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Embracing Monogenic Parkinson's Disease: The MJFF Global Genetic PD Cohort

  • the MJFF Global Genetic Parkinson's Disease Study Group
  • University of Lübeck
  • The Michael J. Fox Foundation for Parkinson's Research
  • AP-HP
  • Centre de Recherche Institut du Cerveau et de la Moelle
  • University Clinic Tuebingen
  • Mongi Ben Hmida National Institute of Neurology
  • Tel Aviv University
  • Columbia University
  • Indiana University School of Medicine
  • Universitat de Barcelona
  • IMM-CNR
  • National and Kapodistrian University of Athens
  • Eginition Hospital
  • Faculdade de Medicina, Universidade de Lisboa
  • Instituto de Medicina Molecular
  • University of Pavia
  • Universita La Sapienza
  • Vagelos College of Physicians and Surgeons
  • Research Center of Neurology
  • Hospital Central de Asturias
  • Hospital Universitario Virgen del Rocío
  • Karolinska Institutet
  • National Taiwan University Hospital
  • Antwerp University Hospital
  • Mayo Clinic in Jacksonville, Florida
  • Mayo Clinic
  • Baylor College of Medicine
  • Juntendo University School of Medicine
  • Juntendo University Graduate School of Medicine
  • Hospital de La Santa Creu I Sant Pau
  • Department of Clinical Neurosciences
  • Universidad Peruana Cayetano Heredia
  • Instituto Nacional de Ciencias Neurologicas
  • Chang Gung University
  • National Taiwan Normal University
  • Hospital Universitàrio de Coimbra
  • Ramathibodi Hospital
  • Christian-Albrechts-Universitat zu Kiel
  • Charité – Universitätsmedizin Berlin
  • Università degli Studi di Napoli Federico II
  • Medical University of Vienna
  • Lund University
  • Griffith University
  • Poznan University of Medical Sciences
  • Faculty of Medicine and Health Sciences
  • Università di Urbino
  • NorthShore University HealthSystem
  • Partner Institute of the Max Planck Society
  • University of Tokyo
  • Argentina; Pontificia Universidad Católica Argentina (UCA)
  • The Dublin Neurological Institute at the Mater Misericordiae University Hospital
  • University of Malaya
  • King Faisal Specialist Hospital and Research Center
  • Cerrahpasa Medical School
  • Medical University of Warsaw
  • Koc University School of Medicine
  • University of Health Sciences
  • Psicobiol. Univ. Fed. de Sao Paolo
  • North West University
  • State University of Rio de Janeiro
  • Mount Sinai School of Medicine
  • Donders Institute for Brain, Cognition and Behaviour
  • Albert Einstein College of Medicine of Yeshiva University
  • Oslo University Hospital
  • Division of Neurology
  • Toronto Western Hospital University of Toronto
  • P. J. Safarik University
  • Erasmus University Medical Center
  • University of Luxembourg
  • Ninewells Hospital and Medical School
  • University of São Paulo
  • Zhejiang University School of Medicine
  • Centre Hospitalier Universitaire de Liege
  • Asan Medical Center
  • Yonsei University College of Medicine
  • Kolling Institute of Medical Research
  • Singapore General Hospital
  • Allergy and Clinical Immunology Department, Centro Hospitalar do Porto
  • University of Szeged
  • Clinic for Neurology CCS
  • Hadassah Hebrew University Medical Center
  • Turku University Hospital
  • Odense University Hospital
  • Universit̀ Degli Studi di Milano-Bicocca
  • Walter Mackenzie Health Sciences Centre
  • University of Tübingen
  • Banaras Hindu University
  • University Medical Center
  • Instituto de Neurosciencias Buenos Aires
  • University of the Faroe Islands
  • St. Olavs Hospital
  • Norwegian University of Science and Technology
  • University of Florida

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

Background: As gene-targeted therapies are increasingly being developed for Parkinson's disease (PD), identifying and characterizing carriers of specific genetic pathogenic variants is imperative. Only a small fraction of the estimated number of subjects with monogenic PD worldwide are currently represented in the literature and availability of clinical data and clinical trial-ready cohorts is limited. Objective: The objectives are to (1) establish an international cohort of affected and unaffected individuals with PD-linked variants; (2) provide harmonized and quality-controlled clinical characterization data for each included individual; and (3) further promote collaboration of researchers in the field of monogenic PD. Methods: We conducted a worldwide, systematic online survey to collect individual-level data on individuals with PD-linked variants in SNCA, LRRK2, VPS35, PRKN, PINK1, DJ-1, as well as selected pathogenic and risk variants in GBA and corresponding demographic, clinical, and genetic data. All registered cases underwent thorough quality checks, and pathogenicity scoring of the variants and genotype–phenotype relationships were analyzed. Results: We collected 3888 variant carriers for our analyses, reported by 92 centers (42 countries) worldwide. Of the included individuals, 3185 had a diagnosis of PD (ie, 1306 LRRK2, 115 SNCA, 23 VPS35, 429 PRKN, 75 PINK1, 13 DJ-1, and 1224 GBA) and 703 were unaffected (ie, 328 LRRK2, 32 SNCA, 3 VPS35, 1 PRKN, 1 PINK1, and 338 GBA). In total, we identified 269 different pathogenic variants; 1322 individuals in our cohort (34%) were indicated as not previously published. Conclusions: Within the MJFF Global Genetic PD Study Group, we (1) established the largest international cohort of affected and unaffected individuals carrying PD-linked variants; (2) provide harmonized and quality-controlled clinical and genetic data for each included individual; (3) promote collaboration in the field of genetic PD with a view toward clinical and genetic stratification of patients for gene-targeted clinical trials.

Original languageEnglish
Pages (from-to)286-303
Number of pages18
JournalMovement Disorders
Volume38
Issue number2
DOIs
StatePublished - 1 Feb 2023

Keywords

  • Parkinson's disease
  • monogenic PD

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