Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms

ABSTRACT Background: Increasing numbers of mutations causing monogenic forms of Parkinson's disease (PD) have been described, mostly among patients in Europe and North America. Since genetic architecture varies between different populations, studying the specific genetic profile of Brazilian...

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Main Authors: Bruno L. Santos-Lobato, Artur Schumacher-Schuh, Ignacio F. Mata, Grace H. Letro, Pedro Braga-Neto, Pedro R. P. Brandão, Clécio O. Godeiro-Junior, Marcus V. Della Coletta, Sarah T. Camargos, Vanderci Borges, Carlos R. M. Rieder, Vitor Tumas
Format: Article
Language:English
Published: Thieme Revinter Publicações 2021-08-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000700612&tlng=en
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author Bruno L. Santos-Lobato
Artur Schumacher-Schuh
Ignacio F. Mata
Grace H. Letro
Pedro Braga-Neto
Pedro R. P. Brandão
Clécio O. Godeiro-Junior
Marcus V. Della Coletta
Sarah T. Camargos
Vanderci Borges
Carlos R. M. Rieder
Vitor Tumas
author_facet Bruno L. Santos-Lobato
Artur Schumacher-Schuh
Ignacio F. Mata
Grace H. Letro
Pedro Braga-Neto
Pedro R. P. Brandão
Clécio O. Godeiro-Junior
Marcus V. Della Coletta
Sarah T. Camargos
Vanderci Borges
Carlos R. M. Rieder
Vitor Tumas
author_sort Bruno L. Santos-Lobato
collection DOAJ
description ABSTRACT Background: Increasing numbers of mutations causing monogenic forms of Parkinson's disease (PD) have been described, mostly among patients in Europe and North America. Since genetic architecture varies between different populations, studying the specific genetic profile of Brazilian patients is essential for improving genetic counseling and for selecting patients for clinical trials. Objective: We conducted a systematic review to identify genetic studies on Brazilian patients and to set a background for future studies on monogenic forms of PD in Brazil. Methods: We searched MEDLINE, EMBASE and Web of Science from inception to December 2019 using terms for "Parkinson's disease", "genetics" and "Brazil". Two independent reviewers extracted the data. For the genes LRRK2 and PRKN, the estimated prevalence was calculated for each study, and a meta-analysis was performed. Results: A total of 32 studies were included, comprising 94 Brazilian patients with PD with a causative mutation, identified from among 2,872 screened patients (3.2%). PRKN mutations were causative of PD in 48 patients out of 576 (8.3%). LRRK2 mutations were identified in 40 out of 1,556 patients (2.5%), and p.G2019S was the most common mutation (2.2%). Conclusions: PRKN is the most common autosomal recessive cause of PD, and LRRK2 is the most common autosomal dominant form. We observed that there was a lack of robust epidemiological studies on PD genetics in Brazil and, especially, that the diversity of Brazil’s population had not been considered.
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spelling doaj-art-bee91a5aacab466db8f527795df30ff92025-08-20T03:22:59ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272021-08-0179761262310.1590/0004-282x-anp-2020-0409Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic formsBruno L. Santos-Lobatohttps://orcid.org/0000-0001-9321-5710Artur Schumacher-Schuhhttps://orcid.org/0000-0002-8722-0908Ignacio F. Matahttps://orcid.org/0000-0003-1198-0633Grace H. Letrohttps://orcid.org/0000-0002-3815-9514Pedro Braga-Netohttps://orcid.org/0000-0001-9186-9243Pedro R. P. Brandãohttps://orcid.org/0000-0002-1191-2078Clécio O. Godeiro-Juniorhttps://orcid.org/0000-0002-4312-1633Marcus V. Della Colettahttps://orcid.org/0000-0002-3368-8492Sarah T. Camargoshttps://orcid.org/0000-0001-9829-6783Vanderci Borgeshttps://orcid.org/0000-0002-8723-2757Carlos R. M. Riederhttps://orcid.org/0000-0003-2950-7211Vitor Tumashttps://orcid.org/0000-0003-2402-2709ABSTRACT Background: Increasing numbers of mutations causing monogenic forms of Parkinson's disease (PD) have been described, mostly among patients in Europe and North America. Since genetic architecture varies between different populations, studying the specific genetic profile of Brazilian patients is essential for improving genetic counseling and for selecting patients for clinical trials. Objective: We conducted a systematic review to identify genetic studies on Brazilian patients and to set a background for future studies on monogenic forms of PD in Brazil. Methods: We searched MEDLINE, EMBASE and Web of Science from inception to December 2019 using terms for "Parkinson's disease", "genetics" and "Brazil". Two independent reviewers extracted the data. For the genes LRRK2 and PRKN, the estimated prevalence was calculated for each study, and a meta-analysis was performed. Results: A total of 32 studies were included, comprising 94 Brazilian patients with PD with a causative mutation, identified from among 2,872 screened patients (3.2%). PRKN mutations were causative of PD in 48 patients out of 576 (8.3%). LRRK2 mutations were identified in 40 out of 1,556 patients (2.5%), and p.G2019S was the most common mutation (2.2%). Conclusions: PRKN is the most common autosomal recessive cause of PD, and LRRK2 is the most common autosomal dominant form. We observed that there was a lack of robust epidemiological studies on PD genetics in Brazil and, especially, that the diversity of Brazil’s population had not been considered.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000700612&tlng=enGeneticsParkinson’s diseaseLRRK2PRKN
spellingShingle Bruno L. Santos-Lobato
Artur Schumacher-Schuh
Ignacio F. Mata
Grace H. Letro
Pedro Braga-Neto
Pedro R. P. Brandão
Clécio O. Godeiro-Junior
Marcus V. Della Coletta
Sarah T. Camargos
Vanderci Borges
Carlos R. M. Rieder
Vitor Tumas
Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
Arquivos de Neuro-Psiquiatria
Genetics
Parkinson’s disease
LRRK2
PRKN
title Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
title_full Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
title_fullStr Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
title_full_unstemmed Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
title_short Genetics of Parkinson’s disease in Brazil: a systematic review of monogenic forms
title_sort genetics of parkinson s disease in brazil a systematic review of monogenic forms
topic Genetics
Parkinson’s disease
LRRK2
PRKN
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2021000700612&tlng=en
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