1983
DOI: 10.1212/wnl.33.7.815
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Parkinson's disease in 65 pairs of twins and in a set of quadruplets

Abstract: Among 43 monozygotic (MZ) and 19 dizygotic (DZ) pairs in which an index case had definite Parkinson's disease (PD), only one MZ pair was definitely concordant for PD. When pairs with questionable clinical features were included, 4 of 48 MZ and 1 of 19 DZ pairs were concordant. The frequency of PD in MZ cotwins of index cases with PD was similar to that expected in an unrelated control group matched for age and sex. Although we were unable to identify a single environmental agent, we conclude that the major fac… Show more

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Cited by 332 publications
(93 citation statements)
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“…Similarly, concordances were low in all zygosity groups when the definition of affected was expanded to include twins with parkinsonian symptoms or use of anti-parkinson medication. Thus, these results were similar to the early twin studies in PD [113][114][115][116]. The NAS-NRC study reported higher concordance rates both in monozygotic and dizygotic twins, a finding that may partially be explained by higher prevalence of PD (867 per 100,000 men in the NAS-NRC study [119], versus 547 per 100,000 men in the Swedish study [68]).…”
Section: Mortalitysupporting
confidence: 85%
“…Similarly, concordances were low in all zygosity groups when the definition of affected was expanded to include twins with parkinsonian symptoms or use of anti-parkinson medication. Thus, these results were similar to the early twin studies in PD [113][114][115][116]. The NAS-NRC study reported higher concordance rates both in monozygotic and dizygotic twins, a finding that may partially be explained by higher prevalence of PD (867 per 100,000 men in the NAS-NRC study [119], versus 547 per 100,000 men in the Swedish study [68]).…”
Section: Mortalitysupporting
confidence: 85%
“…The aggregated MZ\DZ concordance ratio of 1.2 : 1 found in previous twin studies provided no evidence of a significant genetic risk (Ward et al 1983 ;Barucha et al 1986 ;Marsden, 1987 ;Tanner, 1992 ;Vieregge et al 1992). However, these cross-sectional studies do not allow detection of cases with subclinical disease.…”
Section: Twin Studies and The Role Of Positron Emission Tomographymentioning
confidence: 81%
“…However, the existence of "susceptibility" genes has been suggested (Martin et al, 2001), particularly in the context of the alleged disease-causing role of environmental toxins (Checkoway and Nelson, 1999). Several twin studies have so far been unable to identify genetic factors (Ward et al, 1983;Tanner et al, 1999). Surprisingly, patients with Parkinson often have peculiar premorbid personality traits (e.g., industriousness, punctuality, lack of novelty seeking, low life-time risk for cigarette smoking) whose relevance for the disease onset is entirely unclear (Menza, 2000).…”
Section: Introductionmentioning
confidence: 99%