young-onset Parkinson disease

disease
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Also known as early-onset Parkinson diseaseYOPD

Summary

young-onset Parkinson disease (MONDO:0017279) is a disease (an umbrella term covering 9 Mondo subtypes) with 14 cohort genes and 3 clinical trials.

At a glance

  • Prevalence: 1-5 / 10 000 (Europe) [Orphanet-validated]
  • Umbrella term: 9 Mondo subtypes
  • Cohort genes: 14
  • ClinVar variants: 33
  • Phenotypes (HPO): 34
  • Clinical trials: 3

Clinical features

Epidemiology

Prevalence records

2 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Point prevalence1-5 / 10 00015EuropeValidated
Point prevalence1-5 / 10 000WorldwideNot yet validated

Signs & symptoms

Clinical features (HPO)

34 HPO clinical features (Orphanet curated; top 34 by frequency):

HPO IDTermFrequency
HP:0002063RigidityVery frequent (80-99%)
HP:0000716DepressionFrequent (30-79%)
HP:0000738HallucinationsFrequent (30-79%)
HP:0000741ApathyFrequent (30-79%)
HP:0001337TremorFrequent (30-79%)
HP:0002172Postural instabilityFrequent (30-79%)
HP:0100660DyskinesiaFrequent (30-79%)
HP:0012760Reduced social responsivenessOccasional (5-29%)
HP:0000551Color vision defectOccasional (5-29%)
HP:0000726DementiaOccasional (5-29%)
HP:0000736Short attention spanOccasional (5-29%)
HP:0000739AnxietyOccasional (5-29%)
HP:0001257SpasticityOccasional (5-29%)
HP:0001332DystoniaOccasional (5-29%)
HP:0001347HyperreflexiaOccasional (5-29%)
HP:0002014DiarrheaOccasional (5-29%)
HP:0002018NauseaOccasional (5-29%)
HP:0002019ConstipationOccasional (5-29%)
HP:0002067BradykinesiaOccasional (5-29%)
HP:0002141Gait imbalanceOccasional (5-29%)
HP:0002578GastroparesisOccasional (5-29%)
HP:0003394Muscle spasmOccasional (5-29%)
HP:0004409HyposmiaOccasional (5-29%)
HP:0012332Abnormal autonomic nervous system physiologyOccasional (5-29%)
HP:0012452Restless legsOccasional (5-29%)
HP:0025269Panic attackOccasional (5-29%)
HP:0030014Female sexual dysfunctionOccasional (5-29%)
HP:0040307Male sexual dysfunctionOccasional (5-29%)
HP:0100543Cognitive impairmentOccasional (5-29%)
HP:0100785InsomniaOccasional (5-29%)
HP:0000651DiplopiaVery rare (<1-4%)
HP:0000713AgitationVery rare (<1-4%)
HP:0000727Frontal lobe dementiaVery rare (<1-4%)
HP:0100710ImpulsivityVery rare (<1-4%)

Identifiers

Disease identifiers

FieldValue
Canonical nameyoung-onset Parkinson disease
Mondo IDMONDO:0017279
Orphanet2828
DOIDDOID:0060894
SNOMED CT715345007
UMLSC4275179
MedGen907947
GARD0016610
Is cancer (heuristic)no

Also known as: early-onset Parkinson disease · YOPD

Data availability: 33 ClinVar variants · 7 GenCC gene-disease records · 222 cell lines.

Disease family

An umbrella term covering 9 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › nervous system disordercentral nervous system disorderbrain disorderbasal ganglia disorderparkinsonian disorderParkinson diseaseyoung-onset Parkinson disease

Related subtypes (5): late-onset Parkinson disease, parkinsonian-pyramidal syndrome, Parkinson disease, mitochondrial, Parkinson disease 16, Parkinson disease 25, autosomal recessive early-onset, with impaired intellectual development

Subtypes (9): juvenile-onset Parkinson disease, Parkinson disease 12, autosomal recessive juvenile Parkinson disease 2, Parkinson disease 3, autosomal dominant, autosomal recessive early-onset Parkinson disease 6, autosomal recessive early-onset Parkinson disease 7, Parkinson disease 10, early-onset Parkinson disease 20, autosomal recessive early-onset Parkinson disease 23

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

33 retrieved; paginated sample, class counts are floors:

12 likely pathogenic, 8 pathogenic, 6 pathogenic/likely pathogenic, 3 conflicting classifications of pathogenicity, 3 uncertain significance, 1 pathogenic/likely pathogenic; risk factor

ClinVarVariant (HGVS)GeneClassificationReview
93445NM_000157.4(GBA1):c.115+1G>AGBA1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1940NM_198578.4(LRRK2):c.6055G>A (p.Gly2019Ser)LRRK2Pathogenic/Likely pathogenic; risk factorcriteria provided, multiple submitters, no conflicts
493448NM_004562.3(PRKN):c.1A>G (p.Met1Val)PACRGPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1119999GRCh37/hg19 6q26(chr6:162622150-162683772)PRKNPathogeniccriteria provided, single submitter
1120002GRCh37/hg19 6q26(chr6:162622150-162622256)PRKNPathogeniccriteria provided, single submitter
1120005GRCh37/hg19 6q26(chr6:162864400-162864441)PRKNPathogeniccriteria provided, single submitter
1120006GRCh37/hg19 6q26(chr6:162394320-162475157)PRKNPathogeniccriteria provided, single submitter
1120009GRCh37/hg19 6q26(chr6:161969922-161990424)PRKNPathogeniccriteria provided, single submitter
356016NM_004562.3(PRKN):c.1289G>A (p.Gly430Asp)PRKNPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
425403NM_004562.3(PRKN):c.101_102del (p.Gln34fs)PRKNPathogeniccriteria provided, multiple submitters, no conflicts
7050NM_004562.3(PRKN):c.823C>T (p.Arg275Trp)PRKNPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1120010GRCh37/hg19 4q22.1(chr4:90647764-90758128)SNCAPathogeniccriteria provided, single submitter
88844NM_203446.3(SYNJ1):c.656G>A (p.Arg219Gln)SYNJ1Pathogeniccriteria provided, multiple submitters, no conflicts
222070NM_020821.3(VPS13C):c.4165G>C (p.Gly1389Arg)VPS13CPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
982938NM_020821.3(VPS13C):c.1111C>T (p.Arg371Ter)VPS13CPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1119998NM_007262.5(PARK7):c.460A>G (p.Thr154Ala)PARK7Likely pathogeniccriteria provided, single submitter
1120000GRCh37/hg19 6q26(chr6:162864400-162864441)PRKNLikely pathogeniccriteria provided, single submitter
1120001GRCh37/hg19 6q26(chr6:162683576-162683772)PRKNLikely pathogeniccriteria provided, single submitter
1120003GRCh37/hg19 6q26(chr6:162475128-162475157)PRKNLikely pathogeniccriteria provided, single submitter
1120004GRCh37/hg19 6q26(chr6:162475128-162475157)PRKNLikely pathogeniccriteria provided, single submitter
1120008GRCh37/hg19 6q26(chr6:162206818-162206900)PRKNLikely pathogeniccriteria provided, single submitter
3075760NM_020821.3(VPS13C):c.3908+2T>CVPS13CLikely pathogeniccriteria provided, single submitter
3075761NM_020821.3(VPS13C):c.2408+1G>AVPS13CLikely pathogeniccriteria provided, single submitter
3075762NM_020821.3(VPS13C):c.3331G>T (p.Gly1111Ter)VPS13CLikely pathogeniccriteria provided, single submitter
3075763NM_020821.3(VPS13C):c.5462T>A (p.Leu1821Ter)VPS13CLikely pathogeniccriteria provided, single submitter
3075814NM_020821.3(VPS13C):c.5698C>T (p.Gln1900Ter)VPS13CLikely pathogeniccriteria provided, single submitter
3075815NM_020821.3(VPS13C):c.1119G>A (p.Trp373Ter)VPS13CLikely pathogeniccriteria provided, single submitter
334317NM_015488.5(PNKD):c.466-3C>ACATIP-AS2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1120007NM_004562.3(PRKN):c.1288G>A (p.Gly430Ser)PRKNConflicting classifications of pathogenicitycriteria provided, conflicting classifications
7054NM_004562.3(PRKN):c.719C>T (p.Thr240Met)PRKNConflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 42 · Orphanet: 28 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
PARK7DefinitiveAutosomal recessiveParkinson disease5
PINK1DefinitiveAutosomal recessiveautosomal recessive early-onset Parkinson disease 66
PRKNDefinitiveAutosomal recessiveParkinson disease4
DNAJC6StrongAutosomal recessivejuvenile onset Parkinson disease 19A7
SYNJ1StrongAutosomal recessiveearly-onset Parkinson disease 2010
VPS13CStrongAutosomal recessiveautosomal recessive early-onset Parkinson disease 235
PODXLSupportiveAutosomal recessiveyoung-onset Parkinson disease5

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SYNJ1Orphanet:2828Young-onset Parkinson disease
SYNJ1Orphanet:391411Atypical juvenile parkinsonism
SYNJ1Orphanet:442835Non-specific early-onset epileptic encephalopathy
PARK7Orphanet:2828Young-onset Parkinson disease
PARK7Orphanet:90020Parkinson-dementia complex of Guam
VPS13COrphanet:2828Young-onset Parkinson disease
PRKNOrphanet:2828Young-onset Parkinson disease
PODXLOrphanet:2828Young-onset Parkinson disease
PODXLOrphanet:391411Atypical juvenile parkinsonism
PINK1Orphanet:2828Young-onset Parkinson disease
DNAJC6Orphanet:2828Young-onset Parkinson disease
DNAJC6Orphanet:391411Atypical juvenile parkinsonism
SNCAOrphanet:171695Parkinsonian-pyramidal syndrome
SNCAOrphanet:2828Young-onset Parkinson disease
SNCAOrphanet:411602Hereditary late-onset Parkinson disease
BSCL2Orphanet:100998Autosomal dominant spastic paraplegia type 17
BSCL2Orphanet:139536Distal hereditary motor neuropathy type 5
BSCL2Orphanet:363400Progressive encephalopathy-severe neurodegeneration-lipodystrophy syndrome
BSCL2Orphanet:696289Congenital generalized lipodystrophy type 2
LRRK2Orphanet:2828Young-onset Parkinson disease
LRRK2Orphanet:411602Hereditary late-onset Parkinson disease
THAP1Orphanet:98806Primary dystonia, DYT6 type
GBA1Orphanet:2072Gaucher disease-ophthalmoplegia-cardiovascular calcification syndrome
GBA1Orphanet:411602Hereditary late-onset Parkinson disease
GBA1Orphanet:77259Gaucher disease type 1
GBA1Orphanet:77260Gaucher disease type 2
GBA1Orphanet:77261Gaucher disease type 3
GBA1Orphanet:85212Fetal Gaucher disease

Cohort genes → proteins

14 cohort genes, 13 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence14

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SYNJ1HGNC:11503ENSG00000159082O43426Synaptojanin-1gencc,clinvar
PARK7HGNC:16369ENSG00000116288Q99497Parkinson disease protein 7gencc,clinvar
VPS13CHGNC:23594ENSG00000129003Q709C8Intermembrane lipid transfer protein VPS13Cgencc,clinvar
PRKNHGNC:8607ENSG00000185345O60260E3 ubiquitin-protein ligase parkingencc,clinvar
PODXLHGNC:9171ENSG00000128567O00592Podocalyxingencc,clinvar
PINK1HGNC:14581ENSG00000158828Q9BXM7Serine/threonine-protein kinase PINK1, mitochondrialgencc
DNAJC6HGNC:15469ENSG00000116675O75061Auxilingencc
SNCAHGNC:11138ENSG00000145335P37840Alpha-synucleinclinvar
BSCL2HGNC:15832ENSG00000168000Q96G97Seipinclinvar
LRRK2HGNC:18618ENSG00000188906Q5S007Leucine-rich repeat serine/threonine-protein kinase 2clinvar
PACRGHGNC:19152ENSG00000112530Q96M98Parkin coregulated gene proteinclinvar
THAP1HGNC:20856ENSG00000131931Q9NVV9THAP domain-containing protein 1clinvar
CATIP-AS2HGNC:41079ENSG00000237281CATIP antisense RNA 2clinvar
GBA1HGNC:4177ENSG00000177628P04062Lysosomal acid glucosylceramidaseclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SYNJ1Synaptojanin-1Phosphatase that acts on various phosphoinositides, including phosphatidylinositol 4-phosphate, phosphatidylinositol (4,5)-bisphosphate and phosphatidylinositol (3,4,5)-trisphosphate.
PARK7Parkinson disease protein 7Multifunctional protein with controversial molecular function which plays an important role in cell protection against oxidative stress and cell death acting as oxidative stress sensor and redox-sensitive chaperone and protease.
VPS13CIntermembrane lipid transfer protein VPS13CMediates the transfer of lipids between membranes at organelle contact sites.
PRKNE3 ubiquitin-protein ligase parkinFunctions within a multiprotein E3 ubiquitin ligase complex, catalyzing the covalent attachment of ubiquitin moieties onto substrate proteins.
PODXLPodocalyxinInvolved in the regulation of both adhesion and cell morphology and cancer progression.
PINK1Serine/threonine-protein kinase PINK1, mitochondrialSerine/threonine-protein kinase which acts as a sensor of mitochondrial damage and protects against mitochondrial dysfunction during cellular stress.
DNAJC6AuxilinMay act as a protein phosphatase and/or a lipid phosphatase.
SNCAAlpha-synucleinNeuronal protein that plays several roles in synaptic activity such as regulation of synaptic vesicle trafficking and subsequent neurotransmitter release.
BSCL2SeipinPlays a crucial role in the formation of lipid droplets (LDs) which are storage organelles at the center of lipid and energy homeostasis.
LRRK2Leucine-rich repeat serine/threonine-protein kinase 2Serine/threonine-protein kinase which phosphorylates a broad range of proteins involved in multiple processes such as neuronal plasticity, innate immunity, autophagy, and vesicle trafficking.
PACRGParkin coregulated gene proteinMicrotubule inner protein (MIP) part of the dynein-decorated doublet microtubules (DMTs) in cilia axoneme, which is required for motile cilia beating.
THAP1THAP domain-containing protein 1DNA-binding transcription regulator that regulates endothelial cell proliferation and G1/S cell-cycle progression.
GBA1Lysosomal acid glucosylceramidaseGlucosylceramidase that catalyzes, within the lysosomal compartment, the hydrolysis of glucosylceramides/GlcCers (such as beta-D-glucosyl-(1<->1’)-N-acylsphing-4-enine) into free ceramides (such as N-acylsphing-4-enine) and glucose.

Protein-family classification

Druggable: 5 · Difficult: 2 · Unknown: 7 · Druggable fraction: 0.36

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Phosphatase16.0×0.386
Kinase24.0×0.386
Enzyme (other)21.7×0.547
Transcription factor21.2×0.649
Other/Unknown70.9×0.761

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SYNJ1Other/UnknownnoIPPc, RRM_dom, SAC_dom
PARK7Enzyme (other)yes3.5.1.124DJ-1/PfpI, DJ-1, Class_I_gatase-like
VPS13COther/UnknownnoVPS13_VAB, VPS13, VPS13_N
PRKNTranscription factorno2.3.2.27Ubiquitin-like_dom, IBR_dom, Parkin
PODXLOther/UnknownnoCD34/Podocalyxin, PODXL
PINK1KinaseyesProt_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
DNAJC6PhosphataseyesTyr_Pase_dom, DnaJ_domain, Tensin_C2-dom
SNCAOther/UnknownnoSynuclein, Synuclein_alpha
BSCL2Other/UnknownnoSeipin
LRRK2KinaseyesProt_kinase_dom, Leu-rich_rpt, Leu-rich_rpt_typical-subtyp
PACRGOther/UnknownnoParkin_co-regulated_protein
THAP1Transcription factornoTHAP_Znf, THAP1/10, THAP_Znf_sf
CATIP-AS2Other/Unknownno
GBA1Enzyme (other)yes3.2.1.45Glyco_hydro_30, GH_hydrolase_sf, GH30_C

Expression context

Cohort genes with no expression data: 0.

11 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)14
unknown0

Top tissues across cohort

TissueCohort genes
male germ line stem cell (sensu Vertebrata) in testis3
Brodmann (1909) area 232
pons2
lateral nuclear group of thalamus1
adult organism1
deltoid1
tibia1
calcaneal tendon1
epithelium of nasopharynx1
upper leg skin1
hindlimb stylopod muscle1
sural nerve1
germinal epithelium of ovary1
metanephric glomerulus1
renal glomerulus1
gastrocnemius1
gluteal muscle1
tendon of biceps brachii1
endothelial cell1
substantia nigra pars compacta1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SYNJ1278ubiquitousyesBrodmann (1909) area 23, lateral nuclear group of thalamus, pons
PARK7294ubiquitousmarkeradult organism, tibia, deltoid
VPS13C291ubiquitousmarkercalcaneal tendon, upper leg skin, epithelium of nasopharynx
PRKN174ubiquitousmarkersural nerve, male germ line stem cell (sensu Vertebrata) in testis, hindlimb stylopod muscle
PODXL276ubiquitousmarkerrenal glomerulus, metanephric glomerulus, germinal epithelium of ovary
PINK1295ubiquitousmarkertendon of biceps brachii, gastrocnemius, gluteal muscle
DNAJC6227ubiquitousmarkerendothelial cell, Brodmann (1909) area 23, substantia nigra pars compacta
SNCA280ubiquitousmarkertrabecular bone tissue, orbitofrontal cortex, pons
BSCL2149ubiquitousmarkersuperior frontal gyrus, primary visual cortex, pituitary gland
LRRK2220broadmarkerbuccal mucosa cell, monocyte, leukocyte
PACRG197broadmarkerbronchial epithelial cell, right uterine tube, epithelium of bronchus
THAP1260ubiquitousyessecondary oocyte, primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis
CATIP-AS2108yesmale germ line stem cell (sensu Vertebrata) in testis, bone marrow cell, tonsil
GBA1134ubiquitousmarkerstromal cell of endometrium, islet of Langerhans, placenta

Protein interactions among cohort

Intra-cohort edges: 23.

Hub genes (top 10 by interactor count)

SymbolInteractor count
PRKN10,281
LRRK27,628
SNCA7,615
PARK75,722
PINK14,175
DNAJC63,784
PODXL2,741
GBA12,568
PACRG2,520
SYNJ12,177

Intra-cohort edges

ABSources
DNAJC6PINK1string_interaction
DNAJC6PRKNstring_interaction
DNAJC6SYNJ1string_interaction
DNAJC6VPS13Cstring_interaction
GBA1LRRK2string_interaction
GBA1PRKNstring_interaction
GBA1SNCAbiogrid_interaction, string_interaction
GBA1VPS13Cstring_interaction
LRRK2PARK7string_interaction
LRRK2PINK1string_interaction
LRRK2PRKNstring_interaction
LRRK2SNCAstring_interaction
LRRK2VPS13Cstring_interaction
PACRGPRKNstring_interaction
PARK7PINK1string_interaction
PARK7PRKNbiogrid_interaction, string_interaction
PARK7SNCAstring_interaction
PINK1PRKNintact, string_interaction
PINK1SNCAstring_interaction
PINK1VPS13Cstring_interaction
PRKNSNCAstring_interaction
PRKNVPS13Cstring_interaction
SYNJ1VPS13Cstring_interaction

Structural data

PDB: 10 · AlphaFold-only: 3 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
SNCAP37840232
PARK7Q9949788
GBA1P0406258
LRRK2Q5S00744
PRKNO6026021
PINK1Q9BXM76
SYNJ1O434265
PACRGQ96M985
THAP1Q9NVV93
BSCL2Q96G971

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
DNAJC6O7506164.29
PODXLO0059253.66
VPS13CQ709C8

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 36. Enrichment computed across 14 evidence-associated genes (8 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 8 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
PINK1-PRKN Mediated Mitophagy289.2×0.008PRKN, PINK1
Aggrephagy262.1×0.008PARK7, PRKN
Amyloid fiber formation225.7×0.030PRKN, SNCA
Clathrin-mediated endocytosis221.3×0.033SYNJ1, DNAJC6
PTK6 promotes HIF1A stabilization1203.9×0.035LRRK2
Josephin domain DUBs1119.0×0.045PRKN
Synthesis of IP2, IP, and Ins in the cytosol195.2×0.045SYNJ1
FOXO-mediated transcription of cell death genes189.2×0.045PINK1
Signaling by PTK6168.0×0.045LRRK2
Signaling by Non-Receptor Tyrosine Kinases168.0×0.045LRRK2
Chaperone Mediated Autophagy162.1×0.045PARK7
Inositol phosphate metabolism159.5×0.045SYNJ1
Regulation of necroptotic cell death154.9×0.045PRKN
Synthesis of IP3 and IP4 in the cytosol152.9×0.045SYNJ1
Membrane Trafficking29.3×0.045SYNJ1, DNAJC6
PI Metabolism144.6×0.046SYNJ1
Lysosome Vesicle Biogenesis140.8×0.046DNAJC6
Late endosomal microautophagy140.8×0.046PARK7
Vesicle-mediated transport28.7×0.046SYNJ1, DNAJC6
Association of TriC/CCT with target proteins during biosynthesis136.6×0.046GBA1
Glycosphingolipid catabolism136.6×0.046GBA1
trans-Golgi Network Vesicle Budding131.7×0.051DNAJC6
SUMOylation of transcription cofactors130.4×0.051PARK7
Synthesis of PIPs at the plasma membrane126.4×0.053SYNJ1
Phospholipid metabolism125.0×0.053SYNJ1
Golgi Associated Vesicle Biogenesis125.0×0.053DNAJC6
Antimicrobial mechanism of IFN-stimulated genes124.6×0.053SNCA
PKR-mediated signaling117.6×0.071SNCA
Interferon Signaling115.0×0.080SNCA
Cytokine Signaling in Immune system15.1×0.216SNCA

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 13 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
regulation of synaptic vesicle transport31296.3×1e-07PRKN, PINK1, LRRK2
cellular response to oxidative stress559.5×2e-06PARK7, PRKN, SNCA, PINK1, LRRK2
mitochondrion organization558.4×2e-06PARK7, VPS13C, PRKN, PINK1, LRRK2
dopamine uptake involved in synaptic transmission3432.1×3e-06PARK7, PRKN, SNCA
positive regulation of type 2 mitophagy3353.5×5e-06PRKN, PINK1, GBA1
negative regulation of neuron apoptotic process542.6×5e-06PARK7, PRKN, SNCA, PINK1, GBA1
negative regulation of oxidative stress-induced neuron intrinsic apoptotic signaling pathway3299.1×6e-06PARK7, PRKN, PINK1
regulation of synaptic vesicle endocytosis3204.7×2e-05PARK7, PRKN, LRRK2
negative regulation of endoplasmic reticulum stress-induced intrinsic apoptotic signaling pathway3194.4×2e-05PARK7, PRKN, LRRK2
regulation of reactive oxygen species metabolic process3169.1×3e-05PRKN, PINK1, LRRK2
synaptic vesicle uncoating2864.2×5e-05SYNJ1, DNAJC6
mitochondrion to lysosome vesicle-mediated transport2864.2×5e-05PRKN, PINK1
positive regulation of mitochondrial electron transport, NADH to ubiquinone2864.2×5e-05PARK7, PINK1
negative regulation of hydrogen peroxide-induced neuron intrinsic apoptotic signaling pathway2864.2×5e-05PARK7, PINK1
cellular response to hydrogen sulfide2864.2×5e-05PRKN, PINK1
response to oxidative stress440.2×6e-05PARK7, PRKN, PINK1, LRRK2
negative regulation of mitochondrial fission2518.5×1e-04PRKN, PINK1
negative regulation of intrinsic apoptotic signaling pathway in response to hydrogen peroxide2518.5×1e-04PARK7, PINK1
regulation of locomotion2432.1×2e-04SNCA, LRRK2
mitophagy373.4×2e-04PRKN, PINK1, GBA1
adult locomotory behavior369.5×2e-04PARK7, PRKN, SNCA
cellular response to manganese ion2370.4×2e-04PRKN, LRRK2
cellular response to dopamine2370.4×2e-04PRKN, LRRK2
obsolete regulation of protein targeting to mitochondrion2324.1×3e-04PRKN, PINK1
mitochondrion localization2259.3×4e-04PRKN, LRRK2
positive regulation of proteasomal ubiquitin-dependent protein catabolic process348.6×5e-04PRKN, LRRK2, GBA1
cellular response to toxic substance2216.1×6e-04PRKN, PINK1
protein localization to mitochondrion2199.4×6e-04PRKN, LRRK2
negative regulation of excitatory postsynaptic potential2199.4×6e-04PRKN, LRRK2
regulation of cellular response to oxidative stress2199.4×6e-04PRKN, PINK1

Therapeutics

Drug target analysis

Approved (phase 4): 4 · Phase ≥3: 4 · Phased (≥1): 5 · Undrugged: 9

Druggability breadth: 6 of 14 evidence-associated genes (43%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
SYNJ1PYRVINIUM
SNCAESTRADIOL
LRRK2PONATINIB
GBA1MIGALASTAT

Top cohort targets by molecule count

SymbolMoleculesMax phase
LRRK2424
SNCA314
GBA1124
SYNJ114
PARK712
VPS13C00
PRKN00
PODXL00
PINK100
DNAJC600

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PYRVINIUM4SYNJ1
ESTRADIOL4SNCA
ESTRONE4SNCA
TETRACYCLINE4SNCA
PHYTONADIONE4SNCA
CEFTRIAXONE4SNCA
FLORBETAPIR4SNCA
ESTRIOL4SNCA
RIFAMPIN4SNCA
TRETINOIN4SNCA
TESTOSTERONE4SNCA
BRILLIANT BLUE G4SNCA
BROMOCRIPTINE4SNCA
PERGOLIDE4SNCA
DOPAMINE4SNCA
MENADIONE4SNCA
GENTIAN VIOLET4GBA1, SNCA
SELEGILINE4SNCA
RETINOL4SNCA
PONATINIB4LRRK2
FEDRATINIB4LRRK2
AXITINIB4LRRK2
RUXOLITINIB4LRRK2
PALBOCICLIB4LRRK2
ENTRECTINIB4LRRK2
TOFACITINIB CITRATE4LRRK2
TOFACITINIB4LRRK2
VANDETANIB4LRRK2
BOSUTINIB4LRRK2
BRIGATINIB4LRRK2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
LRRK2809Binding:799, ADMET:7, Functional:3
SNCA459Binding:458, Functional:1
GBA1436Binding:403, Functional:33
PARK762Binding:62
PINK124Binding:24
SYNJ12Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
PARK73.5.1.124, 4.2.1.130protein deglycase, D-lactate dehydratase
PRKN2.3.2.27, 2.3.2.31RING-type E3 ubiquitin transferase, RBR-type E3 ubiquitin transferase
GBA13.2.1.45glucosylceramidase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
SNCA459
LRRK2809
GBA1436

Pharmacogenomics

Cohort genes with a PharmGKB record: 13; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
PYRVINIUM4SYNJ1
ESTRADIOL4SNCA
ESTRONE4SNCA
TETRACYCLINE4SNCA
PHYTONADIONE4SNCA
CEFTRIAXONE4SNCA
FLORBETAPIR4SNCA
ESTRIOL4SNCA
RIFAMPIN4SNCA
TRETINOIN4SNCA
TESTOSTERONE4SNCA
BRILLIANT BLUE G4SNCA
BROMOCRIPTINE4SNCA
PERGOLIDE4SNCA
DOPAMINE4SNCA
MENADIONE4SNCA
GENTIAN VIOLET4GBA1, SNCA
SELEGILINE4SNCA
RETINOL4SNCA
PONATINIB4LRRK2
FEDRATINIB4LRRK2
AXITINIB4LRRK2
RUXOLITINIB4LRRK2
PALBOCICLIB4LRRK2
ENTRECTINIB4LRRK2
TOFACITINIB CITRATE4LRRK2
TOFACITINIB4LRRK2
VANDETANIB4LRRK2
BOSUTINIB4LRRK2
BRIGATINIB4LRRK2

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)4SYNJ1, SNCA, LRRK2, GBA1
BPhased (≥1) drug, not yet approved1PARK7
CDruggable family + PDB, no drug1PINK1
DDruggable family + AlphaFold only, no drug1DNAJC6
EDifficult family or no structure, no drug7VPS13C, PRKN, PODXL, BSCL2, PACRG, THAP1, CATIP-AS2

Undrugged target profiles

9 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
PRKN0SNCA, PARK7, LRRK2
PINK124PARK7
DNAJC60SYNJ1
VPS13C0
PODXL0
BSCL20
PACRG0
THAP10
CATIP-AS20

Clinical trials & evidence

Clinical trials

Clinical trials: 3.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified2
PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT07267065PHASE1NOT_YET_RECRUITINGAAV2-hAADC for Parkinson’s Disease (PDCS-01)
NCT04033393Not specifiedUNKNOWNDual-task Performance in Young-onset PD
NCT04722198Not specifiedUNKNOWNEffects of Lactobacillus Plantarum PS128 on Symptoms of Early-onset Parkinson’s Disease: a Pilot Study