Cited by 27Pharmacogenetics and Drug MetabolismParkinson's Disease Mechanisms and TreatmentsGlutathione Transferases and Polymorphisms

Further evidence for the association of CYP2D6*4 gene polymorphism with Parkinson’s disease: a case control study

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Anwarullah, Aslam, Muhammad, Badshah, Mazhar, Abbasi, Rashda, Sultan, Aneesa, Khan, Kafaitullah, Ahmad, Nafees, von Engelhardt, Jakob·2017·Genes and Environment

Abstract

Genetic and environmental risk factors play an important role for the susceptibility to sporadic Parkinson’s disease (PD). It was hypothesized that a splice variant of the CYP2D6 gene ( CYP2D6*4 allele) is associated with PD because it alters the ability to metabolize toxins and in particular neurotoxins. CYP2D6 codes for the drug metabolizing enzyme debrisoquine 4-hydroxylase. The CYP2D6*4 variant results in an undetectable enzyme activity and consequently in a reduction in metabolism of some toxins. Some of agricultural chemicals have neurotoxic potential and CYP2D6 is involved in their detoxification. Thus, we conducted a case control study to investigate the association of the CYP2D6*4 with PD in a Pakistani subpopulation that is known to be exposed to high levels of some agricultural pesticides, insecticides and herbicides. We found a significantly higher allele and genotype frequency of the CYP2D6*4 variant in 174 sporadic PD patients when compared to 200 controls. In addition, there was a trend to an earlier age of PD onset and a tremor dominant phenotype in CYP2D6*4 variant carriers. Our data provide further evidence that a poor metabolizer status may increase the risk to develop PD especially in populations that are exposed to environmental toxins.

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  • Individuals with reduced CYP2D6 activity due to mutated CYP2D6*4A genotype have a 2.5 times higher risk of PD than those with wild type, and this risk is higher in men.

    “Moreover, a recent study found that individuals with reduced CYP2D6 activity due to the mutated CYP2D6 * 4A (allelic variants of CYP2D6) genotype had a 2.5 times higher risk of PD than those with wild type, which was higher in men [22].”

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Authors
Anwarullah, Aslam, M., Badshah, M., Abbasi, R., Sultan, A., Khan, K., Ahmad, N., & von Engelhardt, J.
Affiliations
  • German Center for Neurodegenerative Diseases (DE)
  • Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad (PK)
  • Institute of Biomedical and Genetic Engineering (PK)
  • Quaid-i-Azam University (PK)
  • University of Balochistan (PK)
Venue
Genes and Environment
Published
2017-07-01
Volume
39
Issue
1
Pages
18-18
ISSN
  • 1880-7046 (ISSN-L)
  • 1880-7062
OpenAlex
W2609069535
Cited by
27
References
41
Citations by year
2026: 4 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 8 · 2019: 1 · 2018: 1 · 2017: 1
FWCI
3.20
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Genes and Environment (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Greater South Information System
Funders
german academic exchange service, bonn
Topics
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glutathione Transferases and Polymorphisms
Keywords
Parkinson's disease, CYP2D6*4, poor metabolizer phenotype, pesticide exposure, agrochemicals, neurotoxins, genetic susceptibility, age of onset, tremor-dominant phenotype, Pakistani population

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