Department of Medical Genetics, Institute of Mother and Child, Warsaw, Poland.
Institute of Genetics and Biotechnology, Faculty of Biology, University of Warsaw, Poland.
Parkinsonism Relat Disord. 2013 Nov;19(11):1057-1060. doi: 10.1016/j.parkreldis.2013.07.011. Epub 2013 Aug 2.
Mutations in the α-synuclein-encoding gene SNCA are considered as a rare cause of Parkinson's disease (PD). Our objective was to examine the frequency of the SNCA point mutations among PD patients of Polish origin.
Detection of the known SNCA point mutations A30P (c.88G>C), E46K (c.136G>A) and A53T (c.157A>T) was performed either using the Sequenom MassArray iPLEX platform or by direct sequencing of the SNCA exons 2 and 3. As the two novel substitutions A18T (c.52G>A) and A29S (c.85G>T) were identified, their frequency in a control population of Polish origin was assessed and in silico analysis performed to investigate the potential impact on protein structure and function.
We did not observe the previously reported point mutations in the SNCA gene in our 629 PD patients; however, two novel potentially pathogenic substitutions A18T and A29S were identified. Each variant was observed in a single patient presenting with a typical late-onset sporadic PD phenotype. Although neither variant was observed in control subjects and in silico protein analysis predicts a damaging effect for A18T and pA29S substitutions, the lack of family history brings into question the true pathogenicity of these rare variants.
Larger population based studies are needed to determine the pathogenicity of the A18T and A29S substitutions. Our findings highlight the possible role of rare variants contributing to disease risk and may support further screening of the SNCA gene in sporadic PD patients from different populations.
α-突触核蛋白编码基因 SNCA 的突变被认为是帕金森病(PD)的罕见病因。我们的目的是研究波兰裔 PD 患者中 SNCA 点突变的频率。
使用Sequenom MassArray iPLEX 平台或直接对 SNCA 外显子 2 和 3 进行测序,检测已知的 SNCA 点突变 A30P(c.88G>C)、E46K(c.136G>A)和 A53T(c.157A>T)。由于发现了两个新的替代物 A18T(c.52G>A)和 A29S(c.85G>T),我们评估了它们在波兰裔对照人群中的频率,并进行了计算机分析以研究它们对蛋白质结构和功能的潜在影响。
我们在 629 名 PD 患者中未观察到 SNCA 基因中先前报道的点突变;然而,发现了两个新的潜在致病性替代物 A18T 和 A29S。每个变体仅在具有典型迟发性散发性 PD 表型的单个患者中观察到。尽管在对照受试者中均未观察到这些变体,并且计算机蛋白质分析预测 A18T 和 pA29S 取代具有破坏性作用,但缺乏家族史使这些罕见变体的真正致病性受到质疑。
需要进行更大的基于人群的研究以确定 A18T 和 A29S 取代的致病性。我们的发现强调了稀有变体可能在疾病风险中起作用,并可能支持对来自不同人群的散发性 PD 患者进一步筛选 SNCA 基因。