International Study Reveals Gene Mutations as Underlying Risk for Most Common Form of Parkinson’s Disease
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International Study Reveals Gene Mutations as Underlying Risk for Most Common Form of Parkinson’s Disease

BETHESDA, Md -- November 16, 2009 -- Two genes containing mutations known to cause rare familial forms of parkinsonism are also associated with the more common, sporadic form of the disease where there is no family history, researchers have found. These findings are presented in the November 15 online issue of Nature Genetics.

The discovery came in the largest genome-wide association study (GWAS) reported to date involving Parkinson’s disease. GWAS studies look in the DNA on all of the chromosomes in a specific population of individuals for common genetic associations with a disease. To date, such studies have been done on relatively small numbers of samples and have not been able to identify genetic variations of smaller effect in Parkinson’s disease.

The GWAS studies require large numbers of DNA samples in order to identify these elusive genetic variations -- a hurdle the international team of researchers overcame through collaboration.

“Because previous Parkinson’s GWAS were too small and lacked power, we worked together to compile and analyse the large data sets needed to identify the elusive genetic variations that play a role in this complex disease,” said Andrew B. Singleton, PhD, National Institute on Aging (NIA) Laboratory of Neurogenetics, Bethesda, Maryland, who co-led the study with Thomas Gasser, MD, Hertie Institute for Clinical Brain Research, University of Tubingen, and the German Center for Neurodegenerative Disease, Tubingen, Germany.

“With this better understanding of the underlying genetic variants involved in the progress of this disorder, we have more insight into the causes and underlying biology of this disease,” said Dr. Singleton. “We hope this new understanding will one day provide us with strategies to delay, or even prevent, the development of Parkinson’s disease.”

Collaborating scientists in the United States and Europe pooled nearly 14,000 DNA samples and data to confirm that mutations in the alpha-synuclein (SNCA) gene and microtubule associated protein tau (MAPT), both present in the general population, are risk factors for sporadic Parkinson’s disease.

In an independent study from Japan, researchers also identified a different combination of genetic variants as risk factors in people of Japanese descent, a finding that highlights the power of GWAS in comparing risk factors among different populations.

The 2-phase GWAS first analysed DNA samples of 1,713 people with the disease and 3,978 free of the disorder, all of whom were Europeans. The findings were then replicated in a similar group of 3,361 people with Parkinson’s disease and 4,573 without the disorder.

Following the initial findings implicating SNCA and MAPT variants as risk factors for typical Parkinson’s disease, the team then compared results with researchers performing a GWAS study in a group of Japanese people (2,816 with Parkinson’s disease and 3,401 free of the disorder). This second GWAS also revealed the strong association for SNCA but not for MAPT. Additionally, both GWAS studies found evidence for 2 additional risk variants; the first, which was strongest in the Japanese population, was named Park16; the second is close to a gene, LRRK2, which Dr. Singleton’s and Dr. Gasser’s groups previously found contains mutations that cause an inherited form of Parkinson’s disease.

“These findings support the notion that the sporadic and rare familial forms of the disease are related and that common genetic variability plays a role in developing the disorder,” said NIA Director Richard J. Hodes, MD. “Future GWAS involving greater numbers of DNA samples will likely reveal additional common genetic risk factors. As we continue to use these and other novel approaches to understand complex diseases, we move closer to a complete understanding of the genetic basis of Parkinson’s disease.”

SOURCE: National Institute on Aging - National Institutes of Health (NIH)

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