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Thursday February 13 5:43 PM EST

Some Parkinson's Inherited

NEW YORK (Reuters) -- Some people with Parkinson's disease may have
inherited it from their mothers, a new study suggests.

This is the first clinical evidence that the disease could be
genetically transmitted to children through mutations in specific DNA
within their mother's cells, say researchers.

University of Virginia researchers in Charlottesville say their
findings suggest that the mutations occur in the DNA of cellular
mitochondria -- the cell's factories for converting sugar and fatty
acids into energy. Children inherit mitochondrial DNA from their
mother.

The Virginia team, led by Dr. G. Frederick Wooten, chairman of the
neurology department at the University, looked closely at the family
histories of 265 patients with Parkinson's disease, checking with
doctors and medical records. Whenever possible, the researchers also
examined affected relatives to confirm a diagnosis of the disease.

Of all the patients studied, 32 had a parent with Parkinson's, and 13
had one or more affected siblings.

But the key finding was "a preponderance of maternal inheritance in
families where the index patient had both an affected parent and
affected sibling," the researchers say.

Specifically, five patients had both an affected parent and at least
one affected brother or sister. And in each of the five cases, the
affected parent was the mother.

Moreover, Wooten and his colleagues found additional evidence that the
disease may have been passed from mother to child via mutated
mitochondria.

"We found an earlier age of (Parkinson's) onset in patients with an
affected mother compared to the age at onset in their mother," they
state, adding that "no such difference was found" between patients
with an affected father.

This finding is a phenomenon neurologists call "anticipation," and is
consistent with inheritance patterns in other diseases that
researchers believe are transmitted by mutations in mitochondrial DNA,
including Huntington's disease.

"These data support an increasing body of evidence suggesting both a
genetic basis for and genetic anticipation in at least some patients
with Parkinson's disease," the researchers state.

"The next step is to prove directly that the disease is due to a
mutation in mitochondrial DNA," says Wooten. SOURCE: Annals of
Neurology (1997;41:265-268)







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