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Lewy body Parkinson's disease in a large pedigree with 77 Parkin mutation carriers

Identifieur interne : 000837 ( Main/Corpus ); précédent : 000836; suivant : 000838

Lewy body Parkinson's disease in a large pedigree with 77 Parkin mutation carriers

Auteurs : Peter P. Pramstaller ; Michael G. Schlossmacher ; Thomas S. Jacques ; Francesco Scaravilli ; Cordula Eskelson ; Imelda Pepivani ; Katja Hedrich ; Susanna Adel ; Melissa Gonzales-Mcneal ; Rüdiger Hilker ; Patricia L. Kramer ; Christine Klein

Source :

RBID : ISTEX:81B7E6235BA7A3D929AB6EA30F34A1891794AFCA

Abstract

We report the clinical, genetic, and neuropathological findings of a seven generation–spanning pedigree with 196 individuals, 25 of whom had levodopa‐responsive parkinsonism. Genetic analyses indicated Parkin mutations in 77 subjects. Among the 25 patients, 5 carried compound heterozygous mutations and met criteria for definite Parkinson's disease (PD) according to UK PD Society Brain Bank guidelines; 8 subjects carried only a heterozygous Parkin mutation. The mutational status of five deceased patients was unknown, and seven PD patients had no Parkin mutation. Survival analyses showed a significant difference in the age‐at‐onset distribution between patients with compound heterozygous mutations and the groups of heterozygous carriers and subjects without detectable Parkin mutations. Autopsy of a 73‐year‐old patient, who carried two mutant Parkin alleles (delExon7 + del1072T), showed PD‐type cell loss, reactive gliosis, and α‐synuclein–positive Lewy bodies in the substantia nigra and locus ceruleus. Surviving neurons were reactive with antibodies to the N terminus of Parkin but not the In‐Between‐RING (“IBR”) domain, which had been deleted by both mutations. This large Parkin pedigree represents a unique opportunity to prospectively study the role of heterozygous Parkin mutations as a PD risk factor, to identify additional contributors to the expression of late‐onset PD in heterozygous carriers, and to reexamine the role of Parkin in inclusion formation. Ann Neurol 2005;58:411–422

Url:
DOI: 10.1002/ana.20587

Links to Exploration step

ISTEX:81B7E6235BA7A3D929AB6EA30F34A1891794AFCA

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<div type="abstract" xml:lang="en">We report the clinical, genetic, and neuropathological findings of a seven generation–spanning pedigree with 196 individuals, 25 of whom had levodopa‐responsive parkinsonism. Genetic analyses indicated Parkin mutations in 77 subjects. Among the 25 patients, 5 carried compound heterozygous mutations and met criteria for definite Parkinson's disease (PD) according to UK PD Society Brain Bank guidelines; 8 subjects carried only a heterozygous Parkin mutation. The mutational status of five deceased patients was unknown, and seven PD patients had no Parkin mutation. Survival analyses showed a significant difference in the age‐at‐onset distribution between patients with compound heterozygous mutations and the groups of heterozygous carriers and subjects without detectable Parkin mutations. Autopsy of a 73‐year‐old patient, who carried two mutant Parkin alleles (delExon7 + del1072T), showed PD‐type cell loss, reactive gliosis, and α‐synuclein–positive Lewy bodies in the substantia nigra and locus ceruleus. Surviving neurons were reactive with antibodies to the N terminus of Parkin but not the In‐Between‐RING (“IBR”) domain, which had been deleted by both mutations. This large Parkin pedigree represents a unique opportunity to prospectively study the role of heterozygous Parkin mutations as a PD risk factor, to identify additional contributors to the expression of late‐onset PD in heterozygous carriers, and to reexamine the role of Parkin in inclusion formation. Ann Neurol 2005;58:411–422</div>
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<note>Neuroepidemiology Project–South Tyrol</note>
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