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024 7 _ |a 10.1002/ana.24781
|2 doi
024 7 _ |a pmid:27717005
|2 pmid
024 7 _ |a pmc:PMC5244667
|2 pmc
024 7 _ |a 0364-5134
|2 ISSN
024 7 _ |a 1531-8249
|2 ISSN
024 7 _ |a altmetric:12138885
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037 _ _ |a DZNE-2020-05214
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Liu, Ganqiang
|b 0
245 _ _ |a Specifically neuropathic Gaucher's mutations accelerate cognitive decline in Parkinson's.
260 _ _ |a Hoboken, NJ
|c 2016
|b Wiley-Blackwell
264 _ 1 |3 online
|2 Crossref
|b Wiley
|c 2016-11-18
264 _ 1 |3 print
|2 Crossref
|b Wiley
|c 2016-11-01
336 7 _ |a article
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336 7 _ |a Output Types/Journal article
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336 7 _ |a Journal Article
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336 7 _ |a ARTICLE
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336 7 _ |a JOURNAL_ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a We hypothesized that specific mutations in the β-glucocerebrosidase gene (GBA) causing neuropathic Gaucher's disease (GD) in homozygotes lead to aggressive cognitive decline in heterozygous Parkinson's disease (PD) patients, whereas non-neuropathic GD mutations confer intermediate progression rates.A total of 2,304 patients with PD and 20,868 longitudinal visits for up to 12.8 years (median, 4.1) from seven cohorts were analyzed. Differential effects of four types of genetic variation in GBA on longitudinal cognitive decline were evaluated using mixed random and fixed effects and Cox proportional hazards models.Overall, 10.3% of patients with PD and GBA sequencing carried a mutation. Carriers of neuropathic GD mutations (1.4% of patients) had hazard ratios (HRs) for global cognitive impairment of 3.17 (95% confidence interval [CI], 1.60-6.25) and a hastened decline in Mini-Mental State Exam scores compared to noncarriers (p = 0.0009). Carriers of complex GBA alleles (0.7%) had an HR of 3.22 (95% CI, 1.18-8.73; p = 0.022). By contrast, the common, non-neuropathic N370S mutation (1.5% of patients; HR, 1.96; 95% CI, 0.92-4.18) or nonpathogenic risk variants (6.6% of patients; HR, 1.36; 95% CI, 0.89-2.05) did not reach significance.Mutations in the GBA gene pathogenic for neuropathic GD and complex alleles shift longitudinal cognitive decline in PD into 'high gear.' These findings suggest a relationship between specific types of GBA mutations and aggressive cognitive decline and have direct implications for improving the design of clinical trials. Ann Neurol 2016;80:674-685.
536 _ _ |a 345 - Population Studies and Genetics (POF3-345)
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542 _ _ |i 2015-09-01
|2 Crossref
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588 _ _ |a Dataset connected to CrossRef, PubMed,
650 _ 7 |a Glucosylceramidase
|0 EC 3.2.1.45
|2 NLM Chemicals
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: etiology
|2 MeSH
650 _ 2 |a Cognitive Dysfunction: genetics
|2 MeSH
650 _ 2 |a Disease Progression
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Gaucher Disease: complications
|2 MeSH
650 _ 2 |a Gaucher Disease: genetics
|2 MeSH
650 _ 2 |a Glucosylceramidase: genetics
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Longitudinal Studies
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Parkinson Disease: complications
|2 MeSH
650 _ 2 |a Parkinson Disease: genetics
|2 MeSH
700 1 _ |a Boot, Brendon
|b 1
700 1 _ |a Locascio, Joseph J
|b 2
700 1 _ |a Jansen, Iris E
|0 P:(DE-2719)2813349
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700 1 _ |a Winder-Rhodes, Sophie
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700 1 _ |a Eberly, Shirley
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700 1 _ |a Elbaz, Alexis
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700 1 _ |a Brice, Alexis
|b 7
700 1 _ |a Ravina, Bernard
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700 1 _ |a van Hilten, Jacobus J
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700 1 _ |a Cormier-Dequaire, Florence
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700 1 _ |a Corvol, Jean-Christophe
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700 1 _ |a Barker, Roger A
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700 1 _ |a Heutink, Peter
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700 1 _ |a Marinus, Johan
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700 1 _ |a Williams-Gray, Caroline H
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700 1 _ |a Scherzer, Clemens R
|0 P:(DE-HGF)0
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|e Corresponding author
700 1 _ |a Progression, International Genetics of Parkinson Disease
|b 17
700 1 _ |a Scherzer, C.
|b 18
700 1 _ |a Hyman, B. T.
|b 19
700 1 _ |a Ivinson, A. J.
|b 20
700 1 _ |a Trisini-Lipsanopoulos, A.
|b 21
700 1 _ |a Franco, D.
|b 22
700 1 _ |a Burke, K.
|b 23
700 1 _ |a Sudarsky, L. R.
|b 24
700 1 _ |a Hayes, M. T.
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700 1 _ |a Umeh, C. C.
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700 1 _ |a Growdon, J. H.
|b 27
700 1 _ |a Schwarzschild, M. A.
|b 28
700 1 _ |a Hung, A. Y.
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700 1 _ |a Flaherty, A. W.
|b 30
700 1 _ |a Wills, A-M
|b 31
700 1 _ |a Mejia, N. I.
|b 32
700 1 _ |a Gomperts, S. N.
|b 33
700 1 _ |a Khurana, V.
|b 34
700 1 _ |a Selkoe, D. J.
|b 35
700 1 _ |a Yi, T.
|b 36
700 1 _ |a Page, K.
|b 37
700 1 _ |a Liao, Z.
|b 38
700 1 _ |a Barker, R.
|b 39
700 1 _ |a Foltynie, T.
|b 40
700 1 _ |a Williams-Gray, C. H.
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700 1 _ |a Mason, S.
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700 1 _ |a Winder-Rhodes, S.
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700 1 _ |a Barker, R.
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700 1 _ |a Williams-Gray, C. H.
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700 1 _ |a Breen, D.
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700 1 _ |a Cummins, G.
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700 1 _ |a Evans, J.
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700 1 _ |a Winder-Rhodes, S.
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700 1 _ |a Corvol, J-C
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700 1 _ |a Brice, A.
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700 1 _ |a Elbaz, A.
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700 1 _ |a Mallet, A.
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700 1 _ |a Vidailhet, M.
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700 1 _ |a Bonnet, A-M
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700 1 _ |a Bonnet, C.
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700 1 _ |a Grabli, D.
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700 1 _ |a Hartmann, A.
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700 1 _ |a Klebe, S.
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700 1 _ |a Lacomblez, L.
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700 1 _ |a Mangone, G.
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700 1 _ |a Bourdain, F.
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700 1 _ |a Brandel, J-P
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700 1 _ |a Derkinderen, P.
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700 1 _ |a Durif, F.
|b 65
700 1 _ |a Mesnage, V.
|b 66
700 1 _ |a Pico, F.
|b 67
700 1 _ |a Rascol, O.
|b 68
700 1 _ |a Forlani, S.
|b 69
700 1 _ |a Lesage, S.
|b 70
700 1 _ |a Tahiri, K.
|b 71
700 1 _ |a van Hilten, J. J.
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700 1 _ |a Marinus, J.
|b 73
700 1 _ |a Liao, Z.
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700 1 _ |a Page, K.
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700 1 _ |a Franco, D.
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700 1 _ |a Duong, K.
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700 1 _ |a Yi, T.
|b 78
700 1 _ |a Trisini-Lipsanopoulos, A.
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700 1 _ |a Dong, X.
|b 80
700 1 _ |a Sudarsky, L. R.
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700 1 _ |a Hutten, S. J.
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700 1 _ |a Amr, S. S.
|b 83
700 1 _ |a Shoulson, I.
|b 84
700 1 _ |a Tanner, C. M.
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700 1 _ |a Lang, A. E.
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773 _ _ |a 10.1002/ana.24781
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Marc 21