2016
DOI: 10.1016/j.neulet.2016.07.008
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Mutations in glucocerebrosidase are a major genetic risk factor for Parkinson’s disease and increase susceptibility to dementia in a Flanders-Belgian cohort

Abstract: In our Flanders-Belgian cohort, carrier status of a heterozygous GBA mutation was a strong genetic risk factor for PD. The GBA mutation frequency of 4.5% is comparable to previously reported data in other European PD patient cohorts. Furthermore, our clinical data suggest a more severe motor phenotype and a strong predisposition to dementia in GBA mutation carriers.

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Cited by 25 publications
(24 citation statements)
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“…GBA1 mutations greatly increase the risk of incident dementia. 10,47,49,60,64,66,69,74,[77][78][79][80][81][82] The risk of cognitive impairment in GBA1 mutation carriers is 2.4to 3-fold higher than in noncarriers. 49,83 In turn, the risk for dementia in PD carriers of severe mutations is 2-to 3-fold higher than that in carriers of mild mutations.…”
Section: Nonmotor Symptomsmentioning
confidence: 99%
“…GBA1 mutations greatly increase the risk of incident dementia. 10,47,49,60,64,66,69,74,[77][78][79][80][81][82] The risk of cognitive impairment in GBA1 mutation carriers is 2.4to 3-fold higher than in noncarriers. 49,83 In turn, the risk for dementia in PD carriers of severe mutations is 2-to 3-fold higher than that in carriers of mild mutations.…”
Section: Nonmotor Symptomsmentioning
confidence: 99%
“…GCase is involved in sphingolipid metabolism by catalyzing the breakdown of glucosylceramide (GluCer) and glucosylsphingosine (GluSph) to ceramide and sphingosine respectively in the lysosome [15,30]. Up to 7-12% of PD patients carry mutations in GBA1, and hence GBA1 is the most common genetic risk factor [23,30,100].…”
Section: Introductionmentioning
confidence: 99%
“…The risk of PD for heterozygous mutation carriers ranges from 2.2% to 5% by age 65 to 10.9%–15% by the age of 85 (McNeill et al, 2012a; Rana et al, 2013). GBA -related PD ( GBA -PD) is overall associated with more prominent cognitive decline than idiopathic PD (Alcalay et al, 2012; Brockmann et al, 2011; Saunders-Pullman et al, 2010; Schapira, 2015; Sidransky et al, 2009; Winder-Rhodes et al, 2013), including an increased risk for both mild cognitive impairment (Alcalay et al, 2012) and dementia (Brockmann et al, 2011; Crosiers et al, 2016; Mata et al, 2016; Seto-Salvia et al, 2012). This includes worse performance on broad screening measures of cognitive functioning (e.g., the Montreal Cognitive Assessment; Brockmann et al, 2011), and more specifically, deficits in visual short-term memory (Zokaei et al, 2014), memory and visuospatial functioning (Alcalay et al, 2012; Mata et al, 2016), and executive functioning and working memory (Mata et al, 2016).…”
Section: Introductionmentioning
confidence: 99%