Article

PINK1 homozygous W437X mutation in a patient with apparent dominant transmission of Parkinsonism

Department of Neurological Sciences, Federico II University, Naples, Italy.
Movement Disorders (Impact Factor: 5.63). 08/2006; 21(8):1265-7. DOI: 10.1002/mds.20933
Source: PubMed

ABSTRACT We analyzed the PINK1 gene in 58 patients with early-onset Parkinsonism and detected the homozygous mutation W437X in I patient. The clinical phenotype was characterized by early onset (22 years of age), good response to levodopa, early fluctuations and dyskinesias, and psychiatric symptoms. The mother, heterozygote for W437X mutation, was affected by Parkinson's disease and 3 further relatives were reported affected, according to an autosomal dominant transmission. (C) 2006 Movement Disorder Society.

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    • "On the other hand, FH and AAO may be unreliable parameters; a better understanding of the pattern of inheritance, penetrance, and carrier frequency are needed to interpret the significance of these single heterozygous mutations. Apparently autosomal dominant (AD) forms of inheritance have also been noted [Criuscolo et al., 2006]. All these data point to the possibility that these heterozygous mutations may be pathogenic in an AD manner or may act as strong genetic risk factors in sporadic EOPD (as cases #33 and #34). "
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    • "Most recessive alleles result in the absence of the encoded protein or inactive protein and consequently in a loss of function. Homozygous or heterozygous mutations in the recessive genes parkin (PARK2), PINK1 (PARK6), and DJ-1 (PARK7) are unequivocally associated with a heritable early age at onset, in most cases before age 40, and no atypical signs [213] [214] [215]. Furthermore , autosomal recessive PD is characterized by: (1) slowly progressive disease course; (2) excellent response to L-DOPA, despite early L-DOPA induced dyskinesias; and (3) minimal cognitive decline and dysautonomia. "
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    • "A blood sample from his healthy mother was not available but, as a consequence of the genetic status of the proband, she was determined to be an obligated heterozygote. A similar pseudodominant condition has previously been reported in a homozygous patient carrying the W437X mutation [5] whose heterozygous mother was affected. The question of whether single heterozygous mutations in the recessive genes parkin and PINK1 are implicated in the development of the disease is still under debate. "
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    ABSTRACT: Mutations in the PINK1 gene represent the second most frequent cause of early-onset Parkinson's disease (EOPD). One or two mutated alleles were also reported in some sporadic or familial patients suffering from late-onset Parkinson's disease (LOPD). We aimed at assessing the frequency of mutations in this gene in our population. We performed a sequence analysis of PINK1 in 115 patients diagnosed with Parkinson's disease (PD) from southern Italy, including 93 sporadic cases with EOPD, 9 familial cases with EOPD, and 13 familial cases with LOPD. Three known homozygous mutations (Q456X, W437X, Q126P), corresponding to a 2.6% of all cases, were found. In particular, one mutation was detected among the sporadic cases (1.0%), one mutation among the familial early-onset patients (11.1%) and one mutation among the familial late-onset patients (7.7%). In addition, we found two heterozygous mutations (E476K, R207Q) among the sporadic patients. Only one mutation (R207Q) had not been previously described. Our results assess the role played by PINK1 in EOPD in southern Italy and illustrate the existence of mutations in this gene also in the late-onset form of the disease.
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