AI Article Synopsis
- Missense variants in the LRRK2 gene are linked to both familial and sporadic forms of Parkinson's disease (PD), with differing pathological features among patients.
- A case study discussed features a patient with the LRRK2 G2385R variant, who experienced early responsive parkinsonism and advanced visual hallucinations, along with significant brain pathology.
- Findings included the presence of Lewy bodies, neurofibrillary tangles, and biochemical changes indicating increased LRRK2 activity, which contribute to the damaging brain environment seen in this variant of PD.
Article Abstract
Missense variants in leucine-rich repeat kinase 2 (LRRK2) lead to familial and sporadic Parkinson's disease (PD). The pathological features of PD patients with LRRK2 variants differ. Here, we report an autopsy case harboring the LRRK2 G2385R, a risk variant for PD occurring mainly in Asian populations. The patient exhibited levodopa-responsive parkinsonism at the early stage and visual hallucinations at the advanced stage. The pathological study revealed diffuse Lewy bodies with neurofibrillary tangles, amyloid plaques, and mild signs of neuroinflammation. Biochemically, detergent-insoluble phospho-α-synuclein was accumulated in the frontal, temporal, entorhinal cortexes, and putamen, consistent with the pathological observations. Elevated phosphorylation of Rab10, a substrate of LRRK2, was also prominent in various brain regions. In conclusion, G2385R appears to increase LRRK2 kinase activity in the human brain, inducing a deleterious brain environment that causes Lewy body pathology.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355991 | PMC |
| http://dx.doi.org/10.1038/s41531-022-00367-y | DOI Listing |
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