Genome-wide Association and Meta-analysis of Age at Onset in Parkinson Disease: Evidence From the COURAGE-PD Consortium

Considerable heterogeneity exists in the literature concerning genetic determinants of the age of onset (AAO) of Parkinson's disease (PD), which could be attributed to lack of well-powered replication cohorts. The previous largest GWAS identified nd loci on chromosome (Chr) 4 with a significant...

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Veröffentlicht in:Neurology 2022-08, Vol.99 (7), p.e698-e710
Hauptverfasser: Grover, Sandeep, Kumar Sreelatha, Ashwin Ashok, Pihlstrom, Lasse, Domenighetti, Cloé, Schulte, Claudia, Sugier, Pierre-Emmanuel, Radivojkov-Blagojevic, Milena, Lichtner, Peter, Mohamed, Océane, Portugal, Berta, Landoulsi, Zied, May, Patrick, Bobbili, Dheeraj, Edsall, Connor, Bartusch, Felix, Hanussek, Maximilian, Krüger, Jens, Hernandez, Dena G., Blauwendraat, Cornelis, Mellick, George D., Zimprich, Alexander, Pirker, Walter, Tan, Manuela, Rogaeva, Ekaterina, Lang, Anthony, Koks, Sulev, Taba, Pille, Lesage, Suzanne, Brice, Alexis, Corvol, Jean-Christophe, Chartier-Harlin, Marie-Christine, Mutez, Eugenie, Brockmann, Kathrin, Deutschländer, Angela B., Hadjigeorgiou, Georges M., Dardiotis, Efthimos, Stefanis, Leonidas, Simitsi, Athina Maria, Valente, Enza Maria, Petrucci, Simona, Straniero, Letizia, Zecchinelli, Anna, Pezzoli, Gianni, Brighina, Laura, Ferrarese, Carlo, Annesi, Grazia, Quattrone, Andrea, Gagliardi, Monica, Burbulla, Lena F., Matsuo, Hirotaka, Kawamura, Yusuke, Hattori, Nobutaka, Nishioka, Kenya, Chung, Sun Ju, Kim, Yun Joong, Pavelka, Lukas, van de Warrenburg, Bart P.C., Bloem, Bastiaan R., Singleton, Andrew B., Aasly, Jan, Toft, Mathias, Guedes, Leonor Correia, Ferreira, Joaquim J., Bardien, Soraya, Carr, Jonathan, Tolosa, Eduardo, Ezquerra, Mario, Pastor, Pau, Diez-Fairen, Monica, Wirdefeldt, Karin, Pedersen, Nancy L., Ran, Caroline, Belin, Andrea C., Puschmann, Andreas, Hellberg, Clara, Clarke, Carl E., Morrison, Karen E., Krainc, Dimitri, Farrer, Matt J., Kruger, Rejko, Elbaz, Alexis, Gasser, Thomas, Sharma, Manu
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container_end_page e710
container_issue 7
container_start_page e698
container_title Neurology
container_volume 99
creator Grover, Sandeep
Kumar Sreelatha, Ashwin Ashok
Pihlstrom, Lasse
Domenighetti, Cloé
Schulte, Claudia
Sugier, Pierre-Emmanuel
Radivojkov-Blagojevic, Milena
Lichtner, Peter
Mohamed, Océane
Portugal, Berta
Landoulsi, Zied
May, Patrick
Bobbili, Dheeraj
Edsall, Connor
Bartusch, Felix
Hanussek, Maximilian
Krüger, Jens
Hernandez, Dena G.
Blauwendraat, Cornelis
Mellick, George D.
Zimprich, Alexander
Pirker, Walter
Tan, Manuela
Rogaeva, Ekaterina
Lang, Anthony
Koks, Sulev
Taba, Pille
Lesage, Suzanne
Brice, Alexis
Corvol, Jean-Christophe
Chartier-Harlin, Marie-Christine
Mutez, Eugenie
Brockmann, Kathrin
Deutschländer, Angela B.
Hadjigeorgiou, Georges M.
Dardiotis, Efthimos
Stefanis, Leonidas
Simitsi, Athina Maria
Valente, Enza Maria
Petrucci, Simona
Straniero, Letizia
Zecchinelli, Anna
Pezzoli, Gianni
Brighina, Laura
Ferrarese, Carlo
Annesi, Grazia
Quattrone, Andrea
Gagliardi, Monica
Burbulla, Lena F.
Matsuo, Hirotaka
Kawamura, Yusuke
Hattori, Nobutaka
Nishioka, Kenya
Chung, Sun Ju
Kim, Yun Joong
Pavelka, Lukas
van de Warrenburg, Bart P.C.
Bloem, Bastiaan R.
Singleton, Andrew B.
Aasly, Jan
Toft, Mathias
Guedes, Leonor Correia
Ferreira, Joaquim J.
Bardien, Soraya
Carr, Jonathan
Tolosa, Eduardo
Ezquerra, Mario
Pastor, Pau
Diez-Fairen, Monica
Wirdefeldt, Karin
Pedersen, Nancy L.
Ran, Caroline
Belin, Andrea C.
Puschmann, Andreas
Hellberg, Clara
Clarke, Carl E.
Morrison, Karen E.
Krainc, Dimitri
Farrer, Matt J.
Kruger, Rejko
Elbaz, Alexis
Gasser, Thomas
Sharma, Manu
description Considerable heterogeneity exists in the literature concerning genetic determinants of the age of onset (AAO) of Parkinson's disease (PD), which could be attributed to lack of well-powered replication cohorts. The previous largest GWAS identified nd loci on chromosome (Chr) 4 with a significant influence on AAO of PD, these have not been independently replicated. The present study aims to conduct a meta-analysis of GWAS of PD AAO and validate previously observed findings in worldwide populations. A meta-analysis was performed on PD AAO GWAS of 30 populations of predominantly European ancestry from the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) consortium. This was followed up by combining our study with the largest publicly available European ancestry dataset compiled by the International Parkinson disease Genomics Consortium (IPDGC). The COURAGE-PD included a cohort of 8,535 patients with PD (91.9%: Europeans, 9.1%: East-Asians). The average AAO in the COURAGE-PD dataset was 58.9 years (SD=11.6), with an under-representation of females (40.2%). The heritability estimate for AAO in COURAGE-PD was 0.083 (SE=0.057). None of the loci reached genome-wide significance (P
doi_str_mv 10.1212/WNL.0000000000200699
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Kumar Sreelatha, Ashwin Ashok ; Pihlstrom, Lasse ; Domenighetti, Cloé ; Schulte, Claudia ; Sugier, Pierre-Emmanuel ; Radivojkov-Blagojevic, Milena ; Lichtner, Peter ; Mohamed, Océane ; Portugal, Berta ; Landoulsi, Zied ; May, Patrick ; Bobbili, Dheeraj ; Edsall, Connor ; Bartusch, Felix ; Hanussek, Maximilian ; Krüger, Jens ; Hernandez, Dena G. ; Blauwendraat, Cornelis ; Mellick, George D. ; Zimprich, Alexander ; Pirker, Walter ; Tan, Manuela ; Rogaeva, Ekaterina ; Lang, Anthony ; Koks, Sulev ; Taba, Pille ; Lesage, Suzanne ; Brice, Alexis ; Corvol, Jean-Christophe ; Chartier-Harlin, Marie-Christine ; Mutez, Eugenie ; Brockmann, Kathrin ; Deutschländer, Angela B. ; Hadjigeorgiou, Georges M. ; Dardiotis, Efthimos ; Stefanis, Leonidas ; Simitsi, Athina Maria ; Valente, Enza Maria ; Petrucci, Simona ; Straniero, Letizia ; Zecchinelli, Anna ; Pezzoli, Gianni ; Brighina, Laura ; Ferrarese, Carlo ; Annesi, Grazia ; Quattrone, Andrea ; Gagliardi, Monica ; Burbulla, Lena F. ; Matsuo, Hirotaka ; Kawamura, Yusuke ; Hattori, Nobutaka ; Nishioka, Kenya ; Chung, Sun Ju ; Kim, Yun Joong ; Pavelka, Lukas ; van de Warrenburg, Bart P.C. ; Bloem, Bastiaan R. ; Singleton, Andrew B. ; Aasly, Jan ; Toft, Mathias ; Guedes, Leonor Correia ; Ferreira, Joaquim J. ; Bardien, Soraya ; Carr, Jonathan ; Tolosa, Eduardo ; Ezquerra, Mario ; Pastor, Pau ; Diez-Fairen, Monica ; Wirdefeldt, Karin ; Pedersen, Nancy L. ; Ran, Caroline ; Belin, Andrea C. ; Puschmann, Andreas ; Hellberg, Clara ; Clarke, Carl E. ; Morrison, Karen E. ; Krainc, Dimitri ; Farrer, Matt J. ; Kruger, Rejko ; Elbaz, Alexis ; Gasser, Thomas ; Sharma, Manu</creator><creatorcontrib>Grover, Sandeep ; Kumar Sreelatha, Ashwin Ashok ; Pihlstrom, Lasse ; Domenighetti, Cloé ; Schulte, Claudia ; Sugier, Pierre-Emmanuel ; Radivojkov-Blagojevic, Milena ; Lichtner, Peter ; Mohamed, Océane ; Portugal, Berta ; Landoulsi, Zied ; May, Patrick ; Bobbili, Dheeraj ; Edsall, Connor ; Bartusch, Felix ; Hanussek, Maximilian ; Krüger, Jens ; Hernandez, Dena G. ; Blauwendraat, Cornelis ; Mellick, George D. ; Zimprich, Alexander ; Pirker, Walter ; Tan, Manuela ; Rogaeva, Ekaterina ; Lang, Anthony ; Koks, Sulev ; Taba, Pille ; Lesage, Suzanne ; Brice, Alexis ; Corvol, Jean-Christophe ; Chartier-Harlin, Marie-Christine ; Mutez, Eugenie ; Brockmann, Kathrin ; Deutschländer, Angela B. ; Hadjigeorgiou, Georges M. ; Dardiotis, Efthimos ; Stefanis, Leonidas ; Simitsi, Athina Maria ; Valente, Enza Maria ; Petrucci, Simona ; Straniero, Letizia ; Zecchinelli, Anna ; Pezzoli, Gianni ; Brighina, Laura ; Ferrarese, Carlo ; Annesi, Grazia ; Quattrone, Andrea ; Gagliardi, Monica ; Burbulla, Lena F. ; Matsuo, Hirotaka ; Kawamura, Yusuke ; Hattori, Nobutaka ; Nishioka, Kenya ; Chung, Sun Ju ; Kim, Yun Joong ; Pavelka, Lukas ; van de Warrenburg, Bart P.C. ; Bloem, Bastiaan R. ; Singleton, Andrew B. ; Aasly, Jan ; Toft, Mathias ; Guedes, Leonor Correia ; Ferreira, Joaquim J. ; Bardien, Soraya ; Carr, Jonathan ; Tolosa, Eduardo ; Ezquerra, Mario ; Pastor, Pau ; Diez-Fairen, Monica ; Wirdefeldt, Karin ; Pedersen, Nancy L. ; Ran, Caroline ; Belin, Andrea C. ; Puschmann, Andreas ; Hellberg, Clara ; Clarke, Carl E. ; Morrison, Karen E. ; Krainc, Dimitri ; Farrer, Matt J. ; Kruger, Rejko ; Elbaz, Alexis ; Gasser, Thomas ; Sharma, Manu ; and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson’s Disease (COURAGE-PD) consortium ; and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) Consortium ; et al</creatorcontrib><description>Considerable heterogeneity exists in the literature concerning genetic determinants of the age of onset (AAO) of Parkinson's disease (PD), which could be attributed to lack of well-powered replication cohorts. The previous largest GWAS identified nd loci on chromosome (Chr) 4 with a significant influence on AAO of PD, these have not been independently replicated. The present study aims to conduct a meta-analysis of GWAS of PD AAO and validate previously observed findings in worldwide populations. A meta-analysis was performed on PD AAO GWAS of 30 populations of predominantly European ancestry from the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) consortium. This was followed up by combining our study with the largest publicly available European ancestry dataset compiled by the International Parkinson disease Genomics Consortium (IPDGC). The COURAGE-PD included a cohort of 8,535 patients with PD (91.9%: Europeans, 9.1%: East-Asians). The average AAO in the COURAGE-PD dataset was 58.9 years (SD=11.6), with an under-representation of females (40.2%). The heritability estimate for AAO in COURAGE-PD was 0.083 (SE=0.057). None of the loci reached genome-wide significance (P&lt;5x10 ). Nevertheless, the COURAGE-PD dataset confirmed the role of the previously published variant as genetic determinant of AAO of PD with Bonferroni-corrected nominal levels of significance (P&lt;0.025): (rs34311866:β(SE) =0.477(0.203), P =0.0185). The subsequent meta-analysis of COURAGE-PD and IPDGC datasets (N =25,950) led to the identification of two genome-wide significant association signals on Chr 4, including the previously reported locus (rs983361:β(SE) =0.720(0.122), P =3.13x10 ) and a novel locus (rs4698412:β(SE) =-0.526(0.096), P =4.41x10 ). Our study further refines the genetic architecture of Chr 4 underlying the AAO of the PD phenotype through the identification of as a novel AAO PD locus. These findings open a new direction for the development of treatments to delay the onset of PD.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/WNL.0000000000200699</identifier><identifier>PMID: 35618440</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Age of Onset ; Basic Medicine ; Clinical Medicine ; courage ; female ; genetic predisposition ; Genetic Predisposition to Disease ; genetics ; genome-wide association study ; human ; Humans ; Klinisk medicin ; Life Sciences ; Medical and Health Sciences ; Medical Genetics ; Medicin och hälsovetenskap ; Medicinsk genetik ; Medicinska och farmaceutiska grundvetenskaper ; meta analysis ; Neurologi ; Neurology ; onset age ; Parkinson disease ; Polymorphism, Single Nucleotide ; single nucleotide polymorphism</subject><ispartof>Neurology, 2022-08, Vol.99 (7), p.e698-e710</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2022 The Author(s). 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0000-0002-7677-426X ; 0000-0003-2478-3436 ; 0000-0002-7092-7034 ; 0000-0003-2071-2083 ; 0000-0003-1229-3667 ; 0000-0001-7325-0199 ; 0000-0002-3201-8198 ; 0000-0002-5947-0432 ; 0000-0003-3246-6641</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,551,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35618440$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03775820$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/6e85247c-3ace-46d9-a3e7-41b40c54c468$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:150436955$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Grover, Sandeep</creatorcontrib><creatorcontrib>Kumar Sreelatha, Ashwin Ashok</creatorcontrib><creatorcontrib>Pihlstrom, Lasse</creatorcontrib><creatorcontrib>Domenighetti, Cloé</creatorcontrib><creatorcontrib>Schulte, Claudia</creatorcontrib><creatorcontrib>Sugier, Pierre-Emmanuel</creatorcontrib><creatorcontrib>Radivojkov-Blagojevic, Milena</creatorcontrib><creatorcontrib>Lichtner, Peter</creatorcontrib><creatorcontrib>Mohamed, Océane</creatorcontrib><creatorcontrib>Portugal, Berta</creatorcontrib><creatorcontrib>Landoulsi, Zied</creatorcontrib><creatorcontrib>May, Patrick</creatorcontrib><creatorcontrib>Bobbili, Dheeraj</creatorcontrib><creatorcontrib>Edsall, Connor</creatorcontrib><creatorcontrib>Bartusch, Felix</creatorcontrib><creatorcontrib>Hanussek, Maximilian</creatorcontrib><creatorcontrib>Krüger, Jens</creatorcontrib><creatorcontrib>Hernandez, Dena G.</creatorcontrib><creatorcontrib>Blauwendraat, Cornelis</creatorcontrib><creatorcontrib>Mellick, George D.</creatorcontrib><creatorcontrib>Zimprich, Alexander</creatorcontrib><creatorcontrib>Pirker, Walter</creatorcontrib><creatorcontrib>Tan, Manuela</creatorcontrib><creatorcontrib>Rogaeva, Ekaterina</creatorcontrib><creatorcontrib>Lang, Anthony</creatorcontrib><creatorcontrib>Koks, Sulev</creatorcontrib><creatorcontrib>Taba, Pille</creatorcontrib><creatorcontrib>Lesage, Suzanne</creatorcontrib><creatorcontrib>Brice, Alexis</creatorcontrib><creatorcontrib>Corvol, Jean-Christophe</creatorcontrib><creatorcontrib>Chartier-Harlin, Marie-Christine</creatorcontrib><creatorcontrib>Mutez, Eugenie</creatorcontrib><creatorcontrib>Brockmann, Kathrin</creatorcontrib><creatorcontrib>Deutschländer, Angela B.</creatorcontrib><creatorcontrib>Hadjigeorgiou, Georges M.</creatorcontrib><creatorcontrib>Dardiotis, Efthimos</creatorcontrib><creatorcontrib>Stefanis, Leonidas</creatorcontrib><creatorcontrib>Simitsi, Athina Maria</creatorcontrib><creatorcontrib>Valente, Enza Maria</creatorcontrib><creatorcontrib>Petrucci, Simona</creatorcontrib><creatorcontrib>Straniero, Letizia</creatorcontrib><creatorcontrib>Zecchinelli, Anna</creatorcontrib><creatorcontrib>Pezzoli, Gianni</creatorcontrib><creatorcontrib>Brighina, Laura</creatorcontrib><creatorcontrib>Ferrarese, Carlo</creatorcontrib><creatorcontrib>Annesi, Grazia</creatorcontrib><creatorcontrib>Quattrone, Andrea</creatorcontrib><creatorcontrib>Gagliardi, Monica</creatorcontrib><creatorcontrib>Burbulla, Lena F.</creatorcontrib><creatorcontrib>Matsuo, Hirotaka</creatorcontrib><creatorcontrib>Kawamura, Yusuke</creatorcontrib><creatorcontrib>Hattori, Nobutaka</creatorcontrib><creatorcontrib>Nishioka, Kenya</creatorcontrib><creatorcontrib>Chung, Sun Ju</creatorcontrib><creatorcontrib>Kim, Yun Joong</creatorcontrib><creatorcontrib>Pavelka, Lukas</creatorcontrib><creatorcontrib>van de Warrenburg, Bart P.C.</creatorcontrib><creatorcontrib>Bloem, Bastiaan R.</creatorcontrib><creatorcontrib>Singleton, Andrew B.</creatorcontrib><creatorcontrib>Aasly, Jan</creatorcontrib><creatorcontrib>Toft, Mathias</creatorcontrib><creatorcontrib>Guedes, Leonor Correia</creatorcontrib><creatorcontrib>Ferreira, Joaquim J.</creatorcontrib><creatorcontrib>Bardien, Soraya</creatorcontrib><creatorcontrib>Carr, Jonathan</creatorcontrib><creatorcontrib>Tolosa, Eduardo</creatorcontrib><creatorcontrib>Ezquerra, Mario</creatorcontrib><creatorcontrib>Pastor, Pau</creatorcontrib><creatorcontrib>Diez-Fairen, Monica</creatorcontrib><creatorcontrib>Wirdefeldt, Karin</creatorcontrib><creatorcontrib>Pedersen, Nancy L.</creatorcontrib><creatorcontrib>Ran, Caroline</creatorcontrib><creatorcontrib>Belin, Andrea C.</creatorcontrib><creatorcontrib>Puschmann, Andreas</creatorcontrib><creatorcontrib>Hellberg, Clara</creatorcontrib><creatorcontrib>Clarke, Carl E.</creatorcontrib><creatorcontrib>Morrison, Karen E.</creatorcontrib><creatorcontrib>Krainc, Dimitri</creatorcontrib><creatorcontrib>Farrer, Matt J.</creatorcontrib><creatorcontrib>Kruger, Rejko</creatorcontrib><creatorcontrib>Elbaz, Alexis</creatorcontrib><creatorcontrib>Gasser, Thomas</creatorcontrib><creatorcontrib>Sharma, Manu</creatorcontrib><creatorcontrib>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson’s Disease (COURAGE-PD) consortium</creatorcontrib><creatorcontrib>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) Consortium</creatorcontrib><creatorcontrib>et al</creatorcontrib><title>Genome-wide Association and Meta-analysis of Age at Onset in Parkinson Disease: Evidence From the COURAGE-PD Consortium</title><title>Neurology</title><addtitle>Neurology</addtitle><description>Considerable heterogeneity exists in the literature concerning genetic determinants of the age of onset (AAO) of Parkinson's disease (PD), which could be attributed to lack of well-powered replication cohorts. The previous largest GWAS identified nd loci on chromosome (Chr) 4 with a significant influence on AAO of PD, these have not been independently replicated. The present study aims to conduct a meta-analysis of GWAS of PD AAO and validate previously observed findings in worldwide populations. A meta-analysis was performed on PD AAO GWAS of 30 populations of predominantly European ancestry from the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) consortium. This was followed up by combining our study with the largest publicly available European ancestry dataset compiled by the International Parkinson disease Genomics Consortium (IPDGC). The COURAGE-PD included a cohort of 8,535 patients with PD (91.9%: Europeans, 9.1%: East-Asians). The average AAO in the COURAGE-PD dataset was 58.9 years (SD=11.6), with an under-representation of females (40.2%). The heritability estimate for AAO in COURAGE-PD was 0.083 (SE=0.057). None of the loci reached genome-wide significance (P&lt;5x10 ). Nevertheless, the COURAGE-PD dataset confirmed the role of the previously published variant as genetic determinant of AAO of PD with Bonferroni-corrected nominal levels of significance (P&lt;0.025): (rs34311866:β(SE) =0.477(0.203), P =0.0185). The subsequent meta-analysis of COURAGE-PD and IPDGC datasets (N =25,950) led to the identification of two genome-wide significant association signals on Chr 4, including the previously reported locus (rs983361:β(SE) =0.720(0.122), P =3.13x10 ) and a novel locus (rs4698412:β(SE) =-0.526(0.096), P =4.41x10 ). Our study further refines the genetic architecture of Chr 4 underlying the AAO of the PD phenotype through the identification of as a novel AAO PD locus. These findings open a new direction for the development of treatments to delay the onset of PD.</description><subject>Age of Onset</subject><subject>Basic Medicine</subject><subject>Clinical Medicine</subject><subject>courage</subject><subject>female</subject><subject>genetic predisposition</subject><subject>Genetic Predisposition to Disease</subject><subject>genetics</subject><subject>genome-wide association study</subject><subject>human</subject><subject>Humans</subject><subject>Klinisk medicin</subject><subject>Life Sciences</subject><subject>Medical and Health Sciences</subject><subject>Medical Genetics</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicinsk genetik</subject><subject>Medicinska och farmaceutiska grundvetenskaper</subject><subject>meta analysis</subject><subject>Neurologi</subject><subject>Neurology</subject><subject>onset age</subject><subject>Parkinson disease</subject><subject>Polymorphism, Single Nucleotide</subject><subject>single nucleotide polymorphism</subject><issn>0028-3878</issn><issn>1526-632X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>D8T</sourceid><recordid>eNp1kl1v0zAUhiMEYmXwDxDyJVx4HH_G4a7qum5SoRNigjvLcU5oaD5KnKzav8ddSxFIWDqy9fp9H-vIJ0leM7hgnPH3Xz8tL-C0OIDOsifJhCmuqRb829NkEmVDhUnNWfIihB8A8TLNnidnQmlmpIRJsltg2zVId1WBZBpC5ys3VF1LXFuQjzg46lpXP4QqkK4k0-9I3EBWbcCBVC25df2makO0X1YBXcAPZH4fSa1HctV3DRnWSGaru8_TxZzeXpJZF839UI3Ny-RZ6eqAr477eXJ3Nf8yu6bL1eJmNl1SL8EwWgpkRqRpmWZGltJ7pgtQssyddN5xH3VRmKIoGSgOsS2nIdNMgCwzr3IuzhN64IYdbsfcbvuqcf2D7Vxlj9ImntBKxRRA9C__66_Hbaw81j6g0SguU2-F8zGui8w6gamVLJfglfRSm4h7d8CtXf0X63q6tHsNYnPKcLhn0fv24N323c8Rw2CbKnisa9diNwbLU-BZqlLYY-XB6vsuhB7LE5uB3U-HjdNh_52OGHtzfGHMGyxOod_j8Ie76-oB-7Cpxx32do2uHtaPPM2YpBw4j7-jgUaFMfELnU_Clw</recordid><startdate>20220816</startdate><enddate>20220816</enddate><creator>Grover, Sandeep</creator><creator>Kumar Sreelatha, Ashwin Ashok</creator><creator>Pihlstrom, Lasse</creator><creator>Domenighetti, Cloé</creator><creator>Schulte, Claudia</creator><creator>Sugier, Pierre-Emmanuel</creator><creator>Radivojkov-Blagojevic, Milena</creator><creator>Lichtner, Peter</creator><creator>Mohamed, Océane</creator><creator>Portugal, Berta</creator><creator>Landoulsi, Zied</creator><creator>May, Patrick</creator><creator>Bobbili, Dheeraj</creator><creator>Edsall, Connor</creator><creator>Bartusch, Felix</creator><creator>Hanussek, Maximilian</creator><creator>Krüger, Jens</creator><creator>Hernandez, Dena G.</creator><creator>Blauwendraat, Cornelis</creator><creator>Mellick, George D.</creator><creator>Zimprich, Alexander</creator><creator>Pirker, Walter</creator><creator>Tan, Manuela</creator><creator>Rogaeva, Ekaterina</creator><creator>Lang, Anthony</creator><creator>Koks, Sulev</creator><creator>Taba, Pille</creator><creator>Lesage, Suzanne</creator><creator>Brice, Alexis</creator><creator>Corvol, Jean-Christophe</creator><creator>Chartier-Harlin, 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Association and Meta-analysis of Age at Onset in Parkinson Disease: Evidence From the COURAGE-PD Consortium</title><author>Grover, Sandeep ; Kumar Sreelatha, Ashwin Ashok ; Pihlstrom, Lasse ; Domenighetti, Cloé ; Schulte, Claudia ; Sugier, Pierre-Emmanuel ; Radivojkov-Blagojevic, Milena ; Lichtner, Peter ; Mohamed, Océane ; Portugal, Berta ; Landoulsi, Zied ; May, Patrick ; Bobbili, Dheeraj ; Edsall, Connor ; Bartusch, Felix ; Hanussek, Maximilian ; Krüger, Jens ; Hernandez, Dena G. ; Blauwendraat, Cornelis ; Mellick, George D. ; Zimprich, Alexander ; Pirker, Walter ; Tan, Manuela ; Rogaeva, Ekaterina ; Lang, Anthony ; Koks, Sulev ; Taba, Pille ; Lesage, Suzanne ; Brice, Alexis ; Corvol, Jean-Christophe ; Chartier-Harlin, Marie-Christine ; Mutez, Eugenie ; Brockmann, Kathrin ; Deutschländer, Angela B. ; Hadjigeorgiou, Georges M. ; Dardiotis, Efthimos ; Stefanis, Leonidas ; Simitsi, Athina Maria ; Valente, Enza Maria ; Petrucci, Simona ; Straniero, Letizia ; Zecchinelli, Anna ; Pezzoli, Gianni ; Brighina, Laura ; Ferrarese, Carlo ; Annesi, Grazia ; Quattrone, Andrea ; Gagliardi, Monica ; Burbulla, Lena F. ; Matsuo, Hirotaka ; Kawamura, Yusuke ; Hattori, Nobutaka ; Nishioka, Kenya ; Chung, Sun Ju ; Kim, Yun Joong ; Pavelka, Lukas ; van de Warrenburg, Bart P.C. ; Bloem, Bastiaan R. ; Singleton, Andrew B. ; Aasly, Jan ; Toft, Mathias ; Guedes, Leonor Correia ; Ferreira, Joaquim J. ; Bardien, Soraya ; Carr, Jonathan ; Tolosa, Eduardo ; Ezquerra, Mario ; Pastor, Pau ; Diez-Fairen, Monica ; Wirdefeldt, Karin ; Pedersen, Nancy L. ; Ran, Caroline ; Belin, Andrea C. ; Puschmann, Andreas ; Hellberg, Clara ; Clarke, Carl E. ; Morrison, Karen E. ; Krainc, Dimitri ; Farrer, Matt J. ; Kruger, Rejko ; Elbaz, Alexis ; Gasser, Thomas ; Sharma, Manu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4081-f3e18377f7984f4cc16d054fba4aca2cf793d8ddf10520356a60961304f9c5b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age of Onset</topic><topic>Basic Medicine</topic><topic>Clinical Medicine</topic><topic>courage</topic><topic>female</topic><topic>genetic predisposition</topic><topic>Genetic Predisposition to Disease</topic><topic>genetics</topic><topic>genome-wide association study</topic><topic>human</topic><topic>Humans</topic><topic>Klinisk medicin</topic><topic>Life Sciences</topic><topic>Medical and Health Sciences</topic><topic>Medical Genetics</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicinsk genetik</topic><topic>Medicinska och farmaceutiska grundvetenskaper</topic><topic>meta analysis</topic><topic>Neurologi</topic><topic>Neurology</topic><topic>onset age</topic><topic>Parkinson disease</topic><topic>Polymorphism, Single Nucleotide</topic><topic>single nucleotide polymorphism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grover, Sandeep</creatorcontrib><creatorcontrib>Kumar Sreelatha, Ashwin Ashok</creatorcontrib><creatorcontrib>Pihlstrom, Lasse</creatorcontrib><creatorcontrib>Domenighetti, Cloé</creatorcontrib><creatorcontrib>Schulte, Claudia</creatorcontrib><creatorcontrib>Sugier, Pierre-Emmanuel</creatorcontrib><creatorcontrib>Radivojkov-Blagojevic, Milena</creatorcontrib><creatorcontrib>Lichtner, Peter</creatorcontrib><creatorcontrib>Mohamed, Océane</creatorcontrib><creatorcontrib>Portugal, Berta</creatorcontrib><creatorcontrib>Landoulsi, Zied</creatorcontrib><creatorcontrib>May, Patrick</creatorcontrib><creatorcontrib>Bobbili, Dheeraj</creatorcontrib><creatorcontrib>Edsall, Connor</creatorcontrib><creatorcontrib>Bartusch, Felix</creatorcontrib><creatorcontrib>Hanussek, Maximilian</creatorcontrib><creatorcontrib>Krüger, Jens</creatorcontrib><creatorcontrib>Hernandez, Dena G.</creatorcontrib><creatorcontrib>Blauwendraat, Cornelis</creatorcontrib><creatorcontrib>Mellick, George D.</creatorcontrib><creatorcontrib>Zimprich, Alexander</creatorcontrib><creatorcontrib>Pirker, Walter</creatorcontrib><creatorcontrib>Tan, Manuela</creatorcontrib><creatorcontrib>Rogaeva, Ekaterina</creatorcontrib><creatorcontrib>Lang, Anthony</creatorcontrib><creatorcontrib>Koks, Sulev</creatorcontrib><creatorcontrib>Taba, Pille</creatorcontrib><creatorcontrib>Lesage, Suzanne</creatorcontrib><creatorcontrib>Brice, Alexis</creatorcontrib><creatorcontrib>Corvol, Jean-Christophe</creatorcontrib><creatorcontrib>Chartier-Harlin, Marie-Christine</creatorcontrib><creatorcontrib>Mutez, Eugenie</creatorcontrib><creatorcontrib>Brockmann, Kathrin</creatorcontrib><creatorcontrib>Deutschländer, Angela B.</creatorcontrib><creatorcontrib>Hadjigeorgiou, Georges M.</creatorcontrib><creatorcontrib>Dardiotis, Efthimos</creatorcontrib><creatorcontrib>Stefanis, Leonidas</creatorcontrib><creatorcontrib>Simitsi, Athina Maria</creatorcontrib><creatorcontrib>Valente, Enza Maria</creatorcontrib><creatorcontrib>Petrucci, Simona</creatorcontrib><creatorcontrib>Straniero, Letizia</creatorcontrib><creatorcontrib>Zecchinelli, Anna</creatorcontrib><creatorcontrib>Pezzoli, Gianni</creatorcontrib><creatorcontrib>Brighina, Laura</creatorcontrib><creatorcontrib>Ferrarese, Carlo</creatorcontrib><creatorcontrib>Annesi, Grazia</creatorcontrib><creatorcontrib>Quattrone, Andrea</creatorcontrib><creatorcontrib>Gagliardi, Monica</creatorcontrib><creatorcontrib>Burbulla, Lena F.</creatorcontrib><creatorcontrib>Matsuo, Hirotaka</creatorcontrib><creatorcontrib>Kawamura, Yusuke</creatorcontrib><creatorcontrib>Hattori, Nobutaka</creatorcontrib><creatorcontrib>Nishioka, Kenya</creatorcontrib><creatorcontrib>Chung, Sun Ju</creatorcontrib><creatorcontrib>Kim, Yun Joong</creatorcontrib><creatorcontrib>Pavelka, Lukas</creatorcontrib><creatorcontrib>van de Warrenburg, Bart P.C.</creatorcontrib><creatorcontrib>Bloem, Bastiaan R.</creatorcontrib><creatorcontrib>Singleton, Andrew B.</creatorcontrib><creatorcontrib>Aasly, Jan</creatorcontrib><creatorcontrib>Toft, Mathias</creatorcontrib><creatorcontrib>Guedes, Leonor Correia</creatorcontrib><creatorcontrib>Ferreira, Joaquim J.</creatorcontrib><creatorcontrib>Bardien, Soraya</creatorcontrib><creatorcontrib>Carr, Jonathan</creatorcontrib><creatorcontrib>Tolosa, Eduardo</creatorcontrib><creatorcontrib>Ezquerra, Mario</creatorcontrib><creatorcontrib>Pastor, Pau</creatorcontrib><creatorcontrib>Diez-Fairen, Monica</creatorcontrib><creatorcontrib>Wirdefeldt, Karin</creatorcontrib><creatorcontrib>Pedersen, Nancy L.</creatorcontrib><creatorcontrib>Ran, Caroline</creatorcontrib><creatorcontrib>Belin, Andrea C.</creatorcontrib><creatorcontrib>Puschmann, Andreas</creatorcontrib><creatorcontrib>Hellberg, Clara</creatorcontrib><creatorcontrib>Clarke, Carl E.</creatorcontrib><creatorcontrib>Morrison, Karen E.</creatorcontrib><creatorcontrib>Krainc, Dimitri</creatorcontrib><creatorcontrib>Farrer, Matt J.</creatorcontrib><creatorcontrib>Kruger, Rejko</creatorcontrib><creatorcontrib>Elbaz, Alexis</creatorcontrib><creatorcontrib>Gasser, Thomas</creatorcontrib><creatorcontrib>Sharma, Manu</creatorcontrib><creatorcontrib>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson’s Disease (COURAGE-PD) consortium</creatorcontrib><creatorcontrib>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) Consortium</creatorcontrib><creatorcontrib>et al</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>SwePub</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><jtitle>Neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grover, Sandeep</au><au>Kumar Sreelatha, Ashwin Ashok</au><au>Pihlstrom, Lasse</au><au>Domenighetti, Cloé</au><au>Schulte, Claudia</au><au>Sugier, Pierre-Emmanuel</au><au>Radivojkov-Blagojevic, Milena</au><au>Lichtner, Peter</au><au>Mohamed, Océane</au><au>Portugal, Berta</au><au>Landoulsi, Zied</au><au>May, Patrick</au><au>Bobbili, Dheeraj</au><au>Edsall, Connor</au><au>Bartusch, Felix</au><au>Hanussek, Maximilian</au><au>Krüger, Jens</au><au>Hernandez, Dena G.</au><au>Blauwendraat, Cornelis</au><au>Mellick, George D.</au><au>Zimprich, Alexander</au><au>Pirker, Walter</au><au>Tan, Manuela</au><au>Rogaeva, Ekaterina</au><au>Lang, Anthony</au><au>Koks, Sulev</au><au>Taba, Pille</au><au>Lesage, Suzanne</au><au>Brice, Alexis</au><au>Corvol, Jean-Christophe</au><au>Chartier-Harlin, Marie-Christine</au><au>Mutez, Eugenie</au><au>Brockmann, Kathrin</au><au>Deutschländer, Angela B.</au><au>Hadjigeorgiou, Georges M.</au><au>Dardiotis, Efthimos</au><au>Stefanis, Leonidas</au><au>Simitsi, Athina Maria</au><au>Valente, Enza Maria</au><au>Petrucci, Simona</au><au>Straniero, Letizia</au><au>Zecchinelli, Anna</au><au>Pezzoli, Gianni</au><au>Brighina, Laura</au><au>Ferrarese, Carlo</au><au>Annesi, Grazia</au><au>Quattrone, Andrea</au><au>Gagliardi, Monica</au><au>Burbulla, Lena F.</au><au>Matsuo, Hirotaka</au><au>Kawamura, Yusuke</au><au>Hattori, Nobutaka</au><au>Nishioka, Kenya</au><au>Chung, Sun Ju</au><au>Kim, Yun Joong</au><au>Pavelka, Lukas</au><au>van de Warrenburg, Bart P.C.</au><au>Bloem, Bastiaan R.</au><au>Singleton, Andrew B.</au><au>Aasly, Jan</au><au>Toft, Mathias</au><au>Guedes, Leonor Correia</au><au>Ferreira, Joaquim J.</au><au>Bardien, Soraya</au><au>Carr, Jonathan</au><au>Tolosa, Eduardo</au><au>Ezquerra, Mario</au><au>Pastor, Pau</au><au>Diez-Fairen, Monica</au><au>Wirdefeldt, Karin</au><au>Pedersen, Nancy L.</au><au>Ran, Caroline</au><au>Belin, Andrea C.</au><au>Puschmann, Andreas</au><au>Hellberg, Clara</au><au>Clarke, Carl E.</au><au>Morrison, Karen E.</au><au>Krainc, Dimitri</au><au>Farrer, Matt J.</au><au>Kruger, Rejko</au><au>Elbaz, Alexis</au><au>Gasser, Thomas</au><au>Sharma, Manu</au><aucorp>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson’s Disease (COURAGE-PD) consortium</aucorp><aucorp>and the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) Consortium</aucorp><aucorp>et al</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Genome-wide Association and Meta-analysis of Age at Onset in Parkinson Disease: Evidence From the COURAGE-PD Consortium</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2022-08-16</date><risdate>2022</risdate><volume>99</volume><issue>7</issue><spage>e698</spage><epage>e710</epage><pages>e698-e710</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><abstract>Considerable heterogeneity exists in the literature concerning genetic determinants of the age of onset (AAO) of Parkinson's disease (PD), which could be attributed to lack of well-powered replication cohorts. The previous largest GWAS identified nd loci on chromosome (Chr) 4 with a significant influence on AAO of PD, these have not been independently replicated. The present study aims to conduct a meta-analysis of GWAS of PD AAO and validate previously observed findings in worldwide populations. A meta-analysis was performed on PD AAO GWAS of 30 populations of predominantly European ancestry from the Comprehensive Unbiased Risk Factor Assessment for Genetics and Environment in Parkinson's Disease (COURAGE-PD) consortium. This was followed up by combining our study with the largest publicly available European ancestry dataset compiled by the International Parkinson disease Genomics Consortium (IPDGC). The COURAGE-PD included a cohort of 8,535 patients with PD (91.9%: Europeans, 9.1%: East-Asians). The average AAO in the COURAGE-PD dataset was 58.9 years (SD=11.6), with an under-representation of females (40.2%). The heritability estimate for AAO in COURAGE-PD was 0.083 (SE=0.057). None of the loci reached genome-wide significance (P&lt;5x10 ). Nevertheless, the COURAGE-PD dataset confirmed the role of the previously published variant as genetic determinant of AAO of PD with Bonferroni-corrected nominal levels of significance (P&lt;0.025): (rs34311866:β(SE) =0.477(0.203), P =0.0185). The subsequent meta-analysis of COURAGE-PD and IPDGC datasets (N =25,950) led to the identification of two genome-wide significant association signals on Chr 4, including the previously reported locus (rs983361:β(SE) =0.720(0.122), P =3.13x10 ) and a novel locus (rs4698412:β(SE) =-0.526(0.096), P =4.41x10 ). Our study further refines the genetic architecture of Chr 4 underlying the AAO of the PD phenotype through the identification of as a novel AAO PD locus. These findings open a new direction for the development of treatments to delay the onset of PD.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>35618440</pmid><doi>10.1212/WNL.0000000000200699</doi><orcidid>https://orcid.org/0000-0001-6087-6643</orcidid><orcidid>https://orcid.org/0000-0002-2598-4398</orcidid><orcidid>https://orcid.org/0000-0003-1159-5321</orcidid><orcidid>https://orcid.org/0000-0002-1733-7561</orcidid><orcidid>https://orcid.org/0000-0002-0600-6820</orcidid><orcidid>https://orcid.org/0000-0003-2615-4916</orcidid><orcidid>https://orcid.org/0000-0002-3508-3438</orcidid><orcidid>https://orcid.org/0000-0003-4258-6241</orcidid><orcidid>https://orcid.org/0000-0001-6408-0351</orcidid><orcidid>https://orcid.org/0000-0001-9724-5490</orcidid><orcidid>https://orcid.org/0000-0002-4716-1886</orcidid><orcidid>https://orcid.org/0000-0001-6876-1496</orcidid><orcidid>https://orcid.org/0000-0002-6723-6865</orcidid><orcidid>https://orcid.org/0000-0002-2956-1552</orcidid><orcidid>https://orcid.org/0000-0001-8698-3770</orcidid><orcidid>https://orcid.org/0000-0003-0711-5196</orcidid><orcidid>https://orcid.org/0000-0002-2636-3163</orcidid><orcidid>https://orcid.org/0000-0003-4665-6710</orcidid><orcidid>https://orcid.org/0000-0002-7635-8645</orcidid><orcidid>https://orcid.org/0000-0002-7493-8777</orcidid><orcidid>https://orcid.org/0000-0002-0941-3990</orcidid><orcidid>https://orcid.org/0000-0003-1882-0309</orcidid><orcidid>https://orcid.org/0000-0002-7677-426X</orcidid><orcidid>https://orcid.org/0000-0003-2478-3436</orcidid><orcidid>https://orcid.org/0000-0002-7092-7034</orcidid><orcidid>https://orcid.org/0000-0003-2071-2083</orcidid><orcidid>https://orcid.org/0000-0003-1229-3667</orcidid><orcidid>https://orcid.org/0000-0001-7325-0199</orcidid><orcidid>https://orcid.org/0000-0002-3201-8198</orcidid><orcidid>https://orcid.org/0000-0002-5947-0432</orcidid><orcidid>https://orcid.org/0000-0003-3246-6641</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0028-3878
ispartof Neurology, 2022-08, Vol.99 (7), p.e698-e710
issn 0028-3878
1526-632X
language eng
recordid cdi_swepub_primary_oai_swepub_ki_se_451500
source SWEPUB Freely available online; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Age of Onset
Basic Medicine
Clinical Medicine
courage
female
genetic predisposition
Genetic Predisposition to Disease
genetics
genome-wide association study
human
Humans
Klinisk medicin
Life Sciences
Medical and Health Sciences
Medical Genetics
Medicin och hälsovetenskap
Medicinsk genetik
Medicinska och farmaceutiska grundvetenskaper
meta analysis
Neurologi
Neurology
onset age
Parkinson disease
Polymorphism, Single Nucleotide
single nucleotide polymorphism
title Genome-wide Association and Meta-analysis of Age at Onset in Parkinson Disease: Evidence From the COURAGE-PD Consortium
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