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Genetic parkinsonisms and cancer: a systematic review and meta-analysis

  • Andrea Sturchio ORCID logo , Alok K. Dwivedi ORCID logo , Joaquin A. Vizcarra , Martina Chirra , Elizabeth G. Keeling , Ignacio F. Mata , Marcelo A. Kauffman , Manoj K. Pandey , Giandomenico Roviello , Cristoforo Comi , Maurizio Versino , Luca Marsili ORCID logo EMAIL logo und Alberto J. Espay
Veröffentlicht/Copyright: 5. November 2020
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Abstract

Genes associated with parkinsonism may also be implicated in carcinogenesis, but their interplay remains unclear. We systematically reviewed studies (PubMed 1967–2019) reporting gene variants associated with both parkinsonism and cancer. Somatic variants were examined in cancer samples, whereas germline variants were examined in cancer patients with both symptomatic and asymptomatic (carriers) genetic parkinsonisms. Pooled proportions were calculated with random-effects meta-analyses. Out of 9,967 eligible articles, 60 were included. Of the 28 genetic variants associated with parkinsonism, six were also associated with cancer. In cancer samples, SNCA was predominantly associated with gastrointestinal cancers, UCHL1 with breast cancer, and PRKN with head-and-neck cancers. In asymptomatic carriers, LRRK2 was predominantly associated with gastrointestinal and prostate cancers, PRKN with prostate and genitourinary tract cancers, GBA with sarcoma, and 22q11.2 deletion with leukemia. In symptomatic genetic parkinsonism, LRRK2 was associated with nonmelanoma skin cancers and breast cancers, and PRKN with head-and-neck cancers. Cancer was more often manifested in genetic parkinsonisms compared to asymptomatic carriers. These results suggest that intraindividual genetic contributions may modify the co-occurrence of cancer and neurodegeneration.


Corresponding author: Luca Marsili, Gardner Family Center for Parkinson’s Disease and Movement Disorders, Department of Neurology, University of Cincinnati, 260 Stetson St., Cincinnati, OH45219, USA, E-mail:

  1. Author contribution: (1) Research project: A. Conception, B. Organization, C. Execution; (2) Statistical Analysis: A. Design, B. Execution, C. Review and Critique; (3) Manuscript: A. Writing of the first draft, B. Review and Critique. AS, JAV, MC, LM: 1A, 1B, 1C, 2A, 2B, 3AAKD: 1C, 2A, 2B, 2C, 3B EGK: 1C, 3B IFM, MAK, MP, GR, CC, MV: 3BAJE: 1A, 1B, 1C, 3B. All the co-authors listed above gave their final approval of this manuscript version.

  2. Research funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

  3. Conflict of interest statement: The authors disclose no conflicts of interest regarding this manuscript.

  4. Availability of data and material: Drs. Marsili and Sturchio have full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

  5. Competing interests: Drs. Sturchio, Dwivedi, Vizcarra, Chirra, Keeling, and Marsili report no disclosures. Dr. Kauffman is an employee of the CONICET. He has received grant support from Ministry of Science and Technology of Argentina and Ministry of Health of Buenos Aires. Dr. Mata receives funding support from the Department of Veterans Affairs, National Institute of Health, Parkinson’s Disease Foundation, Michael J Fox Foundation, and American Parkinson Disease Association. Dr. Pandey has received the research grants from Alexion Pharmaceuticals (Boston, MA, USA) and Michael J. Fox Foundation (New YORK, NY, USA). He serves as Associate Editor of the Orphanet Journal of Rare Diseases (Springer Nature: Strassen, Luxembourg, LU) and act as reviewer for Nature Scientific Reports (Nature Publishing Group: London, London, GB), Journal of Reproductive Immunology (Elsevier Inc: New York, NY, US), The Journal of Reproductive Medicine (Science Printers and Publishers, Inc., St. Louis, MO, US), Journal of Innate Immunity (Karger Publishers (Switzerland): Basel, CH), Molecular Genetics and metabolism Reports (Elsevier Inc: New York, NY, US), Molecular Genetics and metabolism (Elsevier Inc: New York, NY, US), and PLOSone (Public Library of Science: San Francisco, CA, US) Dr. Roviello reports no disclosures Dr. Comi reports no disclosures Dr. Versino reports no disclosures Dr. Espay has received grant support from the NIH and the Michael J Fox Foundation; personal compensation as a consultant/scientific advisory board member for Abbvie, Neuroderm, Neurocrine, Amneal, Adamas, Acadia, Acorda, InTrance, Sunovion, Lundbeck, and USWorldMeds; publishing royalties from Lippincott Williams & Wilkins, Cambridge University Press, and Springer; and honoraria from USWorldMeds, Acadia, and Sunovion. He serves on the editorial boards of the Journal of Parkinson’s Disease, European Journal of Neurology, and JAMA Neurology.

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Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/revneuro-2020-0083).


Received: 2020-07-30
Accepted: 2020-09-20
Published Online: 2020-11-05
Published in Print: 2021-02-23

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