GALC variants affect galactosylceramidase enzymatic activity and risk of Parkinson’s disease
Open accessAbstract
The association between glucocerebrosidase, encoded by GBA, and Parkinson’s disease (PD) highlights the role of the lysosome in PD pathogenesis. Genome-wide association studies in PD have revealed multiple associated loci, including the GALC locus on chromosome 14. GALC encodes the lysosomal enzyme galactosylceramidase, which plays a pivotal role in the glycosphingolipid metabolism pathway. It is still unclear whether GALC is the gene driving the association in the chromosome 14 locus and, if so, by which mechanism. We first aimed to examine whether variants in the GALC locus and across the genome are associated with galactosylceramidase activity. We performed a genome-wide association study in two independent cohorts from (i) Columbia University; and (ii) the Parkinson’s Progression Markers Initiative study, followed by a meta-analysis with a total of 976 PD patients and 478 controls with available data on galactosylceramidase activity. We further analysed the effects of common GALC variants on expression and galactosylceramidase activity using genomic colocalization methods. Mendelian randomization was used to study whether galactosylceramidase activity may be causal in PD. To study the role of rare GALC variants, we analysed sequencing data from 5028 PD patients and 5422 controls. Additionally, we studied the functional impact of GALC knockout on alpha-synuclein accumulation and on glucocerebrosidase activity in neuronal cell models and performed in silico structural analysis of common GALC variants associated with altered galactosylceramidase activity. The top hit in PD genome-wide association study in the GALC locus, rs979812, is associated with increased galactosylceramidase activity (b = 1.2; SE = 0.06; P = 5.10 × 10−95). No other variants outside the GALC locus were associated with galactosylceramidase activity. Colocalization analysis demonstrated that rs979812 was also associated with increased galactosylceramidase expression. Mendelian randomization suggested that increased galactosylceramidase activity may be causally associated with PD (b = 0.025, SE = 0.007, P = 0.0008). We did not find an association between rare GALC variants and PD. GALC knockout using CRISPR–Cas9 did not lead to alpha-synuclein accumulation, further supporting that increased rather than reduced galactosylceramidase levels may be associated with PD. The structural analysis demonstrated that the common variant p.I562T may lead to improper maturation of galactosylceramidase affecting its activity. Our results nominate GALC as the gene associated with PD in this locus and suggest that the association of variants in the GALC locus may be driven by their effect of increasing galactosylceramidase expression and activity. Whether altering galactosylceramidase activity could be considered as a therapeutic target should be further studied.
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Almost 50% of proteins in the mammalian proteome feature a KFERQ-like motif, including TDP-43, alpha-synuclein, APP, and tau.
“Almost 50% of the proteins in the mammalian proteome feature a KFERQ-like motif, including all the major aggregating proteins of neurodegenerative diseases (i.e., TDP-43, alpha-synuclein, APP, and tau).99,143–145”
From The lysosome and proteostatic stress at the intersection of pediatric neurological disorders and adult neurodegenerative diseases (2025) · cites this paper as [143]
The Results section discusses GALC structure, and the Materials and methods section describes an alpha-synuclein assay. Neither the supplied passages nor searches for KFERQ-like motifs, the 50% estimate, TDP-43, APP, and tau found a passage addressing the claim. (LLM, conf=0.76)
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Verbanck, M., Chen, C.-Y., Neale, B., & Do, R. (2018) · Nature Genetics · doi:10.1038/s41588-018-0099-7 · Cited by 8,591 · see citing works
MDS clinical diagnostic criteria for Parkinson’s disease
Postuma, R. B., Berg, D., Stern, M., Poewe, W., Olanow, C. W., Oertel, W., Obeso, J., Marek, K., Litvan, I., Lang, A. E., et al. (2015) · Movement Disorders · doi:10.1002/mds.26424 · Cited by 7,653 · see citing works
Giambartolomei, C., Vukcevic, D., Schadt, E. E., Franke, L., Hingorani, A. D., Wallace, C., & Plagnol, V. (2014) · PLoS Genetics · doi:10.1371/journal.pgen.1004383 · Cited by 4,261 · see citing works
Highly accurate protein structure prediction for the human proteome
Tunyasuvunakool, K., Adler, J., Wu, Z., Green, T., Zielinski, M., Žídek, A., Bridgland, A., Cowie, A., Meyer, C., Laydon, A., et al. (2021) · Nature · doi:10.1038/s41586-021-03828-1 · Cited by 3,025 · cited 1× · see citing works
“The structure of human GalCase, predicted using the AlphaFold server, 54 is highly similar to the experimental mouse GalCase structures (83% sequence similarity).”
BackgroundHughes, A. J., Ben-Shlomo, Y., Daniel, S. E., & Lees, A. J. (1992) · Neurology · doi:10.1212/wnl.42.6.1142 · Cited by 1,313 · see citing works
Causal associations between risk factors and common diseases inferred from GWAS summary data
Zhu, Z., Zheng, Z., Zhang, F., Wu, Y., Trzaskowski, M., Maier, R., Robinson, M. R., McGrath, J. J., Visscher, P. M., Wray, N. R., et al. (2018) · Nature Communications · doi:10.1038/s41467-017-02317-2 · Cited by 951 · see citing works
Association analyses of more than 140,000 men identify 63 new prostate cancer susceptibility loci
Study, T. P., Schumacher, F. R., (APCB), A. P. C. B., Study, T. I., Canary PASS Investigators, Breast and Prostate Cancer Cohort Consortium (BPC3), The PRACTICAL (Prostate Cancer Association Group to Investigate Cancer-Associated Alterations in the Genome) Consortium, (CAPS), C. O. T. P. I. S., Prostate Cancer Genome-wide Association Study of Uncommon Susceptibility Loci (PEGASUS), The Genetic Associations and Mechanisms in Oncology (GAME-ON)/Elucidating Loci Involved in Prostate Cancer Susceptibility (ELLIPSE) Consortium, et al. (2018) · Nature Genetics · doi:10.1038/s41588-018-0142-8 · Cited by 902 · see citing works
Flagged first, then by citations
Research works printed but not linked: 56
- [1]Nalls MA, Blauwendraat C, Vallerga CL, et al Identification of novel risk loci, causal insights, and heritable risk for Parkinson's disease: A meta-analysis of genome-wide association studies. Lancet Neurol. 2019; 18: 1091– 1102. 31701892 PMC8422160
- [2]Zhang F, Lupski JR. Non-coding genetic variants in human disease. Human Mol Genet. 2015; 24: R102– R110. 26152199 PMC4572001
- [3]Broekema R, Bakker O, Jonkers I. A practical view of fine-mapping and gene prioritization in the post-genome-wide association era. Open Biol. 2020; 10: 190221. 31937202 PMC7014684
- [4]Nicolae DL, Gamazon E, Zhang W, Duan S, Dolan ME, Cox NJ. Trait-associated SNPs are more likely to be eQTLs: Annotation to enhance discovery from GWAS. PLoS Genet. 2010; 6: e1000888. PMC2848547 20369019
- [5]Cano-Gamez E, Trynka G. From GWAS to function: Using functional genomics to identify the mechanisms underlying complex diseases. Review. Front Genet. 2020; 11: 424. 32477401 PMC7237642
- [6]Burgess S, Small DS, Thompson SG. A review of instrumental variable estimators for Mendelian randomization. Stat Methods Med Res. 2017; 26: 2333– 2355. 26282889 PMC5642006
- [8]Gan-Or Z, Dion PA, Rouleau GA. Genetic perspective on the role of the autophagy-lysosome pathway in Parkinson disease. Autophagy. 2015; 11: 1443– 1457. 26207393 PMC4590678
- [9]Senkevich K, Gan-Or Z. Autophagy lysosomal pathway dysfunction in Parkinson's disease; Evidence from human genetics. Parkinsonism Relat Disord. 2020; 73: 60– 71. 31761667
- [10]Sidransky E, Nalls MA, Aasly JO, et al Multicenter analysis of glucocerebrosidase mutations in Parkinson's disease. N Engl J Med. 2009; 361: 1651– 1661. 19846850 PMC2856322
- [11]Ran C, Brodin L, Forsgren L, et al Strong association between glucocerebrosidase mutations and Parkinson's disease in Sweden. Neurobiol Aging. 2016; 45: 212.e5– 212.e11. PMC4982543 27255555
- [12]Milanowski LM, Oshinaike O, Walton RL, et al Screening of GBA mutations in Nigerian patients with Parkinson's disease. Mov Disord. 2021; 36: 2971– 2973. 34586679
- [13]Gegg ME, Burke D, Heales SJ, et al Glucocerebrosidase deficiency in substantia nigra of Parkinson disease brains. Ann Neurol. 2012; 72: 455– 463. 23034917 PMC3638323
- [14]Alcalay RN, Levy OA, Waters CC, et al Glucocerebrosidase activity in Parkinson’s disease with and without GBA mutations. Brain. 2015; 138(Pt 9): 2648– 2658. 26117366 PMC4564023
- [15]Alcalay RN, Mallett V, Vanderperre B, et al SMPD1 Mutations, activity, and alpha-synuclein accumulation in Parkinson's disease. Mov Disord. 2019; 34: 526– 535. 30788890 PMC6469643
- [16]Robak LA, Jansen IE, van Rooij J, et al Excessive burden of lysosomal storage disorder gene variants in Parkinson's disease. Brain. 2017; 140: 3191– 3203. 29140481 PMC5841393
- [17]Alcalay R, Wolf P, Levy O, et al Alpha galactosidase A activity in Parkinson's disease. Neurobiol Dis. 2018; 112: 85– 90. 29369793 PMC5811339
- [18]Chang D, Nalls MA, Hallgrímsdóttir IB, et al A meta-analysis of genome-wide association studies identifies 17 new Parkinson's disease risk loci. Nat Genet. 2017; 49: 1511– 1516. 28892059 PMC5812477
- [19]Bongarzone ER, Escolar ML, Gray SJ, Kafri T, Vite CH, Sands MS. Insights into the pathogenesis and treatment of Krabbe disease. Pediatr Endocrinol Rev. 2016; 13(Suppl 1): 689– 696. 27491217
- [20]Senkevich K, Rudakou U, Gan-Or Z. New therapeutic approaches to Parkinson's disease targeting GBA, LRRK2 and parkin. Neuropharmacology. 2021; 202: 108822. 34626666
- [21]Alcalay RN, Wolf P, Chiang MSR, et al Longitudinal measurements of glucocerebrosidase activity in Parkinson's patients. Ann Clin Transl Neurol. 2020; 7: 1816– 1830. 32888397 PMC7545591
- [22]Sosero YL, Yu E, Krohn L, et al LRRK2 P.M1646T is associated with glucocerebrosidase activity and with Parkinson's disease. Neurobiol Aging. 2021; 103: 142.e1– 142.e5. PMC8178224 33781610
- [25]Reuser AJ, Verheijen FW, Bali D, et al The use of dried blood spot samples in the diagnosis of lysosomal storage disorders–current status and perspectives. Mol Genet Metab. 2011; 104: 144– 148. 21831684
- [26]Zhang XK, Elbin CS, Chuang WL, et al Multiplex enzyme assay screening of dried blood spots for lysosomal storage disorders by using tandem mass spectrometry. Clin Chem. 2008; 54: 1725– 1728. 18719200
- [27]Das S, Forer L, Schönherr S, et al Next-generation genotype imputation service and methods. Nat Genet. 2016; 48: 1284– 1287. 27571263 PMC5157836
- [28]Purcell S, Neale B, Todd-Brown K, et al PLINK: A tool set for whole-genome association and population-based linkage analyses. Am J Human Genet. 2007; 81: 559– 575. 17701901 PMC1950838
- [30]Willer CJ, Li Y, Abecasis GR. METAL: Fast and efficient meta-analysis of genomewide association scans. Bioinformatics. 2010; 26: 2190– 2191. 20616382 PMC2922887
- [32]Sieberts SK, Perumal TM, Carrasquillo MM, et al Large eQTL meta-analysis reveals differing patterns between cerebral cortical and cerebellar brain regions. Sci Data. 2020; 7: 340. 33046718 PMC7550587
- [33]Hemani G, Tilling K, Davey Smith G. Orienting the causal relationship between imprecisely measured traits using GWAS summary data. PLoS Genet. 2017; 13: e1007081. PMC5711033 29149188
- [34]Hemani G, Zheng J, Elsworth B, et al The MR-base platform supports systematic causal inference across the human phenome. eLife. 2018; 7: e34408. 29846171 PMC5976434
- [35]Burgess S, Thompson SG. Interpreting findings from Mendelian randomization using the MR-Egger method. Eur J Epidemiol. 2017; 32: 377– 389. 28527048 PMC5506233
- [36]Burgess S, Butterworth A, Thompson SG. Mendelian Randomization analysis with multiple genetic variants using summarized data. Genet Epidemiol. 2013; 37: 658– 665. 24114802 PMC4377079
- [38]Rudakou U, Yu E, Krohn L, et al Targeted sequencing of Parkinson's disease loci genes highlights SYT11, FGF20 and other associations. Brain. 2021; 144: 462– 472. 33349842 PMC7940168
- [39]Iwaki H, Leonard HL, Makarious MB, et al Accelerating medicines partnership: Parkinson's disease. Genetic resource. Mov Disord. 2021; 36: 1795– 1804. 33960523 PMC8453903
- [40]Lee S, Emond MJ, Bamshad MJ, et al Optimal unified approach for rare-variant association testing with application to small-sample case-control whole-exome sequencing studies. Am J Hum Genet. 2012; 91: 224– 237. 22863193 PMC3415556
- [41]Lee S, Teslovich TM, Boehnke M, Lin X. General framework for meta-analysis of rare variants in sequencing association studies. Am J Hum Genet. 2013; 93: 42– 53. 23768515 PMC3710762
- [42]Chen CX-Q, Abdian N, Maussion G, et al A multistep workflow to evaluate newly generated iPSCs and their ability to generate different cell types. Methods Protoc. 2021; 4: 50. 34287353 PMC8293472
- [43]Zhang Y, Pak C, Han Y, et al Rapid single-step induction of functional neurons from human pluripotent stem cells. Neuron. 2013; 78: 785– 798. 23764284 PMC3751803
- [44]Meijer M, Rehbach K, Brunner JW, et al A single-cell model for synaptic transmission and plasticity in human iPSC-derived neurons. Cell Rep. 2019; 27: 2199– 2211.e6. 31091456
- [46]Straniero L, Rimoldi V, Samarani M, et al The GBAP1 pseudogene acts as a ceRNA for the glucocerebrosidase gene GBA by sponging miR-22-3p. Sci Rep. 2017; 7: 12702. 28983119 PMC5629250
- [47]Bae E-J, Yang NY, Lee C, et al Loss of glucocerebrosidase 1 activity causes lysosomal dysfunction and α-synuclein aggregation. Exp Mol Med. 2015; 47: e153. 25813221 PMC4351412
- [48]Tappino B, Biancheri R, Mort M, et al Identification and characterization of 15 novel GALC gene mutations causing Krabbe disease. Hum Mutat. 2010; 31: E1894– E1914. 20886637 PMC3052420
- [49]Bascou NA, Beltran-Quintero ML, Escolar ML. Pathogenic variants in GALC gene correlate with late onset Krabbe disease and vision loss: Case series and review of literature. Front Neurol. 2020; 11: 563724. 33178108 PMC7593573
- [50]Hossain MA, Otomo T, Saito S, et al Late-onset Krabbe disease is predominant in Japan and its mutant precursor protein undergoes more effective processing than the infantile-onset form. Gene. 2014; 534: 144– 154. 24252386
- [51]Saavedra-Matiz CA, Luzi P, Nichols M, Orsini JJ, Caggana M, Wenger DA. Expression of individual mutations and haplotypes in the galactocerebrosidase gene identified by the newborn screening program in New York State and in confirmed cases of Krabbe's disease. J Neurosci Res. 2016; 94: 1076– 1083. 27638593
- [52]Deane JE, Graham SC, Kim NN, et al Insights into Krabbe disease from structures of galactocerebrosidase. Proc Natl Acad Sci U S A. 2011; 108: 15169– 15173. 21876145 PMC3174575
- [53]Hill CH, Graham SC, Read RJ, Deane JE. Structural snapshots illustrate the catalytic cycle of β-galactocerebrosidase, the defective enzyme in Krabbe disease. Proc Natl Acad Sci U S A. 2013; 110: 20479– 20484. 24297913 PMC3870757
- [55]Abdul-Hammed M, Breiden B, Schwarzmann G, Sandhoff K. Lipids regulate the hydrolysis of membrane bound glucosylceramide by lysosomal β-glucocerebrosidase. J Lipid Res. 2017; 58: 563– 577. 28126847 PMC5335586
- [56]Pchelina S, Emelyanov A, Baydakova G, et al Oligomeric alpha-synuclein and glucocerebrosidase activity levels in GBA-associated Parkinson's disease. Neurosci Lett. 2017; 636: 70– 76. 27780739
- [57]Marshall MS, Jakubauskas B, Bogue W, et al Analysis of age-related changes in psychosine metabolism in the human brain. PLoS One. 2018; 13: e0193438. PMC5826537 29481565
- [58]Storm CS, Kia DA, Almramhi M, et al Finding drug targeting mechanisms with genetic evidence for Parkinson’s disease. Biorxiv. [Preprint] doi: 10.1101/2020.07.24.208975 · DOI
- [59]Gaare JJ, Nido G, Dölle C, et al Meta-analysis of whole-exome sequencing data from two independent cohorts finds no evidence for rare variant enrichment in Parkinson disease associated loci. PLoS One. 2020; 15: e0239824. PMC7529297 33002040
- [60]Wenger DA, Rafi MA, Luzi P, Datto J, Costantino-Ceccarini E. Krabbe disease: Genetic aspects and progress toward therapy. Mol Genet Metabol. 2000; 70: 1– 9. 10833326
- [61]Bradbury AM, Bongarzone ER, Sands MS. Krabbe disease: New hope for an old disease. Neurosci Lett. 2021; 752: 135841. 33766733 PMC8802533
- [62]Guenzel AJ, Turgeon CT, Nickander KK, et al The critical role of psychosine in screening, diagnosis, and monitoring of Krabbe disease. Genet Med. 2020; 22: 1108– 1118. 32089546
- [63]Moors TE, Paciotti S, Ingrassia A, et al Characterization of brain lysosomal activities in GBA-related and sporadic Parkinson's disease and dementia with Lewy bodies. Mol Neurobiol. 2019; 56: 1344– 1355. 29948939 PMC6400877
- [64]Chia R, Sabir MS, Bandres-Ciga S et al Genome sequencing analysis identifies new loci associated with Lewy body dementia and provides insights into the complex genetic architecture. Biorxiv. [Preprint] doi: 10.1101/2020.07.06.185066 PMC7946812 33589841 · DOI
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Lane-Donovan, C., Paredes, M., & Kao, A. W. (2025) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2025.102854 · Cited by 3 · see citing works
- Authors
- Senkevich, K., Zorca, C. E., Dworkind, A., Rudakou, U., Somerville, E., Yu, E., Ermolaev, A., Nikanorova, D., Ahmad, J., Ruskey, J. A., Asayesh, F., Spiegelman, D., Fahn, S., Waters, C., Monchi, O., Dauvilliers, Y., Dupré, N., Greenbaum, L., Hassin-Baer, S., Grenn, F. P., Chiang, M. S. R., Sardi, S. P., Vanderperre, B., Blauwendraat, C., Trempe, J.-F., Fon, E. A., Durcan, T. M., Alcalay, R. N., & Gan-Or, Z.
- Affiliations
- Montreal Neurological Institute and Hospital (CA)
- McGill University (CA)
- Center of Molecular Biotechnology, Russian State Agrarian University-Moscow Timiryazev Agricultural Academy , Moscow 127550 , Russia
- Bioinformatics Institute (RU)
- Columbia University Irving Medical Center (US)
- University of Calgary (CA)
- Inserm (FR)
- Université Laval (CA)
- Tel Aviv University (IL)
- Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv 69978 , Israel
- National Institutes of Health (US)
- Sanofi (United States) (US)
- Université du Québec à Montréal (CA)
- The Neuro (Montreal Neurological Institute-Hospital), McGill University , Montreal H3A 2B4 , Canada
- ORCID
- Senkevich, Konstantin
- Zorca, Cornelia E
- Rudakou, Uladzislau
- Somerville, Emma
- Yu, Eric
- Ahmad, Jamil
- Ruskey, Jennifer A
- Asayesh, Farnaz
- Spiegelman, Dan
- Waters, Cheryl
- Monchi, Oury
- Dauvilliers, Yves
- Dupré, Nicolas
- Greenbaum, Lior
- Chiang, Ming Sum Ruby
- Sardi, S Pablo
- Vanderperre, Benoît
- Blauwendraat, Cornelis
- Trempe, Jean-François
- Fon, Edward A
- Durcan, Thomas M
- Alcalay, Roy N
- Gan-Or, Ziv
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-11-11
- Volume
- 146
- Issue
- 5
- Pages
- 1859-1872
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- PMC
- PMC10151180
- OpenAlex
- W4308834678
- Cited by
- 40
- References
- 7
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 7 · 2023: 4 · 2022: 3
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Brain (publishedVersion, cc-by-nc)
- medRxiv (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- Michael J. Fox Foundation
- Canadian Consortium on Neurodegeneration in Aging
- Canada First Research Excellence Fund
- Parkinson’s Foundation
- National Institutes of Health (K02NS080915, UL1 TR000040)
- Brookdale Foundation
- Topics
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Keywords
- Parkinson's disease, GALC, lysosomal enzymes, glycosphingolipid metabolism, alpha-synuclein accumulation, glucocerebrosidase, causal relationship, rare variants, Parkinson's Progression Markers Initiative
- MeSH terms
- Galactosylceramidase, Glucosylceramidase, Humans, Hydrolases, Mutation, Parkinson Disease, alpha-Synuclein, Genome-Wide Association Study
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