmens MD, PhD</name>
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<json:string>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</json:string>
<json:string>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</json:string>
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<name>Caroline Dahlberg MD</name>
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<json:string>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</json:string>
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<json:item>
<name>Anna Birve PhD</name>
<affiliations>
<json:string>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</json:string>
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</json:item>
<json:item>
<name>Rubén Fernández‐Santiago PhD</name>
<affiliations>
<json:string>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
<json:string>Department for Clinical and Experimental Neurology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Spain</json:string>
<json:string>Graduate School of Cellular and Molecular Neuroscience, International Max Planck Research School, Graduate Training Center of Neuroscience, Eberhard‐Karls University, Tübingen, Germany</json:string>
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<name>Stefan Waibel MD</name>
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<json:item>
<name>Christine Klein MD, PhD</name>
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<json:string>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</json:string>
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<name>Markus Weber MD, PhD</name>
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<json:string>Neuromuscular Diseases Unit, Kantonspital St Gallen, St Gallen, Switzerland</json:string>
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<name>Marianne de Visser MD, PhD</name>
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<json:string>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</json:string>
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<name>Dagmar Verbaan MD</name>
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<json:string>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</json:string>
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<name>Jacobus J. van Hilten MD, PhD</name>
<affiliations>
<json:string>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</json:string>
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</json:item>
<json:item>
<name>Peter Heutink PhD</name>
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<json:string>Department of Clinical Genetics, Section of Medical Genomics, VU University Medical Center, Amsterdam, the Netherlands</json:string>
</affiliations>
</json:item>
<json:item>
<name>Eric A. M. Hennekam PhD</name>
<affiliations>
<json:string>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
</affiliations>
</json:item>
<json:item>
<name>Edwin Cuppen PhD</name>
<affiliations>
<json:string>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
<json:string>Hubrecht Institute for Developmental Biology and Stem Cell Research, Cancer Genomics Center, Royal Netherlands Academy of Sciences, Utrecht, the Netherlands</json:string>
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<name>Daniela Berg MD</name>
<affiliations>
<json:string>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
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</json:item>
<json:item>
<name>Robert H. Brown Jr MD, PhD</name>
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<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
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<name>Vincenzo Silani MD</name>
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<json:string>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</json:string>
<json:string>Department of Neurology, University of Milan Medical School, “Dino Ferrari” Center, Milan, Italy</json:string>
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<name>Thomas Gasser MD</name>
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<name>Albert C. Ludolph MD, PhD</name>
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<json:string>Department of Neurology, University of Ulm, Ulm, Germany</json:string>
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<name>Wim Robberecht MD, PhD</name>
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<json:string>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</json:string>
<json:string>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</json:string>
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<name>Roel A. Ophoff PhD</name>
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<json:string>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
<json:string>University of California at Los Angeles Center for Neurobehavioral Genetics, Los Angeles, CA</json:string>
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<name>Jan H. Veldink MD, PhD</name>
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<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
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<name>R. Jeroen Pasterkamp PhD</name>
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<json:string>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</json:string>
</affiliations>
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<name>Paul I. W. de Bakker PhD</name>
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<json:string>Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA</json:string>
<json:string>Program in Medical and Population Genetics, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA</json:string>
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<json:item>
<name>John E. Landers PhD</name>
<affiliations>
<json:string>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</json:string>
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<name>Bart P. van de Warrenburg MD, PhD</name>
<affiliations>
<json:string>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</json:string>
<json:string>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</json:string>
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<name>Leonard H. van den Berg MD, PhD</name>
<affiliations>
<json:string>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</json:string>
<json:string>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</json:string>
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<abstract>Objective:: Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (ANG) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying ANG variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether ANG variants could predispose to both ALS and PD. Methods:: We reviewed all previous studies on ANG in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios. Results:: Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of ANG variants in both ALS and PD patients compared to control subjects (p = 9.3 × 10−6 for ALS and p = 4.3 × 10−5 for PD). The odds ratio for any ANG variant in patients versus controls was 9.2 for ALS and 6.7 for PD. Interpretation:: The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and ANG variants. ANG is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973</abstract>
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<forename type="first">Helenius J.</forename>
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<forename type="first">Paul W. J.</forename>
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<forename type="first">Nicola</forename>
<surname>Ticozzi</surname>
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<forename type="first">Ewout J. N.</forename>
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<forename type="first">Claudia</forename>
<surname>Schulte</surname>
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<forename type="first">Hylke M.</forename>
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<forename type="first">Frank P.</forename>
<surname>Diekstra</surname>
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<forename type="first">Katsumi</forename>
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<forename type="first">Bastiaan R.</forename>
<surname>Bloem</surname>
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<forename type="first">Rubén</forename>
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<affiliation>Department for Clinical and Experimental Neurology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Spain</affiliation>
<affiliation>Graduate School of Cellular and Molecular Neuroscience, International Max Planck Research School, Graduate Training Center of Neuroscience, Eberhard‐Karls University, Tübingen, Germany</affiliation>
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<forename type="first">Christine</forename>
<surname>Klein</surname>
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<surname>Weber</surname>
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<forename type="first">Anneke J.</forename>
<surname>van der Kooi</surname>
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<forename type="first">Marianne</forename>
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<forename type="first">Peter</forename>
<surname>Heutink</surname>
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<persName>
<forename type="first">Eric A. M.</forename>
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<forename type="first">Edwin</forename>
<surname>Cuppen</surname>
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<author>
<persName>
<forename type="first">Robert H.</forename>
<surname>Brown Jr</surname>
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<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
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<persName>
<forename type="first">Vincenzo</forename>
<surname>Silani</surname>
</persName>
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<affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</affiliation>
<affiliation>Department of Neurology, University of Milan Medical School, “Dino Ferrari” Center, Milan, Italy</affiliation>
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<persName>
<forename type="first">Thomas</forename>
<surname>Gasser</surname>
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<affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</affiliation>
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<author>
<persName>
<forename type="first">Albert C.</forename>
<surname>Ludolph</surname>
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<roleName type="degree">MD, PhD</roleName>
<affiliation>Department of Neurology, University of Ulm, Ulm, Germany</affiliation>
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<persName>
<forename type="first">Wim</forename>
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<affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</affiliation>
<affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</affiliation>
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<forename type="first">Roel A.</forename>
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<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>University of California at Los Angeles Center for Neurobehavioral Genetics, Los Angeles, CA</affiliation>
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<forename type="first">Jan H.</forename>
<surname>Veldink</surname>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
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<forename type="first">R. Jeroen</forename>
<surname>Pasterkamp</surname>
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<affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
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<author>
<persName>
<forename type="first">Paul I. W.</forename>
<surname>de Bakker</surname>
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<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA</affiliation>
<affiliation>Program in Medical and Population Genetics, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA</affiliation>
<affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
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<persName>
<forename type="first">John E.</forename>
<surname>Landers</surname>
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<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
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<author>
<persName>
<forename type="first">Bart P.</forename>
<surname>van de Warrenburg</surname>
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<affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</affiliation>
<affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</affiliation>
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<forename type="first">Leonard H.</forename>
<surname>van den Berg</surname>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
<affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</affiliation>
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<p>Objective:: Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (ANG) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying ANG variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether ANG variants could predispose to both ALS and PD. Methods:: We reviewed all previous studies on ANG in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios. Results:: Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of ANG variants in both ALS and PD patients compared to control subjects (p = 9.3 × 10−6 for ALS and p = 4.3 × 10−5 for PD). The odds ratio for any ANG variant in patients versus controls was 9.2 for ALS and 6.7 for PD. Interpretation:: The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and ANG variants. ANG is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973</p>
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<line>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the Netherlands</line>
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<supportingInformation>
<p> Additional supporting information can be found in the online version of this article. </p>
<supportingInfoItem>
<mediaResource alt="supporting information" href="urn-x:wiley:03645134:media:ana22611:ANG_Supplementary_Material_revised"></mediaResource>
<caption>Supp Info</caption>
</supportingInfoItem>
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<abstractGroup>
<abstract type="main" xml:lang="en">
<title type="main">Abstract</title>
<section xml:id="abs1-1">
<title type="main">Objective:</title>
<p>Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (
<i>ANG</i>
) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying
<i>ANG</i>
variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether
<i>ANG</i>
variants could predispose to both ALS and PD.</p>
</section>
<section xml:id="abs1-2">
<title type="main">Methods:</title>
<p>We reviewed all previous studies on
<i>ANG</i>
in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios.</p>
</section>
<section xml:id="abs1-3">
<title type="main">Results:</title>
<p>Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of
<i>ANG</i>
variants in both ALS and PD patients compared to control subjects (
<i>p</i>
= 9.3 × 10
<sup>−6</sup>
for ALS and
<i>p</i>
= 4.3 × 10
<sup>−5</sup>
for PD). The odds ratio for any
<i>ANG</i>
variant in patients versus controls was 9.2 for ALS and 6.7 for PD.</p>
</section>
<section xml:id="abs1-4">
<title type="main">Interpretation:</title>
<p>The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and
<i>ANG</i>
variants.
<i>ANG</i>
is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973</p>
</section>
</abstract>
</abstractGroup>
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<title>Angiogenin variants in Parkinson disease and amyotrophic lateral sclerosis</title>
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<titleInfo type="abbreviated" lang="en">
<title>Angiogenin in PD and ALS</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Angiogenin variants in Parkinson disease and amyotrophic lateral sclerosis</title>
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<namePart type="given">Michael A.</namePart>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
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<affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</affiliation>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">Paul W. J.</namePart>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
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<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
<affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</affiliation>
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<affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ewout J. N.</namePart>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">Hylke M.</namePart>
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<namePart type="given">Ashley Lyn</namePart>
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<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
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<namePart type="given">Bart F. L.</namePart>
<namePart type="family">van Nuenen</namePart>
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</name>
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<namePart type="given">Patrick P.</namePart>
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<namePart type="given">Guo‐fu</namePart>
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<role>
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</name>
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<namePart type="given">Wenhao</namePart>
<namePart type="family">Yu</namePart>
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<affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Hiroko</namePart>
<namePart type="family">Kishikawa</namePart>
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<affiliation>Department of Pathology, Harvard Medical School, Boston, MA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">David</namePart>
<namePart type="family">Wu</namePart>
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<affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Rebecca D.</namePart>
<namePart type="family">Folkerth</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Pathology, Brigham and Women's Hospital, Boston, MA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Claudio</namePart>
<namePart type="family">Mariani</namePart>
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</name>
<name type="personal">
<namePart type="given">Stefano</namePart>
<namePart type="family">Goldwurm</namePart>
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<affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</affiliation>
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</name>
<name type="personal">
<namePart type="given">Gianni</namePart>
<namePart type="family">Pezzoli</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Philip</namePart>
<namePart type="family">Van Damme</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</affiliation>
<affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</affiliation>
<affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Robin</namePart>
<namePart type="family">Lemmens</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</affiliation>
<affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</affiliation>
<affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Caroline</namePart>
<namePart type="family">Dahlberg</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Anna</namePart>
<namePart type="family">Birve</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Institute of Clinical Neuroscience, Umeå University Hospital, Umeå, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Rubén</namePart>
<namePart type="family">Fernández‐Santiago</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>Department for Clinical and Experimental Neurology, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Spain</affiliation>
<affiliation>Graduate School of Cellular and Molecular Neuroscience, International Max Planck Research School, Graduate Training Center of Neuroscience, Eberhard‐Karls University, Tübingen, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Stefan</namePart>
<namePart type="family">Waibel</namePart>
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<affiliation>Department of Neurology, University of Ulm, Ulm, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Christine</namePart>
<namePart type="family">Klein</namePart>
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<affiliation>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</affiliation>
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<namePart type="family">Weber</namePart>
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<role>
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</role>
</name>
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<namePart type="given">Anneke J.</namePart>
<namePart type="family">van der Kooi</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</affiliation>
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</name>
<name type="personal">
<namePart type="given">Marianne</namePart>
<namePart type="family">de Visser</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Neurology, Amsterdam Medical Center, Amsterdam, the Netherlands</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Dagmar</namePart>
<namePart type="family">Verbaan</namePart>
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<affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Jacobus J.</namePart>
<namePart type="family">van Hilten</namePart>
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<affiliation>Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Peter</namePart>
<namePart type="family">Heutink</namePart>
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<affiliation>Department of Clinical Genetics, Section of Medical Genomics, VU University Medical Center, Amsterdam, the Netherlands</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Eric A. M.</namePart>
<namePart type="family">Hennekam</namePart>
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<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Edwin</namePart>
<namePart type="family">Cuppen</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>Hubrecht Institute for Developmental Biology and Stem Cell Research, Cancer Genomics Center, Royal Netherlands Academy of Sciences, Utrecht, the Netherlands</affiliation>
<role>
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<namePart type="given">Daniela</namePart>
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<affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<role>
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<name type="personal">
<namePart type="given">Robert H.</namePart>
<namePart type="family">Brown Jr</namePart>
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<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
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<name type="personal">
<namePart type="given">Vincenzo</namePart>
<namePart type="family">Silani</namePart>
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<affiliation>Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy</affiliation>
<affiliation>Department of Neurology, University of Milan Medical School, “Dino Ferrari” Center, Milan, Italy</affiliation>
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<name type="personal">
<namePart type="given">Thomas</namePart>
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<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen and German Center for Neurodegenerative Diseases, Tübingen, Germany</affiliation>
<role>
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<namePart type="given">Albert C.</namePart>
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<affiliation>Department of Neurology, University of Ulm, Ulm, Germany</affiliation>
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<namePart type="given">Wim</namePart>
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<affiliation>Experimental Neurology, University of Leuven, Leuven, Belgium</affiliation>
<affiliation>Vesalius Research Center, Flanders Institute for Biotechnology, Leuven, Belgium</affiliation>
<affiliation>Department of Neurology, University Hospital Leuven, University of Leuven, Leuven, Belgium</affiliation>
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<name type="personal">
<namePart type="given">Roel A.</namePart>
<namePart type="family">Ophoff</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>University of California at Los Angeles Center for Neurobehavioral Genetics, Los Angeles, CA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Jan H.</namePart>
<namePart type="family">Veldink</namePart>
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<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
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<affiliation>Department of Neuroscience and Pharmacology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
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<namePart type="given">Paul I. W.</namePart>
<namePart type="family">de Bakker</namePart>
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<affiliation>Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
<affiliation>Division of Genetics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA</affiliation>
<affiliation>Program in Medical and Population Genetics, Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA</affiliation>
<affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands</affiliation>
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<namePart type="given">John E.</namePart>
<namePart type="family">Landers</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Department of Neurology, University of Massachusetts Medical School, Worcester, MA</affiliation>
<role>
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<name type="personal">
<namePart type="given">Bart P.</namePart>
<namePart type="family">van de Warrenburg</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Neurology, Donders Instute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands</affiliation>
<affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</affiliation>
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<name type="personal">
<namePart type="given">Leonard H.</namePart>
<namePart type="family">van den Berg</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, the Netherlands</affiliation>
<affiliation>Bart P. van de Warrenburg, Department of Neurology, Donders Institute for Brain, Cognition, and Behavior, Center for Neuroscience, Radboud University Nijmegen Medical Center, Geert Grooteplein‐Zuid 10, 6525 GA Nijmegen, the NetherlandsLeonard H. van den Berg, Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands</affiliation>
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<dateIssued encoding="w3cdtf">2011-12</dateIssued>
<dateCaptured encoding="w3cdtf">2011-05-21</dateCaptured>
<dateValid encoding="w3cdtf">2011-08-12</dateValid>
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<abstract lang="en">Objective:: Several studies have suggested an increased frequency of variants in the gene encoding angiogenin (ANG) in patients with amyotrophic lateral sclerosis (ALS). Interestingly, a few ALS patients carrying ANG variants also showed signs of Parkinson disease (PD). Furthermore, relatives of ALS patients have an increased risk to develop PD, and the prevalence of concomitant motor neuron disease in PD is higher than expected based on chance occurrence. We therefore investigated whether ANG variants could predispose to both ALS and PD. Methods:: We reviewed all previous studies on ANG in ALS and performed sequence experiments on additional samples, which allowed us to analyze data from 6,471 ALS patients and 7,668 controls from 15 centers (13 from Europe and 2 from the USA). We sequenced DNA samples from 3,146 PD patients from 6 centers (5 from Europe and 1 from the USA). Statistical analysis was performed using the variable threshold test, and the Mantel‐Haenszel procedure was used to estimate odds ratios. Results:: Analysis of sequence data from 17,258 individuals demonstrated a significantly higher frequency of ANG variants in both ALS and PD patients compared to control subjects (p = 9.3 × 10−6 for ALS and p = 4.3 × 10−5 for PD). The odds ratio for any ANG variant in patients versus controls was 9.2 for ALS and 6.7 for PD. Interpretation:: The data from this multicenter study demonstrate that there is a strong association between PD, ALS, and ANG variants. ANG is a genetic link between ALS and PD. ANN NEUROL 2011;70:964–973</abstract>
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<title>Annals of Neurology</title>
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<title>Ann Neurol.</title>
</titleInfo>
<genre type="Journal">journal</genre>
<note type="content"> Additional supporting information can be found in the online version of this article.Supporting Info Item: Supp Info - </note>
<subject>
<genre>article category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0364-5134</identifier>
<identifier type="eISSN">1531-8249</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8249</identifier>
<identifier type="PublisherID">ANA</identifier>
<part>
<date>2011</date>
<detail type="volume">
<caption>vol.</caption>
<number>70</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>6</number>
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<start>964</start>
<end>973</end>
<total>10</total>
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<identifier type="istex">1104402D2CD5B78610B101FB2326A7D93EC038A3</identifier>
<identifier type="DOI">10.1002/ana.22611</identifier>
<identifier type="ArticleID">ANA22611</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 American Neurological Association</accessCondition>
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