[en] Heterozygous GBA1 variants increase Parkinson's disease (PD) risk with variable penetrance. We investigated the interaction between genome-wide polygenic risk scores (PRS) and severity of pathogenic GBA1 variants (GBA1PVs) to assess their combined impact on PD risk. GBA1 variants were identified from whole exome sequencing in the UK Biobank and targeted PacBio sequencing in the Luxembourg Parkinson's Study, with PRS calculated using genome-wide significant SNPs. GBA1PVs were present in 8.8% of PD patients in the UK Biobank and 9.9% in LuxPark, with carriers showing consistently higher PD risk across all PRS categories. In the highest PRS category, PD risk increased 2.3-fold in the UK Biobank and 1.6-fold in LuxPark. Severe and mild GBA1 variants conferred nearly double the risk of PD compared to risk variants. Our findings demonstrate the impact of PRS on GBA1PVs penetrance, highlighting implications for genetic counseling and clinical trial design in GBA1-associated PD.
Research center :
Luxembourg Centre for Systems Biomedicine (LCSB): Bioinformatics Core (R. Schneider Group) Luxembourg Centre for Systems Biomedicine (LCSB): Clinical & Experimental Neuroscience (Krüger Group) LIH - Luxembourg Institute of Health
Disciplines :
Neurology Genetics & genetic processes
Author, co-author :
HASSANIN, Emadeldin ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Bioinformatics Core ; Institute for Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany
LANDOULSI, Zied ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine > Bioinformatics Core > Research BioCore ; Transversal Translational Medicine, Luxembourg Institute of Health, Strassen, Luxembourg
PACHCHEK, Sinthuja ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine > Translational Neuroscience > Team Rejko KRÜGER
NCER-PD Consortium
Krawitz, Peter; Institute for Genomic Statistics and Bioinformatics, University of Bonn, Bonn, Germany
Maj, Carlo; Centre for Human Genetics, University of Marburg, Marburg, Germany
KRÜGER, Rejko ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Translational Neuroscience ; Luxembourg Institute of Health > Transversal Translational Medicine ; Centre Hospitalier de Luxembourg > Department of Neurology
MAY, Patrick ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Bioinformatics Core
BOBBILI, Dheeraj Reddy ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Bioinformatics Core
External co-authors :
yes
Language :
English
Title :
Penetrance of Parkinson's disease in GBA1 carriers depends on variant severity and polygenic background.
Publication date :
12 June 2025
Journal title :
NPJ Parkinson's Disease
eISSN :
2373-8057
Publisher :
Springer Science and Business Media LLC, United States
FNR11264123 - NCER-PD - Ncer-pd, 2015 (01/06/2015-31/05/2023) - Rejko Krüger FNR14429377 - ProtectMove II - Reduced Penetrance In Hereditary Movement Disorders: Elucidating Mechanisms Of Endogenous Disease Protection, 2020 (01/07/2020-30/06/2023) - Anne Grünewald FNR11583046 - MechEPI - Epileptogenesis Of Genetic Epilepsies, 2017 (01/04/2018-30/06/2021) - Roland Krause FNR14323864 - GenXcess - Empowering The Individuals To Access Their Personal Genome Data, 2019 (01/03/2020-28/02/2022) - Dheeraj Reddy Bobbili
Funders :
FNR - Fonds National de la Recherche
Funding text :
The FNR supported P.M. as part of the National Center of Excellence in Research on Parkinson’s disease (NCER-PD, FNR11264123) and the DFG Research Units FOR2715 (INTER/DFG/17/11583046) and FOR2488 (INTER/DFG/19/14429377). The Fonds National de Recherche (FNR) supported D.R.B through the Industrial fellowship program of Luxembourg (FNR14323864).
E. Sidransky et al. Multicenter analysis of glucocerebrosidase mutations in Parkinson’s disease N. Engl. J. Med 361 1651 1661 1:CAS:528:DC%2BD1MXhtlWgs77P 10.1056/NEJMoa0901281 19846850 2856322
S.C. Parlar F.P. Grenn J.J. Kim C. Baluwendraat Z. Gan-Or Classification of GBA1 Variants in Parkinson’s Disease: The GBA1-PD Browser Mov. Disord. 38 489 495 1:CAS:528:DC%2BB3sXns1Oiug%3D%3D 10.1002/mds.29314 36598340 10033371
M. Rizig et al. Identification of genetic risk loci and causal insights associated with Parkinson’s disease in African and African admixed populations: a genome-wide association study Lancet Neurol. 22 1015 1025 1:CAS:528:DC%2BB3sXhslKgsrrF 10.1016/S1474-4422(23)00283-1 37633302 10593199
G. Höglinger et al. GBA-associated PD: chances and obstacles for targeted treatment strategies J. Neural Transm. 129 1219 1233 10.1007/s00702-022-02511-7 35639160
Z. Gan-Or C. Liong R.N. Alcalay GBA-Associated Parkinson’s Disease and Other Synucleinopathies Curr. Neurol. Neurosci. Rep. 18 10.1007/s11910-018-0860-4 29884970 44
M. Anheim et al. Penetrance of Parkinson disease in glucocerebrosidase gene mutation carriers Neurology 78 417 420 1:CAS:528:DC%2BC38XitVSlu78%3D 10.1212/WNL.0b013e318245f476 22282650
R. Balestrino et al. Penetrance of Glucocerebrosidase (GBA) Mutations in Parkinson’s Disease: A Kin Cohort Study Mov. Disord. 35 2111 2114 1:CAS:528:DC%2BB3cXis1WlsLzM 10.1002/mds.28200 32767585
M.A. Nalls 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. 18 1091 1102 1:CAS:528:DC%2BC1MXitFemsbbF 10.1016/S1474-4422(19)30320-5 31701892 8422160
C. Blauwendraat et al. Genetic modifiers of risk and age at onset in GBA associated Parkinson’s disease and Lewy body dementia Brain 143 234 248 10.1093/brain/awz350 31755958
C. Blauwendraat et al. Polygenic Parkinson’s Disease Genetic Risk Score as Risk Modifier of Parkinsonism in Gaucher Disease Mov. Disord. 38 899 903 1:CAS:528:DC%2BB3sXltlGnt7w%3D 10.1002/mds.29342 36869417 10271962
H.Q. Rana M. Balwani L. Bier R.N. Alcalay Age-specific Parkinson disease risk in GBA mutation carriers: information for genetic counseling Genet Med 15 146 149 1:CAS:528:DC%2BC3sXit1Gktrw%3D 10.1038/gim.2012.107 22935721
R.N. Alcalay et al. Comparison of Parkinson risk in Ashkenazi Jewish patients with Gaucher disease and GBA heterozygotes JAMA Neurol. 71 752 757 10.1001/jamaneurol.2014.313 24756352 4082726
H. Leonard et al. Genetic variability and potential effects on clinical trial outcomes: perspectives in Parkinson’s disease J. Med. Genet 57 331 338 1:CAS:528:DC%2BB3cXitFGju7vL 10.1136/jmedgenet-2019-106283 31784483
G. Arena et al. Polygenic Risk Scores Validated in Patient-Derived Cells Stratify for Mitochondrial Subtypes of Parkinson’s Disease Ann. Neurol. 96 133 149 1:CAS:528:DC%2BB2cXhtlSktLvI 10.1002/ana.26949 38767023
A.C.F. Lewis et al. Patient and provider perspectives on polygenic risk scores: implications for clinical reporting and utilization Genome Med 14 10.1186/s13073-022-01117-8 36207733 9540716 114
M.A. Nalls et al. Diagnosis of Parkinson’s disease on the basis of clinical and genetic classification: a population-based modelling study Lancet Neurol. 14 1002 1009 10.1016/S1474-4422(15)00178-7 26271532 4575273
E. Hassanin et al. Clinically relevant combined effect of polygenic background, rare pathogenic germline variants, and family history on colorectal cancer incidence BMC Med Genomics 16 1:CAS:528:DC%2BB3sXlsV2kurY%3D 10.1186/s12920-023-01469-z 36872334 9987090 42
N. Dueñas et al. Ability of a polygenic risk score to refine colorectal cancer risk in Lynch syndrome J. Med. Genet 60 1044 1051 10.1136/jmg-2023-109344 37321833
C. Bycroft et al. The UK Biobank resource with deep phenotyping and genomic data Nature 562 203 209 1:CAS:528:DC%2BC1cXhvV2qsbvI 10.1038/s41586-018-0579-z 30305743 6786975
Q. Wang et al. Rare variant contribution to human disease in 281,104 UK Biobank exomes Nature 597 527 532 1:CAS:528:DC%2BB3MXhvFyntr7J 10.1038/s41586-021-03855-y 34375979 8458098
G. Hipp et al. The Luxembourg Parkinson’s Study: A Comprehensive Approach for Stratification and Early Diagnosis Front. Aging Neurosci. 10 326 10.3389/fnagi.2018.00326 30420802 6216083
Z. Landoulsi et al. Genetic landscape of Parkinson’s disease and related diseases in Luxembourg Front. Aging Neurosci. 15 1282174 1:CAS:528:DC%2BB2cXps1Gitbo%3D 10.3389/fnagi.2023.1282174 38173558 10761438
C. Blauwendraat et al. NeuroChip, an updated version of the NeuroX genotyping platform to rapidly screen for variants associated with neurological diseases Neurobiol. Aging 57 247.e9 247.e13 1:CAS:528:DC%2BC2sXptlSiu7w%3D 10.1016/j.neurobiolaging.2017.05.009 28602509
S. Pachchek et al. Accurate long-read sequencing identified GBA1 as major risk factor in the Luxembourgish Parkinson’s study npj Parkinsons Dis. 9 156 1:CAS:528:DC%2BB3sXisFGis7rJ 10.1038/s41531-023-00595-w 37996455 10667262
H. Iwaki et al. Genetic risk of Parkinson disease and progression: An analysis of 13 longitudinal cohorts Neurol. Genet 5 1:CAS:528:DC%2BC1MXhvFWlurvO 10.1212/NXG.0000000000000348 31404238 6659137 e348
L. Straniero et al. The SPID-GBA study: Sex distribution, penetrance, incidence, and dementia in GBA-PD Neurol. Genet 6 1:CAS:528:DC%2BB3MXhslGjs7jK 10.1212/NXG.0000000000000523 33209983 7670574 e523
D. Chang et al. A meta-analysis of genome-wide association studies identifies 17 new Parkinson’s disease risk loci Nat. Genet 49 1511 1516 1:CAS:528:DC%2BC2sXhsVKltbnM 10.1038/ng.3955 28892059 5812477
S.W. Choi P.F. O’reilly PRSice-2: Polygenic risk score software for biobank-scale data GigaScience 8 10.1093/gigascience/giz082 31307061 6629542 giz082