Table 3 Established monogenic PD genes (ordered alphabetically and by inheritance)a.

From: Tools for communicating risk for Parkinson’s disease

Gene

Inheritance

Risk considerations

GBA1b

AD

• More common in those w/ AJ ancestry

• Cognitive impairment or dementia may be present

• Can have earlier onset

• Family history of GD may be observed since GBA1 is also associated with this AR disorder

• Both mild and severe variants described

• Almost all pathogenic variants are associated with both PD and GD, although there are exceptions

• Reduced penetrance

LRRK2

AD

• More common in those w/ AJ or N. African Berber ancestry

• Primary variant in Europeans is G2019S

• Reduced penetrance

SNCA

AD

• First reported in a few Italian and Greek families; rare

• Can have early onset

• Duplications are common

VPS35

AD

• Rare

• Can have earlier onset

DJ1

AR

• Rare

• Early onset typical

• Unclear if single variants increase PD risk

PINK1

AR

• Rare

• Early onset typical

• Unclear if single variants increase PD risk

PRKN

AR

• Most common AR PD gene

• Early onset typical

• Unclear if single variants increase PD risk

• Deletions and duplications common

  1. AD autosomal dominant, AJ Ashkenazi Jewish, AR autosomal recessive, GD Gaucher disease, PD Parkinson’s disease.
  2. aAdapted from Table 1 in “Parkinson Disease Overview” by Cook Shukla L, Schulze J, Farlow J, et al. 2004 May 25 [Updated 2019 Jul 25]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2022. Available from https://www-ncbi-nlm-nih-gov.proxy.ulib.uits.iu.edu/books/NBK1223/.
  3. bDisagreement over whether GBA1 variants are risk factors or are monogenic related to their degree of penetrance.