| Home > Publications Database > Global investigation and meta-analysis of the C9orf72 (G4C2)n repeat in Parkinson disease. |
| Journal Article | DZNE-2020-07699 |
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2014
Ovid
[S.l.]
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Please use a persistent id in citations: doi:10.1212/WNL.0000000000001012
Abstract: The objective of this study is to clarify the role of (G4C2)n expansions in the etiology of Parkinson disease (PD) in the worldwide multicenter Genetic Epidemiology of Parkinson's Disease (GEO-PD) cohort.C9orf72 (G4C2)n repeats were assessed in a GEO-PD cohort of 7,494 patients diagnosed with PD and 5,886 neurologically healthy control individuals ascertained in Europe, Asia, North America, and Australia.A pathogenic (G4C2)n>60 expansion was detected in only 4 patients with PD (4/7,232; 0.055%), all with a positive family history of neurodegenerative dementia, amyotrophic lateral sclerosis, or atypical parkinsonism, while no carriers were detected with typical sporadic or familial PD. Meta-analysis revealed a small increase in risk of PD with an increasing number of (G4C2)n repeats; however, we could not detect a robust association between the C9orf72 (G4C2)n repeat and PD, and the population attributable risk was low.Together, these findings indicate that expansions in C9orf72 do not have a major role in the pathogenesis of PD. Testing for C9orf72 repeat expansions should only be considered in patients with PD who have overt symptoms of frontotemporal lobar degeneration/amyotrophic lateral sclerosis or apparent family history of neurodegenerative dementia or motor neuron disease.
Keyword(s): C9orf72 Protein (MeSH) ; Cohort Studies (MeSH) ; DNA Repeat Expansion: genetics (MeSH) ; Female (MeSH) ; Humans (MeSH) ; Internationality (MeSH) ; Male (MeSH) ; Middle Aged (MeSH) ; Parkinson Disease: diagnosis (MeSH) ; Parkinson Disease: epidemiology (MeSH) ; Parkinson Disease: genetics (MeSH) ; Proteins: genetics (MeSH) ; C9orf72 Protein ; C9orf72 protein, human ; Proteins
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