Peyman Petramfar, Arman Habibi, Faranak Madadi, Zahra Taherian-Esfahani, Hossein Ehsanbakhsh, Banafsheh Mohammad Hossein Pour, Marzieh Motallebi, Saeed Askarpour, Shiva Askarpour, Monavvar Andarva, Mona Ahmadi, Mahdis Bayat, Mehdi Khorrami, Luis J. Azcona, Hajar Eftekhari, Zahra Azimzadeh, Reza Ebrahimi Rad, Jalal Rezaeidian, Gholam Ali Shahidi, Azadeh Ahmadifard, Safa Najmi, Javad Jamshidi, Seyed Erfan Mortazavi, Rita Chaouni, Ahmad Chitsaz, Zahra Dehghani-Tafti, Hossein Darvish, Elham Alehabib, Faraz Mohammadi, Samareh Omidvari, Abbas Tafakhori, Amir Mohammad Besharati, Seyed Amir Hassan Habibi, Minoo Atakhorrami, Saghar Ghasemi Firouzabadi, Mir Davood Omrani, Babak Emamalizadeh, Hossein Ali Shahmohammadibeni, Coro Paisán-Ruiz, Saeed Mohammadihosseinabad, Parasto Shokraeian, Ehsan Esmaili Shandiz, Shaghayegh Taghavi, Neda Shahmohammadibeni, Amir Ehtesham Shafiei Zarneh, Atena Fazeli, Hamid Noorollahi Moghaddam, and Mohammad Ali Harati-Ghavi
In this study, the role of known Parkinson’s disease (PD) genes was examined in families with autosomal recessive (AR) parkinsonism to assist with the differential diagnosis of PD. Some families without mutations in known genes were also subject to whole genome sequencing with the objective to identify novel parkinsonism-related genes. Families were selected from 4000 clinical files of patients with PD or parkinsonism. AR inheritance pattern, consanguinity, and a minimum of two affected individuals per family were used as inclusion criteria. For disease gene/mutation identification, multiplex ligation-dependent probe amplification, quantitative PCR, linkage, and Sanger and whole genome sequencing assays were carried out. A total of 116 patients (50 families) were examined. Fifty-four patients (46.55%; 22 families) were found to carry pathogenic mutations in known genes while a novel gene, not previously associated with parkinsonism, was found mutated in a single family (2 patients). Pathogenic mutations, including missense, nonsense, frameshift, and exon rearrangements, were found in Parkin, PINK1, DJ-1, SYNJ1, and VAC14 genes. In conclusion, variable phenotypic expressivity was seen across all families.