The effect of LRRK2 loss-of-function variants in humans

Nicola Whiffin1,2,3, Irina M Armean4,5, Aaron Kleinman6

  • 1National Heart & Lung Institute and MRC London Institute of Medical Sciences, Imperial College London, London, UK. n.whiffin@imperial.ac.uk.

Nature Medicine
|May 29, 2020
PubMed

Insights

Loss-of-function variants in the LRRK2 gene reduce protein levels but do not appear to cause specific health issues in humans. This research supports using genetic data to validate drug targets for diseases like Parkinson's.

Area of Science:

  • Genetics
  • Neuroscience
  • Pharmacology

Background:

  • Human genetic variants causing protein loss-of-function (pLoF) serve as in vivo models for gene function and drug toxicity.
  • Gain-of-kinase-function variants in LRRK2 are linked to increased Parkinson's disease risk, making LRRK2 inhibition a potential therapeutic strategy.
  • Preclinical studies suggest on-target toxicity concerns for LRRK2 inhibitors, but human data on LRRK2 inhibition consequences are limited.

Purpose of the Study:

  • To investigate the biological consequences of LRRK2 inhibition in humans by analyzing loss-of-function variants.
  • To assess the association between LRRK2 loss-of-function variants and specific phenotypes or disease states.
  • To evaluate the utility of large-scale genomic databases and human loss-of-function data for drug discovery target validation.

Main Methods:

  • Systematic analysis of LRRK2 pLoF variants across large-scale genomic datasets (gnomAD, UK Biobank, 23andMe).
  • Identification and curation of high-confidence LRRK2 pLoF variants in over 1,400 individuals.
  • Experimental validation of variant effects on protein levels and correlation with phenotypic data.

Main Results:

  • Identified 1,455 individuals with high-confidence heterozygous pLoF variants in LRRK2.
  • Confirmed reduced LRRK2 protein levels in 82.5% of analyzed variants.
  • Found no strong association between heterozygous LRRK2 pLoF variants and specific phenotypes or disease states.

Conclusions:

  • Heterozygous loss-of-function variants in LRRK2 reduce protein levels but do not appear to be strongly associated with adverse phenotypes in humans.
  • Large-scale human genetic data and phenotyping are valuable for validating drug targets, including LRRK2 for Parkinson's disease.
  • This study provides crucial human in vivo data on the consequences of LRRK2 inactivation, informing therapeutic strategies and safety assessments.