Parkinson’s families project: a UK-wide study of early onset and familial Parkinson’s disease
The Parkinson's Families Project is a UK-wide study aimed at identifying genetic variation associated with familial and early-onset Parkinson's disease (PD). We recruited individuals with a clinical diagnosis of PD and age at motor symptom onset ≤45 years and/or a family history of PD in up to third-degree relatives. Where possible, we also recruited affected and unaffected relatives. We analysed DNA samples with a combination of single nucleotide polymorphism (SNP) array genotyping, multiplex ligation-dependent probe amplification (MLPA), and whole-genome sequencing (WGS). We investigated the association between identified pathogenic mutations and demographic and clinical factors such as age at motor symptom onset, family history, motor symptoms (MDS-UPDRS) and cognitive performance (MoCA). We performed baseline genetic analysis in 718 families, of which 205 had sporadic early-onset PD (sEOPD), 113 had familial early-onset PD (fEOPD), and 400 had late-onset familial PD (fLOPD). 69 (9.6%) of these families carried pathogenic variants in known monogenic PD-related genes. The rate of a molecular diagnosis increased to 28.1% in PD with motor onset ≤35 years. We identified pathogenic variants in LRRK2 in 4.2% of families, and biallelic pathogenic variants in PRKN in 3.6% of families. We also identified two families with SNCA duplications and three families with a pathogenic repeat expansion in ATXN2, as well as single families with pathogenic variants in VCP, PINK1, PNPLA6, PLA2G6, SPG7, GCH1, and RAB32. An additional 73 (10.2%) families were carriers of at least one pathogenic or risk GBA1 variant. Most early-onset and familial PD cases do not have a known genetic cause, indicating that there are likely to be further monogenic causes for PD.
Authors
- Anjum Misbahuddin
- Raquel Real (ORCID: https://orcid.org/0000-0001-8117-742X)
- Rosaria Buccoliero
- Yen Tai (ORCID: https://orcid.org/0000-0002-3987-0113)
- Rosemary Crouch
- Ray Sheridan (ORCID: https://orcid.org/0000-0001-9169-6549)
- Ralph Gregory
- Lesley Wu (ORCID: https://orcid.org/0000-0001-5464-5603)
- R. B. Truscott
- Megan Hodgson
- Ayano Funaki
- Annette Hand (ORCID: https://orcid.org/0000-0002-9364-757X)
- Russel Tilney (ORCID: https://orcid.org/0000-0003-3498-6990)
- Zih‐Hua Fang (ORCID: https://orcid.org/0000-0002-0225-8772)
- Sigurlaug Sveinbjörnsdóttir
- Charlotte Brierley (ORCID: https://orcid.org/0000-0002-4028-3733)
- Christine Klein (ORCID: https://orcid.org/0000-0003-2102-3431)
- Erica Capps
- Khaled Amar
- К. Ray Chaudhuri (ORCID: https://orcid.org/0000-0003-2815-0505)
- Louise Wiblin (ORCID: https://orcid.org/0000-0002-6003-9383)
- Sophie Molloy (ORCID: https://orcid.org/0009-0003-7830-1575)
- Sukaina Asad
- Jason Raw
- Clodagh Towns (ORCID: https://orcid.org/0000-0001-8418-6241)
- Jeremy Cosgrove
- Manuela Tan (ORCID: https://orcid.org/0000-0001-5835-669X)
- Lara Mariah Lange (ORCID: https://orcid.org/0000-0002-7162-9821)
- Carl Mann (ORCID: https://orcid.org/0000-0001-7212-1512)
- Colin Barnes (ORCID: https://orcid.org/0000-0001-6422-8045)
- Sean Slaght
- Carinna Vickers (ORCID: https://orcid.org/0000-0003-3071-1180)
- Suzanne Dean (ORCID: https://orcid.org/0000-0003-0355-2727)
- Anthony H.V. Schapira (ORCID: https://orcid.org/0000-0002-3018-3966)
- Louise Hartley
- Eleanor J. Stafford (ORCID: https://orcid.org/0000-0003-2451-4308)
- Nicholas William Wood (ORCID: https://orcid.org/0000-0002-9500-3348)
- Diran Padiachy
- Anette E. Schrag (ORCID: https://orcid.org/0000-0002-9872-6680)
- Cornelis Blauwendraat (ORCID: https://orcid.org/0000-0001-9358-8111)
- Rani Sophia
- Dominic Paviour
- Marek Kunc
- Henry Houlden (ORCID: https://orcid.org/0000-0002-2866-7777)
- Robyn Labrum
- Edward L. Jones (ORCID: https://orcid.org/0000-0002-1449-8255)
- Mirdhu Wickremaratchi
- Tabish A. Saifee (ORCID: https://orcid.org/0000-0001-8071-0042)
- I. Gentilini
- Andrew B. Singleton (ORCID: https://orcid.org/0000-0001-5606-700X)
- Jason Hehir (ORCID: https://orcid.org/0000-0002-8185-9241)
- Kailash P. Bhatia (ORCID: https://orcid.org/0000-0001-8185-286X)
- Sion Jones
- Uma Nath
- Theresa M. Schmaderer
- Simona Jasaityte (ORCID: https://orcid.org/0009-0009-6030-2901)
- James Polke
- Sunku H. Guptha
- Oliver Bandmann
- Gillian Webster
- E Wales
- D F D'Costa
- S. M. Tuck
- Richard Walker
- Neil Archibald
- Paul Jarman
- Sarah Williams
- Miriam Pollard
- Saifuddin Shaik
- Lucy Strens
- Elizabeth Wakeman
- Sam Arianayagam
- Aileen Nacorda
Institutions
- Oslo University Hospital (NO)
- Betsi Cadwaladr University Health Board (GB)
- Barking, Havering And Redbridge University Hospitals NHS Trust (GB)
- Lancashire Teaching Hospitals NHS Foundation Trust (GB)
- National Institutes of Health (US)
- Imperial College Healthcare NHS Trust (GB)
- Queen Mary University of London (GB)
- King's College London (GB)
- Barts Health NHS Trust (GB)
- University of Cambridge (GB)
- Leeds Teaching Hospitals NHS Trust (GB)
- Royal Devon & Exeter NHS Foundation Trust (GB)
- Royal Cornwall Hospital Trust (GB)
- North Tyneside General Hospital (GB)
- Royal Cornwall Hospital (GB)
- New Cross Hospital (GB)
- Hillingdon Hospitals NHS Foundation Trust (GB)
- West Suffolk NHS Foundation Trust (GB)
- Fairfield General Hospital (GB)
- University Hospitals of North Midlands NHS Trust (GB)
- Yeovil District Hospital NHS Foundation Trust (GB)
- Peterborough City Hospital (GB)
- Luton and Dunstable University Hospital NHS Foundation Trust (GB)
- Royal Stoke University Hospital (GB)
- Birmingham Community Healthcare NHS Trust (GB)
- London North West Healthcare NHS Trust (GB)
- Worthing Hospital (GB)
- Solent NHS Trust (GB)
- St Helens and Knowsley Teaching Hospitals NHS Trust (GB)
- Dorset County Hospital NHS Foundation Trust (GB)
- Poole Hospital (GB)
- Northumbria Healthcare NHS Foundation Trust (GB)
- The Royal Free Hospital (GB)
- James Cook University Hospital (GB)
- St George’s University Hospitals NHS Foundation Trust (GB)
- Royal London Hospital (GB)
- Scarborough General Hospital (GB)
- Broomfield Hospital (GB)
- German Center for Neurodegenerative Diseases (DE)
- Isle of Wight NHS Trust (GB)
- Royal Shrewsbury Hospital (GB)
- University Hospitals of Leicester NHS Trust (GB)
- Harrogate and District NHS Foundation Trust (GB)
- Queen Alexandra Hospital (GB)
- University Hospital Southampton NHS Foundation Trust (GB)
- South Tees Hospitals NHS Foundation Trust (GB)
- Airedale NHS Foundation Trust (GB)
- Hampshire Hospitals NHS Foundation Trust (GB)
- Northumbria University (GB)
- North Cumbria Integrated Care NHS Foundation Trust (GB)
- Central London Community Healthcare NHS Trust (GB)
- Norfolk Community Health and Care NHS Trust (GB)
- National Institute of Neurological Disorders and Stroke (US)
- King's College Hospital NHS Foundation Trust (GB)
- University Hospital Schleswig-Holstein (DE)
- Sunderland Royal Hospital (GB)
- Taunton & Somerset NHS Foundation Trust (GB)
- Coventry (United Kingdom) (GB)
- St Mary's Hospital (GB)
- South Tyneside and Sunderland NHS Foundation Trust (GB)
- National Institute on Aging (US)
- UCL Biomedical Research Centre (GB)
- Wye Valley NHS Trust (GB)
- Shrewsbury and Telford Hospital NHS Trust (GB)
- University Hospitals Sussex NHS Foundation Trust (GB)
- National Hospital for Neurology and Neurosurgery (GB)
- The Royal Wolverhampton NHS Trust (GB)
- Research Network (United States) (US)
- NIHR Research Delivery Network (GB)
- St. Mary's Hospital (GB)
- University Hospitals Dorset NHS Foundation Trust
- Somerset NHS Foundation Trust
- University College London (GB)
- Imperial College London (GB)
- Salisbury NHS Foundation Trust (GB)
- University of Sheffield (GB)
- University of Lübeck (DE)
Publication Details
- Journal
- npj Parkinson s Disease
- Published
- 2024-10-17
- DOI
- https://doi.org/10.1038/s41531-024-00778-z
- Citations
- 21
- Primary Topic
- Parkinson's Disease Mechanisms and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 7.75
Funders
- Michael J. Fox Foundation for Parkinson's Research
- Cure Parkinson’s Trust
- Wellcome Trust
- Cancer Research UK
- National Institute for Health and Care Research
- Department of Health and Social Care
- Parkinson's UK
- Medical Research Council