Essential tremor (ET) and Parkinson disease (PD) are clearly distinct disorders. However, there is considerable clinical and pathophysiological overlap.1 ET patients are at an approximately fourfold risk to develop PD compared to population controls. Both, ET and PD, have a genetic component. For PD numerous monogenic forms are known and genome-wide-association-studies (GWAS) in sporadic patients have uncovered a number of disease associated genetic variants. For ET only two GWAS studies have been performed up to date.2, 3 In one of them we discovered an association between variants in the major glutamate reuptake transporter of the brain (EAAT2 encoded by the SLC1A gene) and ET.3 The strongest association was found for the intronic single nucleotide polymorphism (SNP) rs3794087. To investigate whether SNPs in or around the SLC1A2 gene are also associated with PD we undertook a two-part study. The study was approved by the local ethics committees and written informed consent was obtained from all participants. Firstly, we investigated the association between our ET lead SNP rs3794087 and PD in three previously described large German PD case/control samples (1798 PD patients, 1482 controls, a detailed description of the samples can be found in reference 4). Genotyping was performed using a TaqMan® assay. Association was assessed using PLINK.5 We calculated Hardy-Weinberg equilibrium (HWE, p-exclusion <0.001) and association in the allelic model. Power calculations can be found in supporting figure 1. The genotyping rate of rs3794087 was >95% and the SNP was in HWE. No significant p-values were obtained for rs3794087, neither in the complete sample (p=0.775), nor in the subsamples from Kiel (p=0.623), Lübeck (p=0.998) or Tübingen (p=0.766)(Table 1). Secondly, we analysed all 45 SNPs in the region of the SLC1A gene typed in the first stage sample of a large GWAS performed for PD (1713 PD patients, 3978 controls, a detailed description of the samples can be found in reference 6). All SNPs were in HWE. Two SNPs (rs12294045, p=0.034; rs3847618, p=0.035) yielded nominally significant p-values. Both p-values do not withstand Bonferroni correction for multiple testing (Bonferroni corrected alpha-level p<0.001). The ET associated lead SNP rs3794087 was excluded from the GWAS analysis because the samples are partially overlapping with the Tübingen samples from the first analysis. A list of all SNPs with allele frequencies and p-values can be found in supporting table 2. In summary, we conclude that we didn’t find any evidence for association between SNPs in the SLC1A2 gene and PD neither in our three German samples nor in the GWAS-sample which contains American and German samples. A previous GWAS identified association between SNPs in the LINGO1 gene and ET.2 Also in this case most groups, including our own, could not find association of these variants with PD.7 SLC1A2 encodes the predominant glutamate reuptake transporter EAAT2 in the brain which removes glutamate from the synaptic cleft. Interestingly EAAT2 is strongly expressed in the inferior olive, a structure implicated in rhythm generation in ET but not in the substantia nigra which is subject to neurodegeneration in PD. Therefore we hypothesize that SLC1A2 is an ET specific gene, not involved in the pathogenesis of PD.
Table 1.
Association results between SNP rs3794087 and PD
| German samples (MAF – minor allele frequency) | |||
|---|---|---|---|
| SNP rs3794087 | MAF cases | MAF controls | p- value |
|
| |||
| whole sample | 0.252 | 0.249 | 0.775 |
| subs. Kiel | 0.238 | 0.229 | 0.623 |
| subs. Lübeck | 0.273 | 0.273 | 0.998 |
| subs. Tübingen | 0.251 | 0.256 | 0.766 |
Supplementary Material
Acknowledgments
This study was financially supported by a grant from the Deutsche Forschungsgemeinschaft (KL1433/2-1) and the funds of the “Fakultätsübergreifende Forschungsförderung des Medizin-Ausschusses beider Medizinischer Fakultäten in Kiel und Lübeck” and the Hermann and Lilly Schilling foundation. This work was supported in part by the Intramural Research Program of the National Institute on Aging, National Institutes of Health, Department of Health and Human Services; project ZO1 AG000949-06. We thank the Institute of Clinical Molecular Biology in Kiel for providing genotyping as supported in part by the DFG Cluster of Excellence “Inflammation at Interfaces” and “Future Ocean”. We thank the technicians S. Greve and S. Arndt for technical support.
Footnotes
Financial disclosures:
Silke Appenzeller:
Financial disclosures related to research covered in this article: none.
Full financial disclosure for the previous 12 month: Received a project grant from the University of Kiel.
Claudia Schulte
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Sandra Thier
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Franziska Hopfner
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Manuela Pendziwiat
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Frank Papengut
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Christine Klein
Financial disclosure related to research covered in this article: The research in this article has been supported by a grant from the regional government (Medizin-Ausschuss) to GK, CK and GD.
Full financial disclosure for the previous 12 months: received honoraria from Boehringer Ingelheim, Centogene and Merz. She receives a career development award from the Hermann and Lilly Schilling Foundation and grants from the Volkswagen foundation, the German Research Foundation (DFG), the Possehl Foundation and the University of Lübeck.
Johann Hagenah
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: Grants from the Bachmann-Strauss Dystonia & Parkinson Foundation
Meike Kasten
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: received a project grant from the Deutsche Forschungsgemeinschaft (DFG)
Karin Srulijes
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Daniela Berg
Financial disclosure related to research covered in this article: None.
Full financial disclosure for the previous 12 months: Prof. Berg received honoraria from UCB Schwarz Pharma, GSK, TEVA and Lundbeck. She is a member of advisory boards of UCB Schwarz Pharma, Merz and Novartis. She received scientific grants from the Micheal J. Fox Foundation, BMBF, Janssen Pharmaceutics, TEVA, Böhringer, German Parkinson’s disease association, Abbott and the Center of Integrative Neurosciences.
Thomas Gasser
Financial disclosure related to research covered in this article: none
Full financial disclosure for the previous 12 months: Prof. Gasser serves as an editorial board member of Parkinsonism and Related Disorders, Journal of Parkinson’s Disease and Neurogenetics. He has received research funding by Novartis Pharma, the Federal Ministry of Education and Research (BMBF) (NGFN-Plus and ERA-Net NEURON), the Helmholtz Association (HelMA, Helmholtz Alliance for Health in an Ageing Society) and the European Community (MeFoPa, Mendelian Forms of Parkinsonism). He also received speakers honoraria from Novartis, Merck-Serono, Schwarz Pharma, Boehringer Ingelheim and Valeant Pharma and royalties for his consulting activities from Cefalon Pharma and Merck-Serono. Dr. Gasser holds a patent concerning the LRRK2 gene and neurodegenerative disorders.
Andrew Singleton
Financial disclosures related to research covered in this article: none
Full financial disclosure for the previous 12 month: none
Günther Deuschl
Financial disclosure related to research covered in this article: The research in this article has been supported by a grant from the regional government (Medizin-Ausschuss) to GK, CK and GD.
Full financial disclosure for the previous 12 months: Prof. Deuschl received grants from the German Research Foundation (DFG), the German Ministry of Education and Research and the company Medtronic. He is a consultant for Medtronic and TEVA and received honoraria from ORION, TEVA, Lundbeck and Pfizer. He receives royalties from Thieme publishers and is an expert witness for Merck.
Gregor Kuhlenbäumer
Financial disclosure related to research covered in this article: The research in this article has been supported by a grant from the regional government (Medizin-Ausschuss) to GK, CK and GD.
Full financial disclosure for the previous 12 months: Dr. Kuhlenbäumer received grants from the Deutsche Forschungsgemeinschaft (DFG), the regional government (Medizin-Ausschuss) and the Christian-Albrechts-University Kiel.
Declaration of author roles
Silke Appenzeller: execution, statistics, manuscript review
Claudia Schulte: execution, statistics, manuscript review
Sandra Thier: execution, statistics, manuscript review
Franziska Hopfner: patient characterization, manuscript review
Manuela Pendziwiat: execution, manuscript review
Frank Papengut: patient characterization, manuscript review
Christine Klein: patient characterization, manuscript review
Johann Hagenah: patient characterization, manuscript review
Meike Kasten: patient characterization, manuscript review
Karin Srulijes: execution, patient recruitment, planning, manuscript review
Daniela Berg: patient characterization, manuscript review
Thomas Gasser: patient characterization, manuscript review
Andrew Singleton: patient characterization, manuscript review
Günther Deuschl: patient characterization, manuscript review
Gregor Kuhlenbäumer: idea, study design, writing and review of the manuscript
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