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. 2021 Nov:92:107-111.
doi: 10.1016/j.parkreldis.2021.10.001. Epub 2021 Oct 19.

The commercial genetic testing landscape for Parkinson's disease

Collaborators, Affiliations

The commercial genetic testing landscape for Parkinson's disease

Lola Cook et al. Parkinsonism Relat Disord. 2021 Nov.

Abstract

Introduction: There have been no specific guidelines regarding which genes should be tested in the clinical setting for Parkinson's disease (PD) or parkinsonism. We evaluated the types of clinical genetic testing offered for PD as the first step of our gene curation.

Methods: The National Institutes of Health (NIH) Genetic Testing Registry (GTR) was queried on 12/7/2020 to identify current commercial PD genetic test offerings by clinical laboratories, internationally.

Results: We identified 502 unique clinical genetic tests for PD, from 28 Clinical Laboratory Improvement Amendments (CLIA)-approved clinical laboratories. These included 11 diagnostic PD panels. The panels were notable for their differences in size, ranging from 5 to 62 genes. Five genes for variant query were included in all panels (SNCA, PRKN, PINK-1, PARK7 (DJ1), and LRRK2). Notably, the addition of the VPS35 and GBA genes was variable. Panel size differences stemmed from inclusion of genes linked to atypical parkinsonism and dystonia disorders, and genes in which the link to PD causation is controversial.

Conclusion: There is an urgent need for expert opinion regarding which genes should be included in a commercial laboratory multi-gene panel for PD.

Keywords: Clinical laboratories; Genetic testing; Multi-gene panels; Parkinson's disease.

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Conflict of interest statement

Declaration of competing interests: None

Figures

Figure 1.
Figure 1.
Monogenic Causes of Typical Parkinson’s Disease *Some researchers classify variants in this gene as major risk factors.
Figure 2.
Figure 2.
Genes Offered on PD Panels Bubble plot of genes offered on general diagnostic panels of the 11 companies analyzed. Bubble size corresponds to the frequency a particular gene appears across panels. The genes SNCA, PRKN, PINK1, PARK7 and LRRK2 were most common and offered across all panels. GBA, a gene carrying significant risk for PD, was not consistently offered and only appeared on 8 panels, whereas other genes FBOX07 (atypical parkinsonism) and SLC6A3 (infantile parkinsonism-dystonia) appear more frequently.

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