CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease

Background. The clock genes controlling biological rhythm play an important role in the pathophysiology of aging. The purpose of this study was to determine whether there is an association between a variant of the circadian locomotor output cycles kaput (CLOCK) gene and circadian dysfunction of Park...

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Main Authors: Fan Lou, Ming Li, Xiaoguang Luo, Yan Ren
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2018/4670380
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author Fan Lou
Ming Li
Xiaoguang Luo
Yan Ren
author_facet Fan Lou
Ming Li
Xiaoguang Luo
Yan Ren
author_sort Fan Lou
collection DOAJ
description Background. The clock genes controlling biological rhythm play an important role in the pathophysiology of aging. The purpose of this study was to determine whether there is an association between a variant of the circadian locomotor output cycles kaput (CLOCK) gene and circadian dysfunction of Parkinson’s disease (PD). Methods. Six hundred and forty-six cases of Parkinson’s disease from consecutive outpatients and inpatients ward from our hospital were included in this study. Kompetitive allele-specific PCR was used to determine the frequency distribution of genotypes and alleles. The examinations for the PD group were assessed in person in order to evaluate motor symptoms, cognitive function, sleep, and depression, including the Unified Parkinson’s Disease Rating Scale (UPDRS), Mini-Mental State Examination (MMSE), Pittsburgh Sleep Quality Index (PSQI), and 17-item Hamilton Rating Scale for Depression (HAMD-17). Results. Motor fluctuation (P<0.001) and sleep disorders (P=0.007) were significantly different between the two groups. These correlations persisted after adjusting for confounding risk factors by further binary logistic regression analysis, suggesting that the CLOCK 3111T/C variant was associated with motor fluctuation (OR = 1.080, P<0.001) and a subjective sleep disorder (OR = 1.130, P=0.037). Conclusion. The CLOCK 3111T/C variant can be an independent risk factor for motor fluctuation and sleep disorder in Parkinson’s disease.
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series Parkinson's Disease
spelling doaj-art-963bdba67d844107b286c477e609036a2025-08-20T02:10:16ZengWileyParkinson's Disease2090-80832042-00802018-01-01201810.1155/2018/46703804670380CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s DiseaseFan Lou0Ming Li1Xiaoguang Luo2Yan Ren3Department of Neurology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Neurology, The Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Neurology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Neurology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaBackground. The clock genes controlling biological rhythm play an important role in the pathophysiology of aging. The purpose of this study was to determine whether there is an association between a variant of the circadian locomotor output cycles kaput (CLOCK) gene and circadian dysfunction of Parkinson’s disease (PD). Methods. Six hundred and forty-six cases of Parkinson’s disease from consecutive outpatients and inpatients ward from our hospital were included in this study. Kompetitive allele-specific PCR was used to determine the frequency distribution of genotypes and alleles. The examinations for the PD group were assessed in person in order to evaluate motor symptoms, cognitive function, sleep, and depression, including the Unified Parkinson’s Disease Rating Scale (UPDRS), Mini-Mental State Examination (MMSE), Pittsburgh Sleep Quality Index (PSQI), and 17-item Hamilton Rating Scale for Depression (HAMD-17). Results. Motor fluctuation (P<0.001) and sleep disorders (P=0.007) were significantly different between the two groups. These correlations persisted after adjusting for confounding risk factors by further binary logistic regression analysis, suggesting that the CLOCK 3111T/C variant was associated with motor fluctuation (OR = 1.080, P<0.001) and a subjective sleep disorder (OR = 1.130, P=0.037). Conclusion. The CLOCK 3111T/C variant can be an independent risk factor for motor fluctuation and sleep disorder in Parkinson’s disease.http://dx.doi.org/10.1155/2018/4670380
spellingShingle Fan Lou
Ming Li
Xiaoguang Luo
Yan Ren
CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
Parkinson's Disease
title CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
title_full CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
title_fullStr CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
title_full_unstemmed CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
title_short CLOCK 3111T/C Variant Correlates with Motor Fluctuation and Sleep Disorders in Chinese Patients with Parkinson’s Disease
title_sort clock 3111t c variant correlates with motor fluctuation and sleep disorders in chinese patients with parkinson s disease
url http://dx.doi.org/10.1155/2018/4670380
work_keys_str_mv AT fanlou clock3111tcvariantcorrelateswithmotorfluctuationandsleepdisordersinchinesepatientswithparkinsonsdisease
AT mingli clock3111tcvariantcorrelateswithmotorfluctuationandsleepdisordersinchinesepatientswithparkinsonsdisease
AT xiaoguangluo clock3111tcvariantcorrelateswithmotorfluctuationandsleepdisordersinchinesepatientswithparkinsonsdisease
AT yanren clock3111tcvariantcorrelateswithmotorfluctuationandsleepdisordersinchinesepatientswithparkinsonsdisease