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A variant in a gene that converts vitamin B6 to a cofactor for dopamine 
synthesis is implicated in some cases of Parkinson's disease, according to a 
new study. 

The study used gene expression profiling (i.e., determining changes in 
messenger RNA production) to identify candidate genes, and then determined 
whether variants in those genes were associated with disease, a process called 
"genomic convergence." The value of such a study design is that it can detect 
associations weaker than those currently found through genome-wide association 
studies.

The authors performed whole-genome expression profiling in 100 individual 
substantia nigra cells from a single individual from a brain bank PD case. 
After Bonferroni correction and confirmation by real-time expression analysis, 
several genes were identified as significantly altered between PD and control 
cells. Variants of one, PDXK (pyridoxal kinase),  were found to be associated 
with PD in three European cohorts.

"PDXK catalyzes the conversion of vitamin B6 (pyridoxine, pyridoxal, and 
pyridoxamine) to pyridoxal 5'-phosphate (PLP)," the authors state. PLP is 
thought to be a cofactor in multiple reactions, including the biosynthesis of 
dopamine by dopa decarboxylase.

"Upregulation of PDXK in dopaminergic neurons may be explained by an adaptive 
mechanism to increase dopamine metabolism in the remaining funcitonal 
dopaminergic neurons of the SNc or to levodopa therapy." The authors speculate 
that the polymorphism associated with PD may influence enzyme amount or 
activity. Dietary vitamin B6 has previously been linked to a reduced risk of 
PD in smokers.

Single-cell expression profiling ofdopaminergic neurons combined with 
association analysis identifies pyridoxal kinase as Parkinson's disease gene
M Elstner, CM Morris, K Heim, et al.
Ann Neurol 2009;66:792-798

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