A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease

Abstract Parkinson’s disease (PD) is the second most prevalent neurodegenerative disorder. However, current treatments only manage symptoms and lack the ability to slow or prevent disease progression. We utilized a systems genetics approach to identify potential risk genes and repurposable drugs for...

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Main Authors: Lijun Dou, Zhenxing Xu, Jielin Xu, Chengxi Zang, Chang Su, Andrew A. Pieper, James B. Leverenz, Fei Wang, Xiongwei Zhu, Jeffrey Cummings, Feixiong Cheng
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-025-00870-y
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author Lijun Dou
Zhenxing Xu
Jielin Xu
Chengxi Zang
Chang Su
Andrew A. Pieper
James B. Leverenz
Fei Wang
Xiongwei Zhu
Jeffrey Cummings
Feixiong Cheng
author_facet Lijun Dou
Zhenxing Xu
Jielin Xu
Chengxi Zang
Chang Su
Andrew A. Pieper
James B. Leverenz
Fei Wang
Xiongwei Zhu
Jeffrey Cummings
Feixiong Cheng
author_sort Lijun Dou
collection DOAJ
description Abstract Parkinson’s disease (PD) is the second most prevalent neurodegenerative disorder. However, current treatments only manage symptoms and lack the ability to slow or prevent disease progression. We utilized a systems genetics approach to identify potential risk genes and repurposable drugs for PD. First, we leveraged non-coding genome-wide association studies (GWAS) loci effects on five types of brain-specific quantitative trait loci (xQTLs, including expression, protein, splicing, methylation and histone acetylation) under the protein–protein interactome (PPI) network. We then prioritized 175 PD likely risk genes (pdRGs), such as SNCA, CTSB, LRRK2, DGKQ, and CD44, which are enriched in druggable targets and differentially expressed genes across multiple human brain-specific cell types. Integrating network proximity-based drug repurposing and patient electronic health record (EHR) data observations, we identified Simvastatin as being significantly associated with reduced incidence of PD (hazard ratio (HR) = 0.91 for fall outcome, 95% confidence interval (CI): 0.87–0.94; HR = 0.88 for dementia outcome, 95% CI: 0.86–0.89) after adjusting for 267 covariates. In summary, our network-based systems genetics framework identifies potential risk genes and repurposable drugs for PD and other neurodegenerative diseases if broadly applied.
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spelling doaj-art-34f70baf7be2443f8418c481839c18d42025-01-26T12:21:27ZengNature Portfolionpj Parkinson's Disease2373-80572025-01-0111111610.1038/s41531-025-00870-yA network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s diseaseLijun Dou0Zhenxing Xu1Jielin Xu2Chengxi Zang3Chang Su4Andrew A. Pieper5James B. Leverenz6Fei Wang7Xiongwei Zhu8Jeffrey Cummings9Feixiong Cheng10Cleveland Clinic Genome Center, Lerner Research Institute, Cleveland ClinicDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell UniversityCleveland Clinic Genome Center, Lerner Research Institute, Cleveland ClinicDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell UniversityDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell UniversityDepartment of Psychiatry, Case Western Reserve UniversityDepartment of Molecular Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve UniversityDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell UniversityDepartment of Pathology, Case Western Reserve University, School of MedicineChambers-Grundy Center for Transformative Neuroscience, Department of Brain Health, Kirk Kerkorian School of Medicine, UNLVCleveland Clinic Genome Center, Lerner Research Institute, Cleveland ClinicAbstract Parkinson’s disease (PD) is the second most prevalent neurodegenerative disorder. However, current treatments only manage symptoms and lack the ability to slow or prevent disease progression. We utilized a systems genetics approach to identify potential risk genes and repurposable drugs for PD. First, we leveraged non-coding genome-wide association studies (GWAS) loci effects on five types of brain-specific quantitative trait loci (xQTLs, including expression, protein, splicing, methylation and histone acetylation) under the protein–protein interactome (PPI) network. We then prioritized 175 PD likely risk genes (pdRGs), such as SNCA, CTSB, LRRK2, DGKQ, and CD44, which are enriched in druggable targets and differentially expressed genes across multiple human brain-specific cell types. Integrating network proximity-based drug repurposing and patient electronic health record (EHR) data observations, we identified Simvastatin as being significantly associated with reduced incidence of PD (hazard ratio (HR) = 0.91 for fall outcome, 95% confidence interval (CI): 0.87–0.94; HR = 0.88 for dementia outcome, 95% CI: 0.86–0.89) after adjusting for 267 covariates. In summary, our network-based systems genetics framework identifies potential risk genes and repurposable drugs for PD and other neurodegenerative diseases if broadly applied.https://doi.org/10.1038/s41531-025-00870-y
spellingShingle Lijun Dou
Zhenxing Xu
Jielin Xu
Chengxi Zang
Chang Su
Andrew A. Pieper
James B. Leverenz
Fei Wang
Xiongwei Zhu
Jeffrey Cummings
Feixiong Cheng
A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
npj Parkinson's Disease
title A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
title_full A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
title_fullStr A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
title_full_unstemmed A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
title_short A network-based systems genetics framework identifies pathobiology and drug repurposing in Parkinson’s disease
title_sort network based systems genetics framework identifies pathobiology and drug repurposing in parkinson s disease
url https://doi.org/10.1038/s41531-025-00870-y
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