Table 1.
Simplified overview of some of the genes implicated in Parkinson’s disease
| Gene | Nomenclature (locus) | Known mutations/variants | Clinical features | Penetrance by age 80* |
|---|---|---|---|---|
| Autosomal dominant forms of PD | ||||
| SNCA | PARK1 and PARK 4 |
Missense mutations: A53T, A30P, E46K, G50D Duplications and triplications |
YOPD, atypical and severe phenotypes depending on the specific mutation (i.e. triplications give a more severe phenotype) | probably high, > 90% for A53T, unknown for others |
| LRRK2 | PARK8 |
G2019S: a missense mutation which is a frequent determinant of familiar and sporadic PD R1441G, Y1699C, I2020T |
Classical (late-onset) PD | G2019S: 25–74% |
| GBA1 | – |
Mutations in GBA1 gene (NM_000157.3), also associated with Gaucher disease: N370S, S2716, L444P GBA1 variants (not associated with Gaucher disease) |
Classical PD but with a slightly earlier onset age, severe motor impairment and higher prevalence of dementia and RBD |
N370S, S2716: low risk, 7.6% L444P: high risk, 11–29.7% |
| Autosomal recessive forms of PD | ||||
| Parkin | PARK2 | YOPD | 100% | |
| PINK1 | PARK6 | YOPD | 100% | |
| DJ-1 | PARK7 | YOPD | 100% | |
PD Parkinson’s disease, SNCA α-synuclein, LRRK2 leucine-rich repeat kinase 2, GBA glucocerebrosidase, RBD REM sleep behavior disorder, YOPD young onset PD, PINK1 PTEN induced putative kinase 1
*As determined by Heinzel et al. (2019)