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Abstract Details

Vitamin D Receptor Mutations Influence on Course of Parkinson’s Disease in Patients Treated with Levodopa
Movement Disorders
P12 - Poster Session 12 (12:00 PM-1:00 PM)
3-014

The aim of the study was to analyze Vitamin D receptor (VDR) gene sequence and to find connections between it's mutations and prevalence of several PD side effects including levodopa-induced dyskinesia, depression, UPDRS scale score, Hoehn and Yahr scale score and dementia (MMSE).


Parkinson’s disease (PD) is second most often occuring neurodegenerative disease after Alzheimer’s disease. Age is being considered the most important factor for PD risk. Vitamin D(VD) is an steroid hormone crucial for calcium homeostasis and bone metabolism. . VD metabolism is multi-factorial process which involves specific enzymes of liver and kidneys with 1,25-D3 being active product. Latest research indicates that VD modulates over 1000 genes involved in cellular growth, protein synthesis and immunological processes. Several animal studies have shown potential protective attributes of VD in dopamine cells.


Sequential analysis of VDR gene was performed on genomic DNA isolated from peripheral blood leukocytes of 100 patients with diagnosed Parkinson’s Disease treated with Levodopa.  Sequencing was performed in 3130xl Genetic Analyzer(Applied Biosystems) and statistical analysis was conducted using AB DNA Sequencing Analysis Software v. 5.2.(Applied Biosystems).


From analyzed VDR gene fragments splicing region of exon 1 turned out to be the most interesting one. Mutation of “start”(ATG) codon was detected in most cases. We have detected connections between recessive CC-CT genotype and earlier onset of symptoms(p=0,04) as well as several connections between dominant CC genotype and more severe PD symptoms(UPDRS scale, OR=3,1, p=0.029). Other results which failed to reach statistical significance include lower chance of depression in dominant CT-TT genotype(OR=0,31, p=0,12). We have also connected C/T genotype of rs2228570 variant with higher chance of levodopa-induced dyskinesias.

We conclude that due to connections between VDR Gene mutations and clinical consequences gene sequencing may serve as an viable way to predict future Parkinson Disease course, thus allowing to optimize potential therapeutic plan.


Authors/Disclosures
Olaf Chmura (Jagiellonian University Medical College)
PRESENTER
No disclosure on file
Adrianna A. Wasinska (Uniwersytet Jagiellonski Collegium Medicum) No disclosure on file
Jan A. Koper (Jagiellonian University Medical College) No disclosure on file
No disclosure on file