Evidence map›Paper›PMID 32662532›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2020

Nonsteroidal Anti-inflammatory Use and LRRK2 Parkinson's Disease Penetrance.

Marta San Luciano, Caroline M Tanner, Cheryl Meng, Connie Marras, Samuel M Goldman, Anthony E Lang, Eduardo Tolosa, Birgitt Schüle, J William Langston, Alexis Brice and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Neuroprotection in Parkinson Disease.Neurology and therapy · 2025
    Review
  6. Review
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  9. Endoplasmic Reticulum Proteins Impact Penetrance in aInternational journal of molecular sciences · 2025
    Article
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  11. Article
  12. Differentiation and regulation of CD4Cellular and molecular life sciences : CMLS · 2024
    Review
  13. Review
  14. Article
  15. Epidemiology of Parkinson's Disease: An Update.Current neurology and neuroscience reports · 2024
    Review
  16. Article
  17. The epidemiology of Parkinson's disease.Lancet (London, England) · 2024
    Review
  18. Review
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 18 institutions in 12 countries.

Marta San LucianoDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.
Caroline M TannerDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.
Cheryl MengDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.
Connie MarrasThe Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Centre, Toronto, Ontario, Canada.
Samuel M GoldmanDepartment of Neurology, University of California San Francisco, San Francisco, California, USA.
Anthony E LangThe Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Centre, Toronto, Ontario, Canada.
Eduardo TolosaMovement Disorders Unit, Neurology Service, Hospital Clínic, Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (IDIBAPS) Universitat de Barcelona, Catalonia, Spain.
Birgitt SchüleDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
J William LangstonDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Alexis BriceSorbonne Universites, UPMC Universite Paris 6 UMR_S 1127, INSERM U 1127, CNRS UMR 7225, Institut du Cerveau et de la Moelle epiniere, ICM, Paris, France.
Jean-Christophe CorvolSorbonne Universites, UPMC Universite Paris 6 UMR_S 1127, INSERM U 1127, CNRS UMR 7225, Institut du Cerveau et de la Moelle epiniere, ICM, Paris, France.
Stefano GoldwurmParkinson Institute, ASST G.Pini-CTO, Milano, Italy.
Christine KleinInstitute of Neurogenetics, University of Luebeck, Luebeck, Germany.
Simone BrockmanSchool of Psychiatry and Clinical Neurosciences, University of Western Australia and Fremantle Hospital, Western Australia, Australia.
Daniela BergDepartment for Neurodegenerative Diseases, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.
Kathrin BrockmannDepartment for Neurodegenerative Diseases, Hertie-Institute for Clinical Brain Research, University of Tuebingen, Tuebingen, Germany.
Joachim J FerreiraClinical Pharmacology Unit, Instituto de Medicina Molecular, Lisbon, Portugal.
Meriem TazirService de Neurologie CHU Mustapha, Alger, Algeria.
George D MellickGriffith Institute for Drug Discovery, Griffith University, Brisbane, Australia.
Carolyn M SueDepartment of Neurogenetics, Kolling Institute, University of Sydney, Sydney, Australia.
Kazuko HasegawaDepartment of Neurology, Sagamihara National Hospital, Kanagawa, Japan.
Eng King TanDepartment of Neurology, Singapore General Hospital, Singapore.
Susan BressmanDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Rachel Saunders-PullmanDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Michael J. Fox Foundation LRRK2 Cohort Consortium
University of California, San Francisco · USIcahn School of Medicine at Mount Sinai · USStanford University · USToronto Western Hospital · CACentro de Investigación Biomédica en Red · ESFremantle Hospital · AUGriffith University · AUHertie Institute for Clinical Brain Research · DEHôpital Mustapha Pacha · DZInserm · FRInstitut du Cerveau · FRInstituto de Medicina Molecular João Lobo AntunesIstituto Ortopedico Gaetano Pini · ITKiel University · DENational Sagamihara Hospital · JPPharmacoGenetics (China) · CNSingapore General Hospital · SGUniversity of Lübeck · DE

Funding

Dissecting Oligogenic Biomarkers in Ashkenazi Jews with Parkinson DiseaseU01NS107016 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OZELIUS, LAURIE J., SAUNDERS-PULLMAN, RACHEL · 2019 to 2023
$6.6M
Cerebellar deep brain stimulation for severe combined movement disorders and spasticity in children and young adults with cerebral palsyUH3NS128297 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Marta San Luciano · 2024 to 2026
$3.1M
Optimizing Phenogenotypic and Neuromodulation Predictors in Deep BrainStimulation Surgery for Isolated DystoniaK23NS099441 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SAN LUCIANO, MARTA · 2017 to 2021
$1000k
NINDS NIH HHS K23 NS099441NINDS NIH HHS U01 NS107016NINDS NIH HHS UH3 NS128297
6 · The paper itself

Abstract

backgroundThe penetrance of leucine rich repeat kinase 2 (LRRK2) mutations is incomplete and may be influenced by environmental and/or other genetic factors. Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to reduce inflammation and may lower Parkinson's disease (PD) risk, but their role in LRRK2-associated PD is unknown.

objectivesThe objective of this study is to evaluate the association of regular NSAID use and LRRK2-associated PD.

methodsSymptomatic ("LRRK2-PD") and asymptomatic ("LRRK2-non-PD") participants with LRRK2 G2019S, R1441X, or I2020T variants (definitely pathogenic variant carriers) or G2385R or R1628P variants (risk variant carriers) from 2 international cohorts provided information on regular ibuprofen and/or aspirin use (≥2 pills/week for ≥6 months) prior to the index date (diagnosis date for PD, interview date for non-PD). Multivariate logistic regression was used to evaluate the relationship between regular NSAID use and PD for any NSAID, separately for ibuprofen and aspirin in all carriers and separately in pathogenic and risk variant groups.

resultsA total of 259 LRRK2-PD and 318 LRRK2-non-PD participants were enrolled. Regular NSAID use was associated with reduced odds of PD in the overall cohort (odds ratio [OR], 0.34; 95% confidence interval [CI], 0.21-0.57) and in both pathogenic and risk variant carriers (OR

conclusionsRegular NSAID use may be associated with reduced penetrance in LRRK2-associated PD. The LRRK2 protein is involved in inflammatory pathways and appears to be modulated by regular anti-inflammatory use. Longitudinal observational and interventional studies of NSAID exposure and LRRK2-PD are needed to confirm this association. © 2020 International Parkinson and Movement Disorder Society.

Indexed as

Parkinson DiseaseAnti-Inflammatory Agents, Non-SteroidalGenetic Predisposition to DiseaseHumansLeucine-Rich Repeat Serine-Threonine Protein Kinase-2MutationPenetranceAnti-Inflammatory Agents, Non-SteroidalLeucine-Rich Repeat Serine-Threonine Protein Kinase-2LRRK2 protein, human

Identifiers

PMID32662532
PMCPMC7572560
OpenAlexW3043447347

What OpenQuestion holds

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Registered trials

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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.