PMID- 16358335 OWN - NLM STAT- MEDLINE DCOM- 20060425 LR - 20220321 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 59 IP - 2 DP - 2006 Feb TI - Clinical heterogeneity of alpha-synuclein gene duplication in Parkinson's disease. PG - 298-309 AB - OBJECTIVE: Recently, genomic multiplications of alpha-synuclein gene (SNCA) have been reported to cause hereditary early-onset parkinsonism. The objective of this study was to assess the frequency of SNCA multiplications among autosomal dominant hereditary Parkinson's disease (ADPD). METHODS: We screened 113 ADPD probands and 200 sporadic PD cases by quantitative polymerase chain reaction and confirmed SNCA multiplications by fluorescence in situ hybridization (FISH) and comparative genomic hybridization array. RESULTS: Two families (two patients from Family A and one from Family B) with SNCA duplication were identified among ADPD patients. Even though they had the same SNCA duplication, one patient had dementia. Because there was exactly the same difference between the regions originated from each patient, the finding suggests that the phenotype of SNCA multiplication may be also influenced by the range of duplication region. We also detected asymptomatic carriers in the families of both patients. Interestingly, the penetrance ratio was 33.3% (2/6) in one kindred, indicating that the ratio was very much lower than expected. INTERPRETATION: These two newly identified Japanese patients with SNCA duplication and the five previously identified American and European families with SNCA triplication or duplication mutations indicate that the incidence of SNCA multiplication may be more frequent than previously estimated. FAU - Nishioka, Kenya AU - Nishioka K AD - Department of Neurology, Juntendo University School of Medicine, Hongo, Tokyo, Japan. FAU - Hayashi, Shin AU - Hayashi S FAU - Farrer, Matthew J AU - Farrer MJ FAU - Singleton, Andrew B AU - Singleton AB FAU - Yoshino, Hiroyo AU - Yoshino H FAU - Imai, Hisamasa AU - Imai H FAU - Kitami, Toshiaki AU - Kitami T FAU - Sato, Kenichi AU - Sato K FAU - Kuroda, Ryu AU - Kuroda R FAU - Tomiyama, Hiroyuki AU - Tomiyama H FAU - Mizoguchi, Koichi AU - Mizoguchi K FAU - Murata, Miho AU - Murata M FAU - Toda, Tatsushi AU - Toda T FAU - Imoto, Issei AU - Imoto I FAU - Inazawa, Johji AU - Inazawa J FAU - Mizuno, Yoshikuni AU - Mizuno Y FAU - Hattori, Nobutaka AU - Hattori N LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (RNA, Messenger) RN - 0 (alpha-Synuclein) SB - IM MH - Aged MH - Brain Mapping MH - DNA Mutational Analysis MH - Family Health MH - Female MH - Functional Laterality MH - Gene Dosage/physiology MH - *Gene Duplication MH - *Genetic Heterogeneity MH - Haplotypes MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Magnetic Resonance Imaging/methods MH - Male MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis/methods MH - Parkinson Disease/*genetics/pathology MH - Pedigree MH - RNA, Messenger/biosynthesis MH - Reverse Transcriptase Polymerase Chain Reaction/methods MH - alpha-Synuclein/*genetics EDAT- 2005/12/17 09:00 MHDA- 2006/04/28 09:00 CRDT- 2005/12/17 09:00 PHST- 2005/12/17 09:00 [pubmed] PHST- 2006/04/28 09:00 [medline] PHST- 2005/12/17 09:00 [entrez] AID - 10.1002/ana.20753 [doi] PST - ppublish SO - Ann Neurol. 2006 Feb;59(2):298-309. doi: 10.1002/ana.20753.