2018
DOI: 10.3389/fneur.2018.01021
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A Meta-Analysis of α-Synuclein Multiplication in Familial Parkinsonism

Abstract: Chronic alpha-synuclein (SNCA) overexpression is a relatively homogenous and well-defined cause of parkinsonism and dementia. Parkinson's disease (PD), PD with dementia, dementia with Lewy bodies and multiple system atrophy all manifest in SNCA multiplication families. Herein we summarize genealogic, clinical and genetic data from 59 families (25 not previously published) with parkinsonism caused by SNCA multiplications. Longitudinal clinical assessments and genealogic relationships were documented for all fam… Show more

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Cited by 97 publications
(98 citation statements)
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“…It is important to state that we filtered and assessed all 1.2-fold expression dysregulations with nominal significance, if they were components of a pathway that showed enrichment after correction for multiple testing. The reasoning behind the screening of so subtle changes comes from research into Parkinson’s disease (PD), where 2-fold dosage increase of the disease protein alpha-synuclein was shown to trigger disease onset at ages of 30 years, 1.5-fold increase causes onset around 50 years, and 1.3-fold increase starts disease after 70 years of age [19, 34, 191]. The survey of 1.2-fold global transcriptome dysregulations in a PD mouse model correctly discovered neuroinflammatory changes as initial molecular pathology, which were later found to be crucial for a successful rescue [193, 205].…”
Section: Resultsmentioning
confidence: 99%
“…It is important to state that we filtered and assessed all 1.2-fold expression dysregulations with nominal significance, if they were components of a pathway that showed enrichment after correction for multiple testing. The reasoning behind the screening of so subtle changes comes from research into Parkinson’s disease (PD), where 2-fold dosage increase of the disease protein alpha-synuclein was shown to trigger disease onset at ages of 30 years, 1.5-fold increase causes onset around 50 years, and 1.3-fold increase starts disease after 70 years of age [19, 34, 191]. The survey of 1.2-fold global transcriptome dysregulations in a PD mouse model correctly discovered neuroinflammatory changes as initial molecular pathology, which were later found to be crucial for a successful rescue [193, 205].…”
Section: Resultsmentioning
confidence: 99%
“…As a positive control for aCGH, we also included a sample from a known subject with an SNCA triplication. [38][39][40][41] We also interrogated a Baylor Genetics diagnostic laboratory sample including 12,922 clinical referral samples for aCGH from peripheral blood. 42 This analysis of aggregate clinical genomic data was also approved by the BCM Institutional Review Board.…”
Section: Subjectsmentioning
confidence: 99%
“…64,65 As a positive control for our aCGH analysis, we also included a known SNCA triplication sample from the index family in which SNCA locus multiplication was first discovered as a cause for PD. [38][39][40][41] Breakpoint sequencing revealed that this copy number alteration is a 1.7 Mb complex genomic rearrangement ( Figure 1B), consisting of a duplication-inverted triplication-duplication (DUP-TRP/INV-DUP). This finding confirms and extends prior investigation of this particular structural variant 66 and is also consistent with a likely replication-based mechanism for CNV formation.…”
Section: Copy Number Variantsmentioning
confidence: 99%
“…Notably, mouse lethality observed from the brain‐specific double knockout of both GAK ( DNAJC26 ) and auxilin ( DNAJC6 ) can be rescued by introducing a 3’‐fragment of the complimentary DNA (cDNA) sequence that retains both clathrin‐binding and J domains . Perhaps most remarkably, neurodegeneration in the DnaJ Heat Shock Protein Family (Hsp40) Member C5 ( DNAJC5 ) null mouse is rescued by α‐synuclein overexpression, yet α‐synuclein multiplication mutations cause familial parkinsonism . Several more genes that directly encode lysosomal proteins have been implicated in familial/atypical parkinsonism including ATPase Cation Transporting 13A2 ( ATP13A2 ), ATPase H+ Transporting Accessory Protein 2 ( ATP6AP2 ), Glucosylceramidase Beta ( GBA ), Phospholipase A2 Group VI ( PLA2G6 ), RAB39B and Scavenger Receptor Class B Member 2 ( SCARB2 ) .…”
mentioning
confidence: 99%
“…13 Perhaps most remarkably, neurodegeneration in the DnaJ Heat Shock Protein Family (Hsp40) Member C5 (DNAJC5) null mouse is rescued by α-synuclein overexpression, 14 yet α-synuclein multiplication mutations cause familial parkinsonism. 15 Several more genes that directly encode lysosomal proteins have been implicated in familial/atypical parkinsonism including ATPase Cation Transporting 13A2 (ATP13A2), ATPase H+ Transporting Accessory Protein 2 (ATP6AP2), Glucosylceramidase Beta (GBA), Phospholipase A2 Group VI (PLA2G6), RAB39B and Scavenger Receptor Class B Member 2 (SCARB2). 16 However, compromised lysosomal-autophagic processing may contribute to the inclusion pathology observed in many neurodegenerative disorders, not only the selective vulnerability of midbrain dopaminergic neurons.…”
mentioning
confidence: 99%