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Research Study Provides First Whole Genome Map of Genetic Variability in
Parkinson's Disease

 Findings Highlight 12 Potential "Susceptibility" Genes

 September 12, 2005

 Mayo Clinic researchers in collaboration with scientists at Perlegen
Sciences, Inc. and funded by The Michael J. Fox Foundation for Parkinson's
Research, have produced the first large-scale whole genome map of genetic
variability associated with Parkinson's disease. Their results highlight
changes in 12 genes that may increase the risk for Parkinson's disease in
some people. Parkinson's disease is a disabling and currently incurable
disease that affects millions of people worldwide.

 Mayo Clinic and Perlegen Sciences will report their findings in the American
Journal of Human Genetics. The paper is now available online ().

 "This represents one of the first large-scale whole genome association
studies of any disease," said the study's first author, Mayo Clinic
neurologist Demetrius Maraganore, MD. "It is something we've wanted to do for
years, and now we finally had the technology and funding to make it happen.
If confirmed, the findings may lead to new insights about the causes of
Parkinson's disease."

 Significance of the Findings
 Both the findings and the technology that produced them are groundbreaking,
representing one of the most comprehensive genetic studies of Parkinson's
disease to date, with nearly 200 million genetic tests (genotypes) completed.
To accomplish this, researchers initially studied the association of about
200,000 single-letter variations in the genome known as single nucleotide
polymorphisms, or "SNPs" (pronounced "snips") in patients with Parkinson's
disease. The study examined DNA from 775 persons with Parkinson's disease
(cases) and from 775 persons without Parkinson's disease (controls).

 "To be most effective, a whole genome association study requires accurate
testing of a large number of SNP markers that are distributed across the
human genome in a dense and informative pattern. In this respect, our
collaborators at Perlegen have set a new standard," said Dr. Maraganore.

 "In one year, The Michael J. Fox Foundation and the Mayo Clinic have
generated results that will greatly focus future research efforts in
Parkinson's disease," explained David Cox, MD, PhD, chief scientific officer
and co-founder of Perlegen Sciences. "If replication of only one of these
findings leads to a better understanding of the causes of the disease, or
improvements in the early detection or treatment of patients, we will have
made significant progress."

 Noteworthy findings include:
 * Confirmation that variation in two previously known regions of the genome,
PARK10 and PARK11, are likely associated with Parkinson's disease
susceptibility.

 * Identification of 10 additional SNPs that appear to be associated with
Parkinson's disease susceptibility. Some of these are in or near genes with
direct biological relevance to the disease. For instance, one of these, the
SEMA5A gene, may play an important role in both the development and
programmed death of dopamine-producing nerve cells in the brain. Selective
degeneration of dopamine neurons in the brain is a hallmark feature of
Parkinson's disease.

 Susceptibility genes are genes that may make some persons more or less likely
to develop a disease, but do not outright cause the disease. The authors note
that in this study, the size of the effect was small for any single SNP;
combinations of gene variants or interactions with environmental factors may
be necessary to develop Parkinson's disease.

 "This study represents the first large-scale attempt to assess the
contribution of genes to susceptibility and development of Parkinson's
disease," said Kenneth Olden, PhD, ScD, chief scientific advisor for The
Michael J. Fox Foundation and former director of the National Institute of
Environmental Health Sciences (NIEHS) of the National Institutes of Health
(NIH). "If confirmed, the finding of 12 potential susceptibility genes is
significant. However, equally significant is the fact that this comprehensive
study found no strong single genetic determinant of Parkinson's disease."

 The Michael J. Fox Foundation is presently organizing a large-scale
validation study of the initial findings, through the existing Edmond J.
Safra Global Genetics Consortia, the Foundation's network of geneticists
committed to sharing their population data on Parkinson's disease. The
consortia will aggregate more than 10,000 patients and healthy unrelated
control subjects, providing a powerful tool with which to validate these
initial results. This validation study is expected to be completed by the end
of the year.

 The Mayo Clinic/Perlegen Sciences study was funded by a one-year, $2.8
million grant under the Michael J. Fox Foundation's LEAPS program, with
funding provided by prominent Wisconsin businessman George Prescott and his
family, and matched by the Foundation's Board of Directors. The work also
benefited from long-standing funding from the National Institute of
Environmental Health Sciences (NIEHS). NIEHS supports the study of humans.

 Founded in 2000, The Michael J. Fox Foundation for Parkinson's Research has
established a strategic campaign to accelerate, expand and focus funding of
the world's best research targeting effective treatment and prevention of
Parkinson's disease. To date, the Foundation has funded more than $55 million
in research aimed at finding a cure for the disease, either directly or
through partnerships.

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