Romero-Gutiérrez Elizabeth, Vázquez-Cárdenas Paola, Moreno-Macías Hortensia, Salas-Pacheco José, Tusié-Luna Teresa, Arias-Carrión Oscar
Unidad de Trastornos del Movimiento y Sueño, Hospital General Dr. Manuel Gea González, Ciudad de México, México.
Programa de Doctorado en Ciencias Biomédicas, Universidad Nacional Autónoma de México, Ciudad de México, México.
NPJ Parkinsons Dis. 2021 Feb 11;7(1):13. doi: 10.1038/s41531-021-00157-y.
Parkinson's disease (PD), a common neurodegenerative disorder, has a complex etiology where environmental and genetic factors intervene. While a number of genes and variants have been identified in recent decades as causative or protective agents of this condition, a limited number of studies have been conducted in mixed populations, such as Mexican Mestizos. The historical convergence of two founding groups and three ethnicities, and the increasing north-to-south gradient of Native American ancestry in Mexico resulted in a subpopulation structure with considerable genetic diversity. In this work, we investigate the influence of 21 known susceptibility variants for PD. Our case-control study, with a cohort of 311 Mexican Mestizo subjects, found a significant risk association for the variant rs1491942 in LRRK2. However, when stratification by ancestry was performed, a risk effect for MTHFR rs1801133 was observed only in the group with the highest percentage of European ancestry, and the PD risk effect for LRRK2 rs1491942 was significant in subjects with a higher ratio of Native American ancestry. Meta-analyses of these SNP revealed the effect of LRRK2 rs1491942 to be even more significant than previously described in populations of European descent. Although corroboration is necessary, our findings suggest that polymorphism rs1491942 may be useful as a risk marker of PD in Mexican Mestizos with greater Native American ancestry. The absence of associations with the remaining known risk factors is, in itself, a relevant finding and invites further research into the shared risk factors' role in the pathophysiological mechanisms of this neurodegenerative disorder.
帕金森病(PD)是一种常见的神经退行性疾病,其病因复杂,涉及环境和遗传因素。近几十年来,虽然已经确定了许多基因和变体是这种疾病的致病或保护因素,但针对墨西哥梅斯蒂索人等混合人群进行的研究数量有限。两个创始群体和三个种族的历史融合,以及墨西哥从北到南美洲原住民血统梯度的增加,导致了一个具有相当遗传多样性的亚群体结构。在这项研究中,我们调查了21种已知的帕金森病易感性变体的影响。我们的病例对照研究纳入了311名墨西哥梅斯蒂索受试者,发现LRRK2基因中的rs1491942变体存在显著的风险关联。然而,按血统分层后发现,仅在欧洲血统比例最高的组中观察到MTHFR基因rs1801133的风险效应,而LRRK2基因rs1491942的帕金森病风险效应在美洲原住民血统比例较高的受试者中显著。对这些单核苷酸多态性(SNP)的荟萃分析表明,LRRK2基因rs1491942的效应比先前在欧洲血统人群中描述的更为显著。尽管需要进一步证实,但我们的研究结果表明,多态性rs1491942可能作为美洲原住民血统比例较高的墨西哥梅斯蒂索人帕金森病的风险标志物。未发现与其余已知风险因素的关联本身就是一个相关发现,这促使人们进一步研究共同风险因素在这种神经退行性疾病病理生理机制中的作用。