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Updated: May 12, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
The p.L302P mutation in the lysosomal enzyme gene SMPD1 is a risk factor for Parkinson disease
Ziv Gan-Or1, Laurie J Ozelius, Anat Bar-Shira
1Genetic Institute and Movement Disorders Unit, Parkinson Center, Department of Neurology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Objective:
To study the possible association of founder mutations in the lysosomal storage disorder genes HEXA, SMPD1, and MCOLN1 (causing Tay-Sachs, Niemann-Pick A, and mucolipidosis type IV diseases, respectively) with Parkinson disease (PD).
Methods:
Two PD patient cohorts of Ashkenazi Jewish (AJ) ancestry, that included a total of 938 patients, were studied: a cohort of 654 patients from Tel Aviv, and a replication cohort of 284 patients from New York. Eight AJ founder mutations in the HEXA, SMPD1, and MCOLN1 genes were analyzed. The frequencies of these mutations were compared to AJ control groups that included large published groups undergoing prenatal screening and 282 individuals matched for age and sex.
Results:
Mutation frequencies were similar in the 2 groups of patients with PD. The SMPD1 p.L302P was strongly associated with a highly increased risk for PD (odds ratio 9.4, 95% confidence interval 3.9-22.8, p < 0.0001), as 9/938 patients with PD were carriers of this mutation compared to only 11/10,709 controls.
Conclusions:
The SMPD1 p.L302P mutation is a novel risk factor for PD. Although it is rare on a population level, the identification of this mutation as a strong risk factor for PD may further elucidate PD pathogenesis and the role of lysosomal pathways in disease development.
Insights
A specific mutation in the SMPD1 gene (p.L302P) significantly increases the risk of developing Parkinson disease (PD). This finding highlights the role of lysosomal pathways in PD pathogenesis.
Area of Science:
- Genetics
- Neuroscience
- Lysosomal Storage Disorders
Background:
- Lysosomal storage disorders (LSDs) like Tay-Sachs, Niemann-Pick A, and mucolipidosis type IV are caused by mutations in genes such as HEXA, SMPD1, and MCOLN1.
- Investigating founder mutations in these LSD genes may reveal novel associations with neurodegenerative diseases.
- Parkinson disease (PD) pathogenesis is complex and may involve genetic factors beyond those traditionally studied.
Purpose of the Study:
- To investigate the potential association between founder mutations in HEXA, SMPD1, and MCOLN1 genes and the risk of developing Parkinson disease (PD).
- To determine if specific mutations common in the Ashkenazi Jewish (AJ) population contribute to PD susceptibility.
Main Methods:
- Analysis of eight AJ founder mutations in HEXA, SMPD1, and MCOLN1 genes within two PD patient cohorts (total 938 patients) of AJ ancestry.
- Comparison of mutation frequencies in PD patients with large AJ control groups, including those from prenatal screening and age/sex-matched individuals.
Main Results:
- The SMPD1 p.L302P mutation showed a strong association with an increased risk of PD (OR 9.4, P < 0.0001).
- Nine out of 938 PD patients carried the SMPD1 p.L302P mutation, compared to 11 out of 10,709 controls.
- Mutation frequencies were consistent across the two studied PD patient cohorts.
Conclusions:
- The SMPD1 p.L302P mutation is identified as a novel risk factor for Parkinson disease.
- This discovery may offer new insights into PD pathogenesis and the involvement of lysosomal pathways in neurodegeneration.
- While rare, this mutation's strong association underscores the importance of exploring lysosomal function in PD development.
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