Table 1.
Summary of the most common GBA-PD mutations.
Mutation | Penetrance of Mutation | Location of Mutation | Effect on GCase | GD | GBA-PD | References |
---|---|---|---|---|---|---|
N370S | 0.08–71.8% | Interface of domains II and III | Loss of GCase activity Activation of the UPR Alpha-synuclein pathology |
Generally mild, non-neuronopathic GD | Lower disease penetrance and a milder clinical phenotype | [5,6,7,40,47,52,73,80,83,84,85,86,87,88,89,90,91,92,93] |
L444P | 0.06–18.8% | Domain II | Loss of GCase activity Activation of the UPR Alpha-synuclein pathology |
Generally severe, neuronopathic GD | Higher disease penetrance and a worse clinical phenotype | [5,6,7,40,47,52,73,80,83,87,88,89,90,91,92,94,95,96] |
E326K | 2.8–3.88% | Surface of domain III | Reduces GCase activity to a lesser extent than GD-causing mutations | No clinical manifestation | Worse clinical phenotype | [44,73,74,75,79,80,93,97,98,99,100,101,102,103,104] |