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Task matters-challenging the motor system allows distinguishing unaffected Parkin mutation carriers from mutation-free controls

Prasuhn, Jannik (author)
Univ Lubeck, Inst Neurogenet, Lubeck, Germany.;Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.
Borsche, Max (author)
Univ Lubeck, Inst Neurogenet, Lubeck, Germany.;Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.
Hicks, Andrew A. (author)
Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.
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Goegele, Martin (author)
Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.
Egger, Clemens (author)
Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.
Kritzinger, Cleo (author)
Univ Lubeck, Inst Neurogenet, Lubeck, Germany.
Pichler, Irene (author)
Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.
Castelo-Rueda, Maria Paulina (author)
Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.
Langlott, Lynn (author)
Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.
Kasten, Meike (author)
Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.;Univ Med Ctr Schleswig Holstein, Dept Psychiat, Campus Lubeck, Lubeck, Germany.
Mascalzoni, Deborah, 1973- (author)
Uppsala universitet,Centrum för forsknings- och bioetik,Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy
Klein, Christine (author)
Univ Lubeck, Inst Neurogenet, Lubeck, Germany.
Pramstaller, Peter P. (author)
Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.;Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy.;Cent Hosp, Dept Neurol, Bolzano, Italy.
Brueggemann, Norbert (author)
Univ Lubeck, Inst Neurogenet, Lubeck, Germany.;Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany.
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Univ Lubeck, Inst Neurogenet, Lubeck, Germany;Univ Med Ctr Schleswig Holstein, Dept Neurol, Campus Lubeck, Lubeck, Germany. Univ Lubeck, Affiliated Inst, Eurac Res, Inst Biomed, Bolzano, Italy. (creator_code:org_t)
Elsevier, 2021
2021
English.
In: Parkinsonism & Related Disorders. - : Elsevier. - 1353-8020 .- 1873-5126. ; 86, s. 101-104
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Heterozygous carriers of Parkin mutations are suggested to be at risk of developing Parkinson's disease, while biallelic variants are associated with typical autosomal recessive early-onset PD. Investigating unaffected heterozygous mutation carriers holds the potential of a deeper understanding of monogenic PD and has implications for PD in general, in particular regarding the prodromal phase.Objectives: To discriminate healthy Parkin mutation carriers from healthy non-mutation carriers using a multimodal approach.Methods: Twenty-seven healthy heterozygous Parkin mutation carriers (13 female. age: 48 +/- 13 years) and 24 healthy non-mutation carriers (14 female. age: 48 +/- 15 years) from the CHRIS study (Cooperative Health Research in South Tyrol) were recalled based on their genetic profile and underwent a blinded assessment of motor and non-motor PD symptoms, transcranial sonography and sensor-based posturography and gait analyses under different conditions with increasing difficulty. For the latter, gradient-boosted trees were used to discriminate between carriers and non-carriers. The classification accuracy and the area under the curve of the receiver-operator characteristics curve were calculated.Results: We observed no differences concerning motor or non-motor symptoms and substantia nigra hyperechogenicity. The best gradient-boosted trees-based model on posturography measurements (tandem feet, eyes closed, firm surface), however, showed a classification accuracy of up to 86%. The best-performing gradientboosted trees-based model for gait analyses showed a balanced accuracy of up to 87% (dual-tasking).Conclusions: Sensor-based quantification of movements allows to discriminate unaffected heterozygous mutation carriers from mutation-free controls. Thereby, it is crucial to challenge the motor system with more difficult tasks to unmask subtle motor alterations.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Neurology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Neurosciences (hsv//eng)

Keyword

Gait analysis
Parkin
Wearables
Genetic PD

Publication and Content Type

ref (subject category)
art (subject category)

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