Department of Neurology, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310009, People's Republic of China.
BMC Neurol. 2021 May 8;21(1):187. doi: 10.1186/s12883-021-02215-7.
To date, the genetic contribution to Parkinson's disease (PD) remains unclear. Mutations in the collagen type VI alpha 3 (COL6A3) gene were recently identified as a cause of isolated dystonia. Since PD and dystonia are closely related disorders with shared clinical and genetic characteristics, we explored the association between COL6A3 and PD in a Chinese cohort.
We performed genetic screening of COL6A3 in a Chinese cohort of 173 patients with sporadic PD and 200 healthy controls. We identified variants that are likely to have pathogenic effects based on: 1) a minor allele frequency of < 0.01; and 2) the variant being recognized as deleterious by at least 15 different in silico predicting tools. Finally, we tested the aggregate burden of COL6A3 on PD via SKAT-O analysis.
First, we found compound heterozygous COL6A3 gene mutations in one early-onset PD patients. Then, we explored whether COL6A3 variants contributed to increased risk of developing PD in a Chinese population. We detected 21 rare non-synonymous variants. Pathogenicity predictions identified 7 novel non-synonymous variants as likely to be pathogenic. SKAT-O analysis further revealed that an aggregate burden of variants in COL6A3 contributes to PD (p = 0.038).
An increased aggregate burden of the COL6A3 gene was detected in patients with PD.
迄今为止,帕金森病(PD)的遗传贡献仍不清楚。最近发现胶原类型六α 3(COL6A3)基因突变是孤立性肌张力障碍的原因。由于 PD 和肌张力障碍是密切相关的疾病,具有共同的临床和遗传特征,我们在一个中国队列中探索了 COL6A3 与 PD 之间的关联。
我们对 173 名散发性 PD 患者和 200 名健康对照的中国队列进行了 COL6A3 的基因筛查。我们根据以下标准确定可能具有致病性的变异:1)次要等位基因频率 < 0.01;2)该变异至少被 15 种不同的计算机预测工具识别为有害。最后,我们通过 SKAT-O 分析检验了 COL6A3 对 PD 的总负担。
首先,我们在一名早发性 PD 患者中发现了 COL6A3 基因的复合杂合突变。然后,我们探讨了 COL6A3 变异是否会增加中国人患 PD 的风险。我们检测到 21 个罕见的非同义变异。致病性预测确定了 7 个新的非同义变异可能具有致病性。SKAT-O 分析进一步表明,COL6A3 中的变异总负担与 PD 有关(p=0.038)。
在 PD 患者中检测到 COL6A3 基因的变异总负担增加。