PMID- 10072423 OWN - NLM STAT- MEDLINE DCOM- 19990429 LR - 20190513 IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 8 IP - 4 DP - 1999 Apr TI - A wide variety of mutations in the parkin gene are responsible for autosomal recessive parkinsonism in Europe. French Parkinson's Disease Genetics Study Group and the European Consortium on Genetic Susceptibility in Parkinson's Disease. PG - 567-74 AB - Autosomal recessive juvenile parkinsonism (AR-JP, PARK2; OMIM 602544), one of the monogenic forms of Parkinson's disease (PD), was initially described in Japan. It is characterized by early onset (before age 40), marked response to levodopa treatment and levodopa-induced dyskinesias. The gene responsible for AR-JP was recently identified and designated parkin. We have analysed the 12 coding exons of the parkin gene in 35 mostly European families with early onset autosomal recessive parkinsonism. In one family, a homozygous deletion of exon 4 could be demonstrated. By direct sequencing of the exons in the index patients of the remaining 34 families, eight previously undescribed point mutations (homozygous or heterozygous) were detected in eight families that included 20 patients. The mutations segregated with the disease in the families and were not detected on 110-166 control chromosomes. Four mutations caused truncation of the parkin protein. Three were frameshifts (202-203delAG, 255delA and 321-322insGT) and one a nonsense mutation (Trp453Stop). The other four were missense mutations (Lys161Asn, Arg256Cys, Arg275Trp and Thr415Asn) that probably affect amino acids that are important for the function of the parkin protein, since they result in the same phenotype as truncating mutations or homozygous exon deletions. Mean age at onset was 38 +/- 12 years, but onset up to age 58 was observed. Mutations in the parkin gene are therefore not invariably associated with early onset parkinsonism. In many patients, the phenotype is indistinguishable from that of idiopathic PD. This study has shown that a wide variety of different mutations in the parkin gene are a common cause of autosomal recessive parkinsonism in Europe and that different types of point mutations seem to be more frequently responsible for the disease phenotype than are deletions. FAU - Abbas, N AU - Abbas N AD - INSERM U289, Hopital de la Salpetriere, 47 Boulevard de l'Hopital, 75651 Paris Cedex 13, France. FAU - Lucking, C B AU - Lucking CB FAU - Ricard, S AU - Ricard S FAU - Durr, A AU - Durr A FAU - Bonifati, V AU - Bonifati V FAU - De Michele, G AU - De Michele G FAU - Bouley, S AU - Bouley S FAU - Vaughan, J R AU - Vaughan JR FAU - Gasser, T AU - Gasser T FAU - Marconi, R AU - Marconi R FAU - Broussolle, E AU - Broussolle E FAU - Brefel-Courbon, C AU - Brefel-Courbon C FAU - Harhangi, B S AU - Harhangi BS FAU - Oostra, B A AU - Oostra BA FAU - Fabrizio, E AU - Fabrizio E FAU - Bohme, G A AU - Bohme GA FAU - Pradier, L AU - Pradier L FAU - Wood, N W AU - Wood NW FAU - Filla, A AU - Filla A FAU - Meco, G AU - Meco G FAU - Denefle, P AU - Denefle P FAU - Agid, Y AU - Agid Y FAU - Brice, A AU - Brice A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - 0 (Proteins) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 2.3.2.27 (parkin protein) RN - EC 6.- (Ligases) SB - IM MH - Binding Sites MH - Europe MH - Exons/genetics MH - Family Health MH - Female MH - Gene Deletion MH - Genes, Recessive/*genetics MH - Genotype MH - Humans MH - *Ligases MH - Male MH - Mutation MH - Parkinson Disease/*genetics MH - Pedigree MH - Phenotype MH - Point Mutation MH - Polymorphism, Genetic MH - Proteins/*genetics MH - *Ubiquitin-Protein Ligases EDAT- 1999/03/11 00:00 MHDA- 1999/03/11 00:01 CRDT- 1999/03/11 00:00 PHST- 1999/03/11 00:00 [pubmed] PHST- 1999/03/11 00:01 [medline] PHST- 1999/03/11 00:00 [entrez] AID - ddc081 [pii] AID - 10.1093/hmg/8.4.567 [doi] PST - ppublish SO - Hum Mol Genet. 1999 Apr;8(4):567-74. doi: 10.1093/hmg/8.4.567.