A severe neurodegenerative disease with Lewy bodies and a mutation in the glucocerebrosidase gene
: Sipilä Jussi OT, Kytövuori Laura, Rauramaa Tuomas, Rauhamaa Hugo, Kaasinen Valtteri, Majamaa Kari
Publisher: NATURE PORTFOLIO
: 2023
: NPJ Parkinson's disease
: NPJ PARKINSONS DISEASE
: NPJ PARKINSONS DIS
: 53
: 9
: 6
DOI: https://doi.org/10.1038/s41531-023-00501-4
: https://www.nature.com/articles/s41531-023-00501-4
: https://research.utu.fi/converis/portal/detail/Publication/179465149
Several heterozygous variants of the glucocerebrosidase gene (GBA1) have been reported to increase the risk of Parkinson's disease (PD) and dementia with Lewy bodies (DLB). GBA1-associated PD has been reported to be more severe than idiopathic PD, and more deleterious variants are associated with more severe clinical phenotypes. We report a family with a heterozygous p.Pro454Leu variant in GBA1. The variant was associated with a severe and rapidly progressive neurodegenerative disease with Lewy bodies that were clinically and pathologically diverse. Pathogenicity prediction algorithms and evolutionary analyses suggested that p.Pro454Leu is deleterious.