Association of GBA1 status and sex with depression severity and progression in Parkinson's disease
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Pierfrancesco Mitrotti1,2, Micol Avenali3,4, Carlo Alberto Artusi5,6
1Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Abstract:
GBA1 variants increase neuropsychiatric vulnerability in Parkinson's disease (PD). In a multicenter cohort of 234 PD patients (78 GBA-PD, 156 nonGBA-PD), we investigated how GBA1 genotype and sex relate to depression. REM sleep behavior disorder was associated with depression in GBA-PD, while sex, cognition, and motor complications were predictors in nonGBA-PD. Depressive symptoms were more severe and progressed faster in GBA-PD, supporting specific monitoring of this genetic subgroup.
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