2016
DOI: 10.1007/s13311-016-0435-5
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hVMAT2: A Target of Individualized Medication for Parkinson's Disease

Abstract: Vesicular monoamine transporter 2 (VMAT2) is responsible for sequestering cytosolically toxic dopamine into intracellular secretory vesicles. Animal genetic studies have suggested that reduced VMAT2 activity contributes to the genetic etiology of Parkinson's disease (PD), but this role has not been established in humans. Based on human genetic association and meta-analysis, we first confirm the human VMAT2 (hVMAT2 or SLC18A2) promoter as a risk factor for PD in both family and unrelated US white people: marker… Show more

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Cited by 13 publications
(12 citation statements)
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“…Until recently, analysis of the gene (SLC18A2) for VMAT2 within Parkinson’s disease cohorts was unable to conclude that variants in SLC18A2 result in increased likelihood of Parkinson’s disease 31 . However, a study published by Xiong et al in 2016 identified two polymorphisms in SLC18A2 within a Parkinson’s disease cohort 32 . Furthermore, rare mutations in SLC18A2 result in infantile Parkinsonism 33 35 .…”
Section: Discussionmentioning
confidence: 97%
“…Until recently, analysis of the gene (SLC18A2) for VMAT2 within Parkinson’s disease cohorts was unable to conclude that variants in SLC18A2 result in increased likelihood of Parkinson’s disease 31 . However, a study published by Xiong et al in 2016 identified two polymorphisms in SLC18A2 within a Parkinson’s disease cohort 32 . Furthermore, rare mutations in SLC18A2 result in infantile Parkinsonism 33 35 .…”
Section: Discussionmentioning
confidence: 97%
“…Decreases both in the amount and activity of VMAT2 have been detected in postmortem tissue from PD patients, , and mutations in VMAT2 have been identified as causative of infantile parkinsonism . Recent work has identified low-activity variants in VMAT2 that may increase the risk of PD, and gain of function polymorphisms in SLC18A2 have been associated with a decreased risk for PD. Furthermore, data shows a decrease in VMAT2 mRNA from platelets of PD patients, suggesting that a systemic deficiency in VMAT2 may be a pathologic characteristic of the disease . Genetic predisposition only accounts for a portion of PD risk, the rest of which is explained by environmental exposures including manganese and the pesticides rotenone and dieldrin. While the mechanisms by which these toxicants contribute to PD pathogenesis remain unknown, it is possible that these toxicants exert their neurotoxicity in part by affecting VMAT2 function. , …”
Section: Introductionmentioning
confidence: 99%
“…The catecholamine functional abnormalities reported here render the model suitable for testing interventional strategies that might salvage dysfunctional catecholaminergic neurons. This understanding might lead to novel disease-modifying treatments, such as enhancing VMAT or ALDH activity ( Lohr and Miller, 2014 ; Xiong et al, 2016 ; Chiu et al, 2015 ), or to combined strategies for which this model is useful. We believe that, in the future, combination pharmacotherapy will prove to be effective for neurodegenerative diseases just as in other areas of medicine.…”
Section: Discussionmentioning
confidence: 99%