A
LINK between a faulty gene and a wide spectrum of Parkinson's
disease types has been uncovered.
A team at Duke University in North Carolina has shown that
alteration of a gene appears to contribute to the common late-onset
form of Parkinson's disease, which killed Terry Thomas, the
comedian, and the rarer, early-onset, which affects Michael J Fox,
the actor.
Two years ago, a Japanese team reported that mutation of this
gene, which it dubbed Parkin, was responsible for juvenile
parkinsonism, a disorder similar to, but considered distinct from,
Parkinson's disease.
The Duke team looked at 175 affected families and found a small
mutation on the Parkin gene, suggesting that there may be a genetic
link to various manifestations of the disease. Dr Margaret
Pericak-Vance, one of the team, said: "Five years ago, it was
thought that Parkinson's disease was caused solely by environment
factors.
"In a relatively short period, we have been able to show that
genetics plays an important role. The significance of the Parkin
discovery is that it appears to be a causative gene, and it shows up
fairly frequently across the spectrum of age of onset."
The findings show a common genetic basis for different forms of
Parkinson's, and suggest that the Parkin gene might be a useful
diagnostic tool, the team told the American Society for Human
Genetics, in Philadelphia.
The discovery of the Parkin mutation marks the second gene
implicated in the disease. In 1997, European researchers found a
connection between the alpha-synuclein gene and a small number of
the relatively rare early-onset cases.
Parkinson's disease is a complex disorder, which has a
combination of genetic and environmental factors and is probably
caused by a mixture of mutations and susceptibility factors. The
next step is to determine the function of the protein produced by
the Parkin gene.
It is thought to work in combination with another, ubiquitin, to
rid the cell of normal metabolic by-products. The disease affects
part of the brain known as the substantia nigra, responsible for
movement. Pathologists often find plaques in the brain cells.It may
be that a build-up of cellular waste leads to their development.
30
May 2000: Man-made cells may reverse Parkinson's
5
May 2000: Addictions protect against Parkinson's
27
July 1999: Fresh drug hope for
Parkinson's