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<H3><IMG SRC="/HUM-MOLGEN/gif/page1.gif" alt=""> Neurogenetics</H3>
NADH dehydrogenase and CYP2D6 genotypes in Parkinson's disease
</H1><H2>S. Kvsel, N.M. Schnopp, R. Egensperger, P. Mehraein and M.B. Graeber</H
 2>
Molecular Neuropathology Laboratory and Reference Center for Neurodegenerative D
 isorders, Institute of Neuropathology, Ludwig-Maximilians-University, Thalkirch
 ner Str. 36, 80337 Munich, Germany<P>
<I>2nd Workshop Neurogenetics in Germany, Munich, October 19-21, 1995</I><P>
<B>Abstract</B><BR>
Several mutations of mitochondrial DNA (mtDNA) and polymorphisms of the  debriso
 quine
4-hydroxylase gene (CYP2D6) have been associated with an increased susceptibilit
 y to
Parkinson's disease (PD). We have studied 21 neuropathologically verified cases
 of
PD and 89 controls. Genomic DNA was extracted from formalin-fixed, paraffin-embe
 dded
brain tissue as well as from freshly frozen tissue blocks and amplified using th
 e
polymerase chain reaction. PCR products were analyzed by restriction enzyme dige
 stion
and direct non-radioactive cycle sequencing. Degrees of mtDNA heteroplasmy were
determined using laser densitometry. Ratios of mtDNA carrying the 4977 bp "commo
 n
deletion" were quantified by competitive PCR. 4 out of 21 PD brains (5/77 contro
 ls)
showed a heteroplasmic mtDNAG5460A transition which affects the ND2 subunit gene
  of
complex I. Degrees of  heteroplasmy for this point mutation ranged from less tha
 n 5
to more than 95%. One PD brain was homoplasmic for the mtDNAA4336G transition af
 fecting
the mitochondrial tRNAGln. In contrast, levels of the 4977 bp deletion were not
increased in the substantia nigra of PD brains. Allelic frequencies at the CYP2D
 6
locus (CYP2D6G1934A and CYP2D6C2938T) were comparable in PD cases and controls.
 One
PD brain was homozygous for the CYP2D6C2938T allele. Our results show that patie
 nts
with Lewy-body parkinsonism exhibit genetic heterogeneity at candidate susceptib
 ility
loci. Our findings are in line with the concept that a definable number of
interindividually variable genetic defects may confer increased susceptibility
to PD. Systematic sequencing studies will help to clarify whether mitochondrial
point mutations are responsible for the complex I defect observed in PD.<BR><BR>
Supported by the Deutsche Forschungsgemeinschaft (Gerhard Hess-Programm).
<P>
<B>Headings</B><BR>Parkinson's disease (PD)<BR>NADH dehydrogenase<BR>CYP2D6 geno
 types<P>
 
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