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