Abstract
We conducted a meta-analysis of Parkinson's disease genome-wide association studies using a common set of 7,893,274 variants across 13,708 cases and 95,282 controls. Twenty-six loci were identified as having genome-wide significant association; these and 6 additional previously reported loci were then tested in an independent set of 5,353 cases and 5,551 controls. Of the 32 tested SNPs, 24 replicated, including 6 newly identified loci. Conditional analyses within loci showed that four loci, including GBA, GAK-DGKQ, SNCA and the HLA region, contain a secondary independent risk variant. In total, we identified and replicated 28 independent risk variants for Parkinson's disease across 24 loci. Although the effect of each individual locus was small, risk profile analysis showed substantial cumulative risk in a comparison of the highest and lowest quintiles of genetic risk (odds ratio (OR) = 3.31, 95% confidence interval (CI) = 2.55–4.30; P = 2 × 10−16). We also show six risk loci associated with proximal gene expression or DNA methylation.
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References
- 1.
Lill, C.M. et al. Comprehensive research synopsis and systematic meta-analyses in Parkinson's disease genetics: The PDGene database. PLoS Genet. 8, e1002548 (2012).
- 2.
Do, C.B. et al. Web-based genome-wide association study identifies two novel loci and a substantial genetic component for Parkinson's disease. PLoS Genet. 7, e1002141 (2011).
- 3.
International Parkinson Disease Genomics Consortium. Imputation of sequence variants for identification of genetic risks for Parkinson's disease: a meta-analysis of genome-wide association studies. Lancet 377, 641–649 (2011).
- 4.
International Parkinson's Disease Genomics Consortium (IPDGC) & Wellcome Trust Case Control Consortium 2 (WTCCC2). A two-stage meta-analysis identifies several new loci for Parkinson's disease. PLoS Genet. 7, e1002142 (2011).
- 5.
Edwards, T.L. et al. Genome-wide association study confirms SNPs in SNCA and the MAPT region as common risk factors for Parkinson disease. Ann. Hum. Genet. 74, 97–109 (2010).
- 6.
Pankratz, N. et al. Genomewide association study for susceptibility genes contributing to familial Parkinson disease. Hum. Genet. 124, 593–605 (2009).
- 7.
Pankratz, N. et al. Meta-analysis of Parkinson's disease: identification of a novel locus, RIT2. Ann. Neurol. 71, 370–384 (2012).
- 8.
Simón-Sánchez, J. et al. Genome-wide association study confirms extant PD risk loci among the Dutch. Eur. J. Hum. Genet. 19, 655–661 (2011).
- 9.
Hamza, T.H. et al. Common genetic variation in the HLA region is associated with late-onset sporadic Parkinson's disease. Nat. Genet. 42, 781–785 (2010).
- 10.
Liu, X. et al. Genome-wide association study identifies candidate genes for Parkinson's disease in an Ashkenazi Jewish population. BMC Med. Genet. 12, 104 (2011).
- 11.
Hernandez, D.G. et al. Genome wide assessment of young onset Parkinson's disease from Finland. PLoS ONE 7, e41859 (2012).
- 12.
Pihlstrøm, L. et al. Supportive evidence for 11 loci from genome-wide association studies in Parkinson's disease. Neurobiol. Aging 34, 1708.e7–13 (2013).
- 13.
Sharma, M. et al. Large-scale replication and heterogeneity in Parkinson disease genetic loci. Neurology 79, 659–667 (2012).
- 14.
Saad, M. et al. Genome-wide association study confirms BST1 and suggests a locus on 12q24 as the risk loci for Parkinson's disease in the European population. Hum. Mol. Genet. 20, 615–627 (2011).
- 15.
Satake, W. et al. Genome-wide association study identifies common variants at four loci as genetic risk factors for Parkinson's disease. Nat. Genet. 41, 1303–1307 (2009).
- 16.
Elbaz, A. et al. Independent and joint effects of the MAPT and SNCA genes in Parkinson disease. Ann. Neurol. 69, 778–792 (2011).
- 17.
Psaty, B.M. et al. Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Consortium. Design of prospective meta-analyses of genome-wide association studies from 5 cohorts. Circ. Cardiovasc. Genet. 2, 73–80 (2009).
- 18.
MacLeod, D.A. et al. RAB7L1 interacts with LRRK2 to modify intraneuronal protein sorting and Parkinson's disease risk. Neuron 77, 425–439 (2013).
- 19.
Keller, M.F. et al. Using genome-wide complex trait analysis to quantify 'missing heritability' in Parkinson's disease. Hum. Mol. Genet. 21, 4996–5009 (2012).
- 20.
Wei, Z. et al. Large sample size, wide variant spectrum, and advanced machine-learning technique boost risk prediction for inflammatory bowel disease. Am. J. Hum. Genet. 92, 1008–1012 (2013).
- 21.
Willems, S.M., Mihaescu, R., Sijbrands, E.J.G., van Duijn, C.M. & Janssens, A.C.J.W. A methodological perspective on genetic risk prediction studies in type 2 diabetes: recommendations for future research. Curr. Diab. Rep. 11, 511–518 (2011).
- 22.
Morrison, A.C. et al. Whole-genome sequence–based analysis of high-density lipoprotein cholesterol. Nat. Genet. 45, 899–901 (2013).
- 23.
1000 Genomes Project Consortium. A map of human genome variation from population-scale sequencing. Nature 467, 1061–1073 (2010).
- 24.
de Bakker, P.I. et al. Practical aspects of imputation-driven meta-analysis of genome-wide association studies. Hum. Mol. Genet. 17, R122–R128 (2008).
- 25.
van der Walt, J.M. et al. Fibroblast growth factor 20 polymorphisms and haplotypes strongly influence risk of Parkinson disease. Am. J. Hum. Genet. 74, 1121–1127 (2004).
- 26.
Gibbs, J.R. et al. Abundant quantitative trait loci exist for DNA methylation and gene expression in human brain. PLoS Genet. 6, e1000952 (2010).
- 27.
Hofman, A. et al. The Rotterdam Study: 2012 objectives and design update. Eur. J. Epidemiol. 26, 657–686 (2011).
- 28.
Ton, T.G. et al. Post hoc Parkinson's disease: identifying an uncommon disease in the Cardiovascular Health Study. Neuroepidemiology 35, 241–249 (2010).
- 29.
Ikram, M.A. et al. Genomewide association studies of stroke. N. Engl. J. Med. 360, 1718–1728 (2009).
- 30.
Eriksson, N. et al. Genetic variant sassociated with breast size also influence breast cancer risk. BMC Med. Genet. 13, 53 (2012).
- 31.
Howie, B., Fuchsberger, C., Stephens, M., Marchini, J. & Abecasis, G.R. Fast and accurate genotype imputation in genome-wide association studies through pre-phasing. Nat. Genet. 44, 955–959 (2012).
- 32.
Willer, C.J., Li, Y. & Abecasis, G.R. METAL: fast and efficient meta-analysis of genomewide association scans. Bioinformatics 26, 2190–2191 (2010).
- 33.
Han, B. & Eskin, E. Random-effects model aimed at discovering associations in meta-analysis of genome-wide association studies. Am. J. Hum. Genet. 88, 586–598 (2011).
- 34.
Grove, M.L. et al. Best practices and joint calling of the HumanExome BeadChip: the CHARGE Consortium. PLoS ONE 8, e68095 (2013).
- 35.
Ripatti, S. et al. A multilocus genetic risk score for coronary heart disease: case-control and prospective cohort analyses. Lancet 376, 1393–1400 (2010).
- 36.
Hernandez, D.G. et al. Distinct DNA methylation changes highly correlated with chronological age in the human brain. Hum. Mol. Genet. 20, 1164–1172 (2011).
Acknowledgements
We would like to thank all of the subjects who donated their time and biological samples to be a part of this study. For funding details and additional acknowledgments, please see the Supplementary Note.
Author information
Author notes
- Mike A Nalls
- & Nathan Pankratz
These authors contributed equally to this work.
Affiliations
Laboratory of Neurogenetics, National Institute on Aging, Bethesda, Maryland, USA.
- Mike A Nalls
- , Dena G Hernandez
- , Margaux F Keller
- , Sampath Arepalli
- , Christopher Letson
- , Connor Edsall
- , Hannah Pliner
- & Andrew B Singleton
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA.
- Nathan Pankratz
Department of Vertebrate Genomics, Max Planck Institute for Molecular Genetics, Berlin, Germany.
- Christina M Lill
- & Lars Bertram
Department of Neurology, Focus Program Translational Neuroscience, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
- Christina M Lill
23andMe, Inc., Mountain View, California, USA.
- Chuong B Do
- & Nicholas Eriksson
Reta Lila Weston Institute, University College London Institute of Neurology, Queen Square, London, UK.
- Dena G Hernandez
- & John A Hardy
Department of Biostatistics, University of Washington, Seattle, Washington, USA.
- Mohamad Saad
INSERM, UMR 1043, Centre de Physiopathologie de Toulouse-Purpan, Toulouse, France.
- Mohamad Saad
- & Maria Martinez
Paul Sabatier University, Toulouse, France.
- Mohamad Saad
- & Maria Martinez
Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA.
- Anita L DeStefano
- & Richard H Myers
Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
- Anita L DeStefano
National Heart, Lung, and Blood Institute (NHLBI) Framingham Heart Study, Framingham, Massachusetts, USA.
- Anita L DeStefano
Department of Molecular Neuroscience, Institute of Neurology, University College London, London, UK.
- Eleanna Kara
- , Jose Bras
- , Nicholas W Wood
- & Henry Houlden
Institute for Clinical Epidemiology and Applied Biometry, University of Tübingen, Tübingen, Germany.
- Manu Sharma
Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
- Manu Sharma
- , Claudia Schulte
- & Thomas Gasser
deCODE Genetics, Reykjavík, Iceland.
- Hreinn Stefansson
- & Kari Stefansson
Department of Pathology and Cell Biology, Columbia University Medical Center, New York, New York, USA.
- Xinmin Liu
- & Lorraine N Clark
The Taub Institute for Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York, New York, USA.
- Joseph H Lee
- , Rong Cheng
- , Karen Marder
- & Lorraine N Clark
Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
- M Arfan Ikram
Department of Radiology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
- M Arfan Ikram
Department of Neurology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
- M Arfan Ikram
Stanford Prevention Research Center, Stanford University, Stanford, California, USA.
- John P A Ioannidis
Neuroscience Unit, Department of Neurology, Faculty of Medicine, University of Thessaly, Larissa, Greece.
- Georgios M Hadjigeorgiou
- & Georgia Xiromerisiou
Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, Washington, USA.
- Joshua C Bis
Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, Missouri, USA.
- Joel S Perlmutter
- & Alison Goate
Department of Radiology, Washington University School of Medicine, St. Louis, Missouri, USA.
- Joel S Perlmutter
Department of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.
- Joel S Perlmutter
- & Alison Goate
Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
- Alison Goate
Department of Genetics, Washington University School of Medicine, St. Louis, Missouri, USA.
- Alison Goate
Gertrude H. Sergievsky Center, Columbia University Medical Center, New York, New York, USA.
- Karen Marder
Department of Neurology, Columbia University Medical Center, New York, New York, USA.
- Karen Marder
Department of Psychiatry, Columbia University Medical Center, New York, New York, USA.
- Karen Marder
The Michael J. Fox Foundation for Parkinson's Research, New York, New York, USA.
- Brian Fiske
Neuroscience Center, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA.
- Margaret Sutherland
Department of Neurology, Papageorgiou Hospital, Thessaloniki, Greece.
- Georgia Xiromerisiou
Genome Biology for Neurodegenerative Diseases, German Center for Neurodegenerative Diseases (DZNE), Tübingen, Germany.
- Peter Heutink
Epidemiology Branch, National Institute of Environmental Health Sciences, US National Institutes of Health, Research Triangle, North Carolina, USA.
- Honglei Chen
New York State Department of Health Wadsworth Center, Albany, New York, USA.
- Haydeh Payami
Sorbonne Université, UPMC Université Paris 06, UM 75, INSERM U1127, Institut du Cerveau et de la Moelle, Paris, France.
- Alexis Brice
CNRS, UMR 7225, Paris, France.
- Alexis Brice
Pitié-Salpêtrière Hospital, Department of Genetics and Cytogenetics, Paris, France.
- Alexis Brice
Department of Human Genetics, University of Miami School of Medicine, Miami, Florida, USA.
- William K Scott
School of Public Health, Faculty of Medicine, The Imperial College of Science, Technology and Medicine, London, UK.
- Lars Bertram
Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
- Tatiana Foroud
Consortia
International Parkinson's Disease Genomics Consortium (IPDGC)
A full list of members and affiliations appears in the Supplementary Note.
Parkinson's Study Group (PSG) Parkinson's Research: The Organized GENetics Initiative (PROGENI)
A full list of members and affiliations appears in the Supplementary Note.
23andMe
A full list of members and affiliations appears in the Supplementary Note.
GenePD
A full list of members and affiliations appears in the Supplementary Note.
NeuroGenetics Research Consortium (NGRC)
A full list of members and affiliations appears in the Supplementary Note.
Hussman Institute of Human Genomics (HIHG)
A full list of members and affiliations appears in the Supplementary Note.
The Ashkenazi Jewish Dataset Investigator
A full list of members and affiliations appears in the Supplementary Note.
Cohorts for Health and Aging Research in Genetic Epidemiology (CHARGE)
A full list of members and affiliations appears in the Supplementary Note.
North American Brain Expression Consortium (NABEC)
A full list of members and affiliations appears in the Supplementary Note.
United Kingdom Brain Expression Consortium (UKBEC)
A full list of members and affiliations appears in the Supplementary Note.
Greek Parkinson's Disease Consortium
A full list of members and affiliations appears in the Supplementary Note.
Alzheimer Genetic Analysis Group
A full list of members and affiliations appears in the Supplementary Note.
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Contributions
Overall study design: M.A.N., N.P., J.B., A.L.D., B.F., M. Sutherland, J.A.H., N.W.W., T.G., W.K.S., L.B., N.E., T.F. and A.B.S. Design and/or management of the individual studies: M.A.N., C.B.D., J.B., C.S., X.L., J.H.L., R.C., G.M.H., J.S.P., A.G., K.M., A.L.D., R.H.M., L.N.C., J.A.H., P.H., H.C., M. Saad, M. Sharma, M. Sutherland, M.A.I., J.C.B., N.W.W., H.H., H. Payami, H.S., K.S., A.B., W.K.S., T.G., N.E., T.F. and A.B.S. Genotyping: D.G.H., E.K., S.A., C.L., C.E. and H. Pilner. Phenotyping: T.F., G.M.H., J.S.P., K.M., G.X., H.C., N.W.W., H.H., H.S., K.S., A.B., T.F. and W.K.S. Statistical methods and data analysis: M.A.N., N.P., C.M.L., D.G.H., E.K., M. Saad, M. Sharma, C.S., J.P.A.I., M.F.K., M.M., A.L.D., W.K.S., L.B., N.E., T.F. and A.B.S. Writing group: M.A.N., N.P., C.M.L., T.F. and A.B.S. Critical review of the manuscript: M.A.N., N.P., C.M.L., C.B.D., D.G.H., E.K., J.B., C.S., M.F.K., G.M.H., M.M., A.G., B.F., M. Saad, M. Sharma, M. Sutherland, G.X., R.H.M., L.N.C., J.A.H., P.H., H.C., N.W.W., H.H., H. Payami, H. Pilner, H.S., K.S., A.B., W.K.S., T.G., L.B., N.E., T.F., A.B.S. and J.S.P.
Competing interests
The authors declare no competing financial interests.
Corresponding author
Correspondence to Andrew B Singleton.
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