Evidence map›Paper›PMID 31976583›Full record

ArticleAnnals of neurology2020

Fine-Mapping of SNCA in Rapid Eye Movement Sleep Behavior Disorder and Overt Synucleinopathies.

Lynne Krohn, Richard Y J Wu, Karl Heilbron, Jennifer A Ruskey, Sandra B Laurent, Cornelis Blauwendraat, Armaghan Alam, Isabelle Arnulf, Michele T M Hu, Yves Dauvilliers and 41 more

Open access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Review
  3. Parkinson DiseaseNeurology. Genetics · 2025
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  11. Lack of epistatic interaction ofBrain communications · 2025
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  12. Article
  13. Non-motor symptoms of Parkinson`s disease-insights from genetics.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  14. Approaches to Early Parkinson's Disease Subtyping.Journal of Parkinson's disease · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Predictors of RBD progression and conversion to synucleinopathies.Current neurology and neuroscience reports · 2022
    Review
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

51 authors at 20 institutions in 9 countries.

Lynne KrohnDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0001-6554-1666
Richard Y J WuDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0003-4293-1156
Karl Heilbron23andMe, Mountain View, CA.
Jennifer A RuskeyMontreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Sandra B LaurentMontreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Cornelis BlauwendraatLaboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD.
Armaghan AlamDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.
Isabelle ArnulfSleep Disorders Unit, Pitié-Salpêtrière Hospital, Institute for Brain and Spinal Cord, and Sorbonne University, Paris, France.
Michele T M HuOxford Parkinson's Disease Center, University of Oxford, Oxford, United Kingdom.
Yves DauvilliersNational Reference Center for Narcolepsy, Sleep Unit, Department of Neurology, Gui de Chauliac Hospital, University Hospital of Montpellier, University of Montpellier, Montpellier, France.ORCID 0000-0003-0683-6506
Birgit HöglSleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Mathias ToftDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Kari Anne BjørnaråDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Ambra StefaniSleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Evi HolzknechtSleep Disorders Clinic, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Christelle Charley MonacaDepartment of Clinical Neurophysiology and Sleep Center, University Hospital of Lille, University of Lille North of France, Lille, France.
Beatriz AbrilSleep Disorder Unit, Carémeau Hospital, University Hospital of Nîmes, Nîmes, France.
Giuseppe PlazziDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Elena AntelmiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.ORCID 0000-0003-1739-6139
Luigi Ferini-StrambiDepartment of Neurological Sciences, Vita-Salute San Raffaele University, Milan, Italy.
Peter YoungDepartment of Sleep Medicine and Neuromuscular Disorders, University of Münster, Münster, Germany.
Anna HeidbrederDepartment of Sleep Medicine and Neuromuscular Disorders, University of Münster, Münster, Germany.
Valérie Cochen De CockSleep and Neurology Unit, Beau Soleil Clinic, Montpellier, France.ORCID 0000-0002-6460-4319
Brit MollenhauerParacelsus Elena Clinic, Kassel, Germany.
Friederike Sixel-DöringParacelsus Elena Clinic, Kassel, Germany.
Claudia TrenkwalderParacelsus Elena Clinic, Kassel, Germany.
Karel SonkaDepartment of Neurology and Center of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
David KemlinkDepartment of Neurology and Center of Clinical Neuroscience, Charles University, First Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Michela FigorilliDepartment of Medical Sciences and Public Health, Sleep Disorder Research Center, University of Cagliari, Cagliari, Italy.
Monica PulighedduDepartment of Medical Sciences and Public Health, Sleep Disorder Research Center, University of Cagliari, Cagliari, Italy.
Femke DijkstraLaboratory for Sleep Disorders, St Dimpna Regional Hospital, Geel, Belgium.
Mineke ViaeneLaboratory for Sleep Disorders, St Dimpna Regional Hospital, Geel, Belgium.
Wolfang OertelDepartment of Neurology, Philipps University, Marburg, Germany.
Marco ToffoliDepartment of Medicine, University of Udine, Udine, Italy.
Gian Luigi GigliClinical Neurology Unit, Department of Neurosciences, University Hospital of Udine, Udine, Italy.
Mariarosaria ValenteDepartment of Medicine, University of Udine, Udine, Italy.
Jean-François GagnonCenter for Advanced Studies in Sleep Medicine, Centre d'Études Avancées en Médecine du Sommeil, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
Mike A NallsData Tecnica International, Glen Echo, MD.
Andrew B SingletonLaboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD.
23andMe Research Team23andMe, Mountain View, CA.
Alex DesautelsCenter for Advanced Studies in Sleep Medicine, Centre d'Études Avancées en Médecine du Sommeil, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
Jacques Y MontplaisirCenter for Advanced Studies in Sleep Medicine, Centre d'Études Avancées en Médecine du Sommeil, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
Paul Cannon23andMe, Mountain View, CA.
Owen A RossDepartments of Neuroscience and Clinical Genomics, Mayo Clinic, Jacksonville, FL.
Bradley F BoeveDepartment of Neurology, Mayo Clinic, Rochester, MN.
Nicolas DupréDivision of Neurosciences, University Hospital of Quebec, Laval University, Quebec City, Quebec, Canada.
Edward A FonMontreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Ronald B PostumaMontreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Lasse PihlstrømDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Guy A RouleauDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0001-8403-1418
Ziv Gan-OrDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0003-0332-234X
Montreal Neurological Institute and Hospital · CAInnsbruck Medical University · ATOslo University Hospital · NOUniversitätsmedizin Göttingen · DEUniversity of Udine · IT23andMe (United States) · USCharles University · CZHôpital du Sacré-Cœur de Montréal · CAInstitute of Neurological Sciences · ITNational Institutes of Health · USUniversité de Montpellier · FRUniversity of Cagliari · ITUniversity of Münster · DEData Tecnica International (United States) · USImperial College London · GBMayo Clinic in Arizona · USMayo Clinic in Florida · USPhilipps University of Marburg · DESorbonne Université · FRUniversité de Lille · FR

Funding

Intramural NIH HHS Z99 AG999999Medical Research Council MC_EX_MR/N50192X/1Medical Research Council MR/L023784/1Medical Research Council MR/M024962/1Parkinson's UK J-0901
6 · The paper itself

Abstract

objectiveRapid eye movement sleep behavior disorder (RBD) is a prodromal synucleinopathy, as >80% will eventually convert to overt synucleinopathy. We performed an in-depth analysis of the SNCA locus to identify RBD-specific risk variants.

methodsFull sequencing and genotyping of SNCA was performed in isolated/idiopathic RBD (iRBD, n = 1,076), Parkinson disease (PD, n = 1,013), dementia with Lewy bodies (DLB, n = 415), and control subjects (n = 6,155). The iRBD cases were diagnosed with RBD prior to neurodegeneration, although some have since converted. A replication cohort from 23andMe of PD patients with probable RBD (pRBD) was also analyzed (n = 1,782 cases; n = 131,250 controls). Adjusted logistic regression models and meta-analyses were performed. Effects on conversion rate were analyzed in 432 RBD patients with available data using Kaplan-Meier survival analysis.

resultsA 5'-region SNCA variant (rs10005233) was associated with iRBD (odds ratio [OR] = 1.43, p = 1.1E-08), which was replicated in pRBD. This variant is in linkage disequilibrium (LD) with other 5' risk variants across the different synucleinopathies. An independent iRBD-specific suggestive association (rs11732740) was detected at the 3' of SNCA (OR = 1.32, p = 4.7E-04, not statistically significant after Bonferroni correction). Homozygous carriers of both iRBD-specific SNPs were at highly increased risk for iRBD (OR = 5.74, p = 2E-06). The known top PD-associated variant (3' variant rs356182) had an opposite direction of effect in iRBD compared to PD.

interpretationThere is a distinct pattern of association at the SNCA locus in RBD as compared to PD, with an opposite direction of effect at the 3' of SNCA. Several 5' SNCA variants are associated with iRBD and with pRBD in overt synucleinopathies. ANN NEUROL 2020;87:584-598.

Indexed as

Prodromal SymptomsAdultAgedalpha-SynucleinCase-Control StudiesFemaleGenetic Predisposition to DiseaseHumansLewy Body DiseaseLogistic ModelsMaleMiddle AgedOdds RatioParkinson DiseasePolymorphism, Single NucleotideREM Sleep Behavior Disorderalpha-SynucleinSNCA protein, human

Identifiers

PMID31976583
PMCPMC8025046
OpenAlexW3003016945

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.