Abstract | OBJECTIVE: DESIGN: Case-control study. Subjects A total of 172 patients with DLBD consistent with a clinical diagnosis of Parkinson disease dementia/ dementia with Lewy bodies and 350 clinically and 97 pathologically normal controls. INTERVENTIONS: Sequencing of SNCA, SNCB, and SNCG and genotyping of single-nucleotide polymorphisms performed on an Applied Biosystems capillary sequencer and a Sequenom MassArray pLEX platform, respectively. Associations were determined using chi(2) or Fisher exact tests. RESULTS: Initial sequencing studies of the coding regions of each gene in 89 patients with DLBD did not detect any pathogenic substitutions. Nevertheless, genotyping of known polymorphic variability in sequence-conserved regions detected several single-nucleotide polymorphisms in the SNCA and SNCG genes that were significantly associated with disease (P = .05 to <.001). Significant association was also observed for 3 single-nucleotide polymorphisms located in SNCB when comparing DLBD cases and pathologically confirmed normal controls (P = .03-.01); however, this association was not significant for the clinical controls alone or the combined clinical and pathological controls (P > .05). After correction for multiple testing, only 1 single-nucleotide polymorphism in SNCG (rs3750823) remained significant in all of the analyses (P = .05-.009). CONCLUSION: These findings suggest that variants in all 3 members of the synuclein gene family, particularly SNCA and SNCG, affect the risk of developing DLBD and warrant further investigation in larger, pathologically defined data sets as well as clinically diagnosed Parkinson disease/ dementia with Lewy bodies case-control series.
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Authors | Kenya Nishioka, Christian Wider, Carles Vilariño-Güell, Alexandra I Soto-Ortolaza, Sarah J Lincoln, Jennifer M Kachergus, Barbara Jasinska-Myga, Owen A Ross, Alex Rajput, Christopher A Robinson, Tanis J Ferman, Zbigniew K Wszolek, Dennis W Dickson, Matthew J Farrer |
Journal | Archives of neurology
(Arch Neurol)
Vol. 67
Issue 8
Pg. 970-5
(Aug 2010)
ISSN: 1538-3687 [Electronic] United States |
PMID | 20697047
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- alpha-Synuclein
- beta-Synuclein
- gamma-Synuclein
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Topics |
- Aged
- Aged, 80 and over
- Animals
- Biological Evolution
- Female
- Gene Frequency
- Genetic Predisposition to Disease
- Genome-Wide Association Study
- Genotype
- Humans
- Lewy Body Disease
(genetics)
- Linkage Disequilibrium
- Male
- Phylogeny
- Polymorphism, Single Nucleotide
- alpha-Synuclein
(genetics)
- beta-Synuclein
(genetics)
- gamma-Synuclein
(genetics)
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