Evidence map›Paper›PMID 26306801›Full record

ArticleMolecular neurodegeneration2015

Distinct clinical and neuropathological features of G51D SNCA mutation cases compared with SNCA duplication and H50Q mutation.

Aoife P Kiely, Helen Ling, Yasmine T Asi, Eleanna Kara, Christos Proukakis, Anthony H Schapira, Huw R Morris, Helen C Roberts, Steven Lubbe, Patricia Limousin and 8 more

Open access · goldAbstract read
In one paragraph

Article in Molecular neurodegeneration, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 123 citations in OpenAlex.

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  5. A Novel α-Synuclein K58N Missense Variant in a Patient with Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2025
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  8. Parkinson disease is a fatty acidopathy.Nature reviews. Neurology · 2025
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  11. Article
  12. A novel alpha-synuclein K58N missense variant in a patient with Parkinson's disease.medRxiv : the preprint server for health sciences · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Olfactory deficit and gastrointestinal dysfunction precede motor abnormalities in alpha-Synuclein G51D knock-in mice.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
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  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 4 countries.

Aoife P KielyDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. a.kiely@ucl.ac.uk.
Helen LingDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. h.ling@ucl.ac.uk.
Yasmine T AsiDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. yasmineasi@gmail.com.
Eleanna KaraAlzheimer's Disease Research Centre, Harvard medical school & Massachusetts General Hospital, 114 16th Street, Charlestown, MA, 02129, USA. eleanna.kara.10@ucl.ac.uk.
Christos ProukakisDepartment of Clinical Neuroscience, UCL Institute of Neurology, London, UK. c.proukakis@ucl.ac.uk.
Anthony H SchapiraDepartment of Clinical Neuroscience, UCL Institute of Neurology, London, UK. a.schapira@ucl.ac.uk.
Huw R MorrisDepartment of Clinical Neuroscience, UCL Institute of Neurology, London, UK. h.morris@ucl.ac.uk.
Helen C RobertsAcademic Geriatric Medicine, University of Southampton, Southampton, UK. h.c.roberts@soton.ac.uk.
Steven LubbeDepartment of Clinical Neuroscience, UCL Institute of Neurology, London, UK. s.lubbe@ucl.ac.uk.
Patricia LimousinSobell Department of Motor Neuroscience and Movement Disorders, Unit of Functional Neurosurgery, UCL Institute of Neurology, UCL, London, UK. p.limousin@ucl.ac.uk.
Patrick A LewisDepartment of Molecular Neuroscience and Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology, London, UK. p.a.lewis@reading.ac.uk.
Andrew J LeesDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. andrew.lees@ucl.ac.uk.
Niall QuinnNational Hospital for Neurology and Neurosurgery, Queen Square, London, UK. n.quinn@ucl.ac.uk.
John HardyDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. j.hardy@ucl.ac.uk.
Seth LoveClinical Neurosciences, University of Bristol, Bristol, UK. seth.love@bristol.ac.uk.
Tamas ReveszDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. t.revesz@ucl.ac.uk.
Henry HouldenDepartment of Molecular Neuroscience and Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology, London, UK. h.houlden@ucl.ac.uk.
Janice L HoltonDepartment of Molecular Neuroscience, Queen Square Brain Bank, UCL Institute of Neurology, Queen Square, WC1N 3BG, London, UK. janice.holton@ucl.ac.uk.
Queen Mary University of London · GBUK Dementia Research Institute · GBInstitute of Molecular Medicine · INNational Hospital for Neurology and Neurosurgery · GBMassachusetts General Hospital · USSobell House · GBUniversity of Bristol · GBUniversity of Southampton · GB

Funding

Department of HealthMedical Research Council G0700943Medical Research Council G0802760Medical Research Council G1001253Medical Research Council G108/638Medical Research Council G1100643Medical Research Council MC_G1000735Medical Research Council MC_PC_14095Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2Medical Research Council MR/J004758/1Medical Research Council MR/L010933/1Parkinson's UK F-1002Wellcome Trust 089698
6 · The paper itself

Abstract

backgroundWe and others have described the neurodegenerative disorder caused by G51D SNCA mutation which shares characteristics of Parkinson's disease (PD) and multiple system atrophy (MSA). The objective of this investigation was to extend the description of the clinical and neuropathological hallmarks of G51D mutant SNCA-associated disease by the study of two additional cases from a further G51D SNCA kindred and to compare the features of this group with a SNCA duplication case and a H50Q SNCA mutation case.

resultsAll three G51D patients were clinically characterised by parkinsonism, dementia, visual hallucinations, autonomic dysfunction and pyramidal signs with variable age at disease onset and levodopa response. The H50Q SNCA mutation case had a clinical picture that mimicked late-onset idiopathic PD with a good and sustained levodopa response. The SNCA duplication case presented with a clinical phenotype of frontotemporal dementia with marked behavioural changes, pyramidal signs, postural hypotension and transiently levodopa responsive parkinsonism. Detailed post-mortem neuropathological analysis was performed in all cases. All three G51D cases had abundant α-synuclein pathology with characteristics of both PD and MSA. These included widespread cortical and subcortical neuronal α-synuclein inclusions together with small numbers of inclusions resembling glial cytoplasmic inclusions (GCIs) in oligodendrocytes. In contrast the H50Q and SNCA duplication cases, had α-synuclein pathology resembling idiopathic PD without GCIs. Phosphorylated α-synuclein was present in all inclusions types in G51D cases but was more restricted in SNCA duplication and H50Q mutation. Inclusions were also immunoreactive for the 5G4 antibody indicating their highly aggregated and likely fibrillar state.

conclusionsOur characterisation of the clinical and neuropathological features of the present small series of G51D SNCA mutation cases should aid the recognition of this clinico-pathological entity. The neuropathological features of these cases consistently share characteristics of PD and MSA and are distinct from PD patients carrying the H50Q or SNCA duplication.

Indexed as

Amino Acid SubstitutionMutation, MissensePoint MutationAgedAge of Onsetalpha-SynucleinAntiparkinson AgentsBrainCodonDementiaDisease ProgressionFemaleGene DuplicationHumansInclusion BodiesMalealpha-SynucleinAntiparkinson AgentsCodon

Identifiers

PMID26306801
PMCPMC4549856
OpenAlexW2096061603

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