Abstract
Homozygous mutations in the PINK1 gene have been shown to cause early-onset parkinsonism. Here, we describe a novel homozygous mutation (Q126P), identified in two affected German sisters with a clinical phenotype typical for PINK1-associated parkinsonism. We analysed lactate, pyruvate, carnitine and acylcarnitine blood levels, lactate levels under exercise and in the cerebrospinal fluid, activity of respiratory chain complexes I-IV in muscle biopsies and proteasomal activity in immortalized lymphoblasts, but found no evidence for mitochondrial or proteasomal dysfunction. MR spectroscopy revealed raised myoinositol levels in the basal ganglia of both patients, reflecting possible astroglial proliferation.
MeSH Terms
Adult
Aged
Basal Ganglia/metabolism,pathology,physiopathology
Biomarkers/analysis,blood
Cell Line
DNA Mutational Analysis
Energy Metabolism/genetics
Female
Genetic Markers/genetics
Genetic Predisposition to Disease/genetics
Genetic Testing
Germany
Gliosis/diagnosis,genetics,metabolism
Heterozygote
Homozygote
Humans
Inositol/analysis,metabolism
Magnetic Resonance Spectroscopy
Male
Middle Aged
Mitochondrial Diseases/blood,diagnosis
Muscle, Skeletal/metabolism,physiopathology
Mutation/genetics
Parkinson Disease/drug therapy,genetics,physiopathology
Pedigree
Protein Kinases/genetics
Chemicals
Biomarkers
Genetic Markers
Inositol
Protein Kinases
PTEN-induced putative kinase
Authors & Affiliations
12 authors, click to expand affiliations / ORCID
Prestel Jügen
Hertie-Institute for Clinical Brain Research, Dept. for Neurodegenerative Diseases, University of Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.
Gempel Klaus
Hauser Till-Karsten
Schweitzer Katherine
Prokisch Holger
Ahting Uwe
Freudenstein Dirk
Bueltmann Eva
Naegele Thomas
Berg Daniela
Klopstock Thomas
Gasser Thomas
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