Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.

<h4>Background</h4>Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized by parkinsonism, cerebellar ataxia and autonomic dysfunction. Pathogenic mechanisms remain obscure but the neuropathological hallmark is the presence of alpha-synuclein-immunoreacti...

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Main Authors: Ammar Al-Chalabi, Alexandra Dürr, Nicholas W Wood, Michael H Parkinson, Agnes Camuzat, Jean-Sébastien Hulot, Karen E Morrison, Alan Renton, Sigurd D Sussmuth, Bernhard G Landwehrmeyer, Albert Ludolph, Yves Agid, Alexis Brice, P Nigel Leigh, Gilbert Bensimon, NNIPPS Genetic Study Group
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2009-09-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0007114&type=printable
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author Ammar Al-Chalabi
Alexandra Dürr
Nicholas W Wood
Michael H Parkinson
Agnes Camuzat
Jean-Sébastien Hulot
Karen E Morrison
Alan Renton
Sigurd D Sussmuth
Bernhard G Landwehrmeyer
Albert Ludolph
Yves Agid
Alexis Brice
P Nigel Leigh
Gilbert Bensimon
NNIPPS Genetic Study Group
author_facet Ammar Al-Chalabi
Alexandra Dürr
Nicholas W Wood
Michael H Parkinson
Agnes Camuzat
Jean-Sébastien Hulot
Karen E Morrison
Alan Renton
Sigurd D Sussmuth
Bernhard G Landwehrmeyer
Albert Ludolph
Yves Agid
Alexis Brice
P Nigel Leigh
Gilbert Bensimon
NNIPPS Genetic Study Group
author_sort Ammar Al-Chalabi
collection DOAJ
description <h4>Background</h4>Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized by parkinsonism, cerebellar ataxia and autonomic dysfunction. Pathogenic mechanisms remain obscure but the neuropathological hallmark is the presence of alpha-synuclein-immunoreactive glial cytoplasmic inclusions. Genetic variants of the alpha-synuclein gene, SNCA, are thus strong candidates for genetic association with MSA. One follow-up to a genome-wide association of Parkinson's disease has identified association of a SNP in SNCA with MSA.<h4>Methodology/findings</h4>We evaluated 32 SNPs in the SNCA gene in a European population of 239 cases and 617 controls recruited as part of the Neuroprotection and Natural History in Parkinson Plus Syndromes (NNIPPS) study. We used 161 independently collected samples for replication. Two SNCA SNPs showed association with MSA: rs3822086 (P = 0.0044), and rs3775444 (P = 0.012), although only the first survived correction for multiple testing. In the MSA-C subgroup the association strengthened despite more than halving the number of cases: rs3822086 P = 0.0024, OR 2.153, (95% CI 1.3-3.6); rs3775444 P = 0.0017, OR 4.386 (95% CI 1.6-11.7). A 7-SNP haplotype incorporating three SNPs either side of rs3822086 strengthened the association with MSA-C further (best haplotype, P = 8.7 x 10(-4)). The association with rs3822086 was replicated in the independent samples (P = 0.035).<h4>Conclusions/significance</h4>We report a genetic association between MSA and alpha-synuclein which has replicated in independent samples. The strongest association is with the cerebellar subtype of MSA.<h4>Trial registration</h4>ClinicalTrials.gov NCT00211224.
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spelling doaj-art-7bccaa6d77b74e6e9ba36a3a7d206bc42025-08-20T03:25:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032009-09-0149e711410.1371/journal.pone.0007114Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.Ammar Al-ChalabiAlexandra DürrNicholas W WoodMichael H ParkinsonAgnes CamuzatJean-Sébastien HulotKaren E MorrisonAlan RentonSigurd D SussmuthBernhard G LandwehrmeyerAlbert LudolphYves AgidAlexis BriceP Nigel LeighGilbert BensimonNNIPPS Genetic Study Group<h4>Background</h4>Multiple system atrophy (MSA) is a progressive neurodegenerative disorder characterized by parkinsonism, cerebellar ataxia and autonomic dysfunction. Pathogenic mechanisms remain obscure but the neuropathological hallmark is the presence of alpha-synuclein-immunoreactive glial cytoplasmic inclusions. Genetic variants of the alpha-synuclein gene, SNCA, are thus strong candidates for genetic association with MSA. One follow-up to a genome-wide association of Parkinson's disease has identified association of a SNP in SNCA with MSA.<h4>Methodology/findings</h4>We evaluated 32 SNPs in the SNCA gene in a European population of 239 cases and 617 controls recruited as part of the Neuroprotection and Natural History in Parkinson Plus Syndromes (NNIPPS) study. We used 161 independently collected samples for replication. Two SNCA SNPs showed association with MSA: rs3822086 (P = 0.0044), and rs3775444 (P = 0.012), although only the first survived correction for multiple testing. In the MSA-C subgroup the association strengthened despite more than halving the number of cases: rs3822086 P = 0.0024, OR 2.153, (95% CI 1.3-3.6); rs3775444 P = 0.0017, OR 4.386 (95% CI 1.6-11.7). A 7-SNP haplotype incorporating three SNPs either side of rs3822086 strengthened the association with MSA-C further (best haplotype, P = 8.7 x 10(-4)). The association with rs3822086 was replicated in the independent samples (P = 0.035).<h4>Conclusions/significance</h4>We report a genetic association between MSA and alpha-synuclein which has replicated in independent samples. The strongest association is with the cerebellar subtype of MSA.<h4>Trial registration</h4>ClinicalTrials.gov NCT00211224.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0007114&type=printable
spellingShingle Ammar Al-Chalabi
Alexandra Dürr
Nicholas W Wood
Michael H Parkinson
Agnes Camuzat
Jean-Sébastien Hulot
Karen E Morrison
Alan Renton
Sigurd D Sussmuth
Bernhard G Landwehrmeyer
Albert Ludolph
Yves Agid
Alexis Brice
P Nigel Leigh
Gilbert Bensimon
NNIPPS Genetic Study Group
Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
PLoS ONE
title Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
title_full Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
title_fullStr Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
title_full_unstemmed Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
title_short Genetic variants of the alpha-synuclein gene SNCA are associated with multiple system atrophy.
title_sort genetic variants of the alpha synuclein gene snca are associated with multiple system atrophy
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0007114&type=printable
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