Evidence map›Paper›PMID 42816700›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Association between C9orf72 G4C2 repeat length and idiopathic Parkinson's disease in a Turkish cohort.

Ebru Erzurumluoglu Gokalp, Fatma Nazlı Durmaz Celik, Hulya Ozen, Sinem Kocagil, Uygar Kabaoglu, Oguz Cilingir, Beyhan Durak Aras, Serhat Ozkan, Sevilhan Artan

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ebru Erzurumluoglu GokalpDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye. eerzurumluoglu@ogu.edu.tr.ORCID http://orcid.org/0000-0002-1275-5174
Fatma Nazlı Durmaz CelikDepartment of Neurology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Hulya OzenDepartment of Medical Informatics, Gulhane Faculty of Medicine, University of Health Sciences, Ankara, Türkiye.
Sinem KocagilDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Uygar KabaogluDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Oguz CilingirDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Beyhan Durak ArasDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Serhat OzkanDepartment of Neurology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Sevilhan ArtanDepartment of Medical Genetics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.

Funding

Eskişehir Osmangazi Üniversitesi 202111010-1551
6 · The paper itself

Abstract

backgroundIntermediate C9orf72 G4C2 repeat lengths have been proposed as potential modifiers of Parkinson's disease susceptibility; however, reported associations vary across populations and have not been evaluated in Turkish patients.

methodsThis case-control study included 136 patients with idiopathic Parkinson's disease (PD) and 100 neurologically healthy controls from Türkiye. C9orf72 G4C2 repeat length was assessed by fragment length analysis and repeat-primed PCR. A prespecified, population-informed ≥ 8-repeat threshold, derived from prior haplotype evidence, was evaluated together with a local sensitivity analysis across ≥ 6-≥10 repeats.

resultsNo participant carried a pathogenic C9orf72 expansion (≥ 30 repeats). Repeat counts ranged from 2 to 13 in patients and 2 to 10 in controls. The overall repeat-length distribution did not differ between groups (p = 0.126), whereas the three-category genotype distribution differed between groups (p = 0.033). Carriers of at least one allele with ≥ 8 repeats were more frequent among patients than controls (32/136 [23.5%] vs. 12/100 [12.0%]; OR 2.256, 95% CI 1.097-4.643; p = 0.038). Across the ≥ 6-≥10 sensitivity window, point estimates remained above unity, although 95% confidence intervals excluded unity only at ≥ 7 and ≥ 8.

conclusionsA prespecified but exploratory ≥ 8-repeat carrier analysis showed higher odds of idiopathic PD, with a similar carrier signal observed at the adjacent ≥ 7 threshold. Together with the non-significant findings from the overall repeat-length distribution and continuous repeat-number analyses, these findings suggest a preliminary, threshold-sensitive susceptibility signal rather than a discrete PD-specific cutoff. Replication in larger independent cohorts with haplotype analysis, broader PD gene screening, and functional investigation is required.

Indexed as

C9orf72 ProteinDNA Repeat ExpansionGenetic Predisposition to DiseaseParkinson DiseaseAgedCase-Control StudiesCohort StudiesFemaleGenetic Association StudiesGenotypeHumansMaleMiddle AgedTurkeyC9orf72 ProteinC9orf72 protein, humanC9orf72G4C2 repeatGenetic susceptibilityIntermediate repeatsParkinson’s diseaseTurkish population

Identifiers

PMID42816700

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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.