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. 2023 Apr 6;9(1):54.
doi: 10.1038/s41531-023-00496-y.

Exploring the genetic and genomic connection underlying neurodegeneration with brain iron accumulation and the risk for Parkinson's disease

Affiliations

Exploring the genetic and genomic connection underlying neurodegeneration with brain iron accumulation and the risk for Parkinson's disease

Pilar Alvarez Jerez et al. NPJ Parkinsons Dis. .

Abstract

Neurodegeneration with brain iron accumulation (NBIA) represents a group of neurodegenerative disorders characterized by abnormal iron accumulation in the brain. In Parkinson's Disease (PD), iron accumulation is a cardinal feature of degenerating regions in the brain and seems to be a key player in mechanisms that precipitate cell death. The aim of this study was to explore the genetic and genomic connection between NBIA and PD. We screened for known and rare pathogenic mutations in autosomal dominant and recessive genes linked to NBIA in a total of 4481 PD cases and 10,253 controls from the Accelerating Medicines Partnership Parkinsons' Disease Program and the UKBiobank. We examined whether a genetic burden of NBIA variants contributes to PD risk through single-gene, gene-set, and single-variant association analyses. In addition, we assessed publicly available expression quantitative trait loci (eQTL) data through Summary-based Mendelian Randomization and conducted transcriptomic analyses in blood of 1886 PD cases and 1285 controls. Out of 29 previously reported NBIA screened coding variants, four were associated with PD risk at a nominal p value < 0.05. No enrichment of heterozygous variants in NBIA-related genes risk was identified in PD cases versus controls. Burden analyses did not reveal a cumulative effect of rare NBIA genetic variation on PD risk. Transcriptomic analyses suggested that DCAF17 is differentially expressed in blood from PD cases and controls. Due to low mutation occurrence in the datasets and lack of replication, our analyses suggest that NBIA and PD may be separate molecular entities.

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Conflict of interest statement

C.R. and A.B.S. declare no Competing Non-Financial Interests but the following Competing Financial Interests: C.R. held a predoctoral fellowship (FPU14/03473, MECD, Spain) from the Spanish Ministry of Education and Science. A.B.S. is an editor for npj Parkinson’s Disease. A.B.S. was not involved in the journal’s review of, or decisions related to, this manuscript. P.A.J., J.L.A., L.R.R., A.M., F.V.M., N.R.L., P.S., Z.G.O., C.X.A., M.B.M., K.J.B., C.B., A.J.N., A.B.S., R.D., and S.B.C. declare no competing interests.

Figures

Fig. 1
Fig. 1. DCAF17 expression in blood of PD cases versus controls.
Center line indicates the median. The box bounds represent the first and third quartiles while the whiskers extend the box by 1.5× the interquartile range (IQR).
Fig. 2
Fig. 2. Overview of methods for association and burden analyses.
Variants in NBIA genes were called in our PD and control cohorts and were then annotated and run through the analyses.

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