Further evidence for the association of CYP2D6*4 gene polymorphism with Parkinson’s disease: a case control study
Open accessAbstract
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].”
From Effect of Caffeine Consumption on the Risk for Neurological and Psychiatric Disorders: Sex Differences in Human (2020) · cites this paper as [22]
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“5 times higher risk of PD than those with wild type, which was higher in men [22].”
Background
- 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
- PMC
- PMC5493842
- 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
- gold
- doi.org
- 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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