Evidence map›Paper›PMID 41103171›Full record

ReviewMovement disorders : official journal of the Movement Disorder Society2025

RAB32-Linked Parkinson's Disease: Deep Phenotyping, MDSGene Literature Review, and Application of SynNeurGe Criteria.

Teresa Kleinz, Francesco Cavallieri, Max Borsche, Giulia Toschi, Franco Valzania, Valentina Fioravanti, Enza Maria Valente, Pierfrancesco Mitrotti, Micol Avenali, Simone Zittel and 18 more

Abstract readReview
In one paragraph

Review in Movement disorders : official journal of the Movement Disorder Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Genetic and environmental risk factors of Parkinsonism.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Review
4 · The record

Corrections and comments

  • Update of
    2025
5 · Who and what money

Authors and funding

28 authors.

Teresa KleinzInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Francesco CavallieriNeuromotor and Rehabilitation Department, Neurology Unit, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.ORCID https://orcid.org/0000-0001-5836-1982
Max BorscheInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Giulia ToschiNeuromotor and Rehabilitation Department, Neurology Unit, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Franco ValzaniaNeuromotor and Rehabilitation Department, Neurology Unit, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Valentina FioravantiNeuromotor and Rehabilitation Department, Neurology Unit, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Enza Maria ValenteIRCCS C. Mondino Foundation, Pavia, Italy.ORCID https://orcid.org/0000-0002-0600-6820
Pierfrancesco MitrottiIRCCS C. Mondino Foundation, Pavia, Italy.
Micol AvenaliIRCCS C. Mondino Foundation, Pavia, Italy.
Simone ZittelDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID https://orcid.org/0000-0002-3767-6376
Rommi BornKlinikum Hanau, Department of Neurology, Hanau, Germany.
Michele MatarazzoCentro Integral de Neurociencias Abarca Campal, Hospital Universitario HM Puerta Del Sur, HM Hospitales, Madrid, Spain.
Alessio Di FonzoIRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, Dino Ferrari Center, Neuroscience Section, Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0001-6478-026X
Edoardo MonfriniIRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, Dino Ferrari Center, Neuroscience Section, Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0003-4720-9234
Mandy RadefeldtCentogene, Rostock, Germany.
Letizia SantinelliInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Norman GriebnerSection for Movement Disorders, Department of Neurology, University Hospital of Schleswig-Holstein, Lübeck, Germany.
Cholpon ShambetovaInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Max BrandInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Carolin GabbertInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Cornelis BlauwendraatCenter for Alzheimer's and Related Dementias (CARD), National Institute on Aging and National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0001-9358-8111
Joanne TrinhInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Katja LohmannInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.ORCID https://orcid.org/0000-0002-5121-1460
Christian BeetzCentogene, Rostock, Germany.ORCID https://orcid.org/0000-0001-7061-2895
Peter BauerCentogene, Rostock, Germany.
Norbert BrüggemannInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.
Global Parkinson's Genetics Program (GP2)
Christine KleinInstitute of Neurogenetics, University of Lübeck, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe RAB32 p.Ser71Arg variant is a novel cause of monogenic Parkinson's disease (PD), for which detailed phenotypic information is currently scarce.

objectivesOur aim was to clinically and biologically characterize individuals with PARK-RAB32 to gain insights into genotype-phenotype relationships, disease severity, and underlying pathology.

methodsWe conducted a literature review following the MDSGene protocol, alongside detailed phenotyping of 11 PARK-RAB32 patients and one prodromal individual from the Rostock International PD (ROPAD) study. In addition to comprehensive scale-based assessments, including olfactory testing, we obtained neuroimaging data and various biomaterials, and performed α-synuclein seeding assays (SAA) in cerebrospinal fluid in a subset.

results83 patients (72 from the literature) were included in the analysis. The median age at onset was 54 (IQR: 46-61) years. Typical parkinsonism with a favorable dopaminergic response was observed in all patients. In our cohort, after a median disease duration of 11 years (IQR: 7-19.5), the mean Movement Disorders Society Modified Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III score was 38.5 ± 21.8 points. Targeted testing revealed autonomic symptoms were present in all individuals, and 10 of 11 patients had hyposmia. Misfolded α-synuclein was identified in 2 of 2 patients, but not in the prodromal individual. 123I-FP-CIT imaging was available for eight patients, revealing neurodegeneration in all of them.

conclusionWhile PARK-RAB32 is clinically and likely pathologically similar to idiopathic PD, our study underscores the importance of carefully assessing non-motor symptoms in this newly described form of PD. According to SynNeurGe criteria, PARK-RAB32 is classified as S

Indexed as

Parkinson Diseaserab GTP-Binding Proteinsalpha-SynucleinHumansPhenotypealpha-Synucleinrab GTP-Binding Proteinsgenotype–phenotype relationshipmonogenic PDParkinson's diseaseRAB32seed amplification assay (SAA)SynNeurGe criteria

Identifiers

PMID41103171
PMCPMC12710152

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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.