The applicant is a neurologist and movement disorders specialist with three years of post-fellowship, faculty experience involving clinical care, clinical trials, and clinical research into etiologic risk factors for PD including genetic factors. The goal of this career development award is to provide the applicant with comprehensive training in genetic epidemiology through course work, individual tutorials, and practical application of gene mapping techniques to a multi-incident Amish family with Parkinson Disease (PD). PD is a neurodegenerative disorder that produces substantial disability for nearly 1 million people in North America. There is no known cause of the disease in the majority of patients; however, a genetic etiology has been found in a few rare multi-incidence families. Identification of such genes and subsequent determination of the cell biological effects of these mutations will provide important clues to the pathophysiology. Each new mutation discovered adds critical converging evidence about pathophysiological mechanisms common to all to those affected with PD. We have identified 27 members of a large Amish family with clinically typical PD and have excluded known PD genetic mutations. However, we still need to prove that PD is inherited in this pedigree. We will use two different methods to prove that PD in this kindred has a genetic basis. The first approach will assume an autosomal recessive model of inheritance and use genetic marker data provided by CIDR on our subjects to perform homozygosity mapping. A second approach will be to calculate a kinship coefficient to determine if the affected members of the pedigree are """"""""more related"""""""" than randomly selected age-matched individuals from the same population. Finally, we will test whether [18]FDOPA PET permits the conversion of some people identified clinically as possible or probable PD in to PET-confirmed PD and thereby functioning as an endophenotype for disease state. This family provides a unique opportunity for the candidate to become a productive independent investigator in genetics of Parkinson Disease and other movements disorders and to develop skills needed for interpretation of [18]FDOPA PET.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23NS043351-02
Application #
6623388
Study Section
NST-2 Subcommittee (NST)
Program Officer
Murphy, Diane
Project Start
2002-05-15
Project End
2007-04-30
Budget Start
2003-05-01
Budget End
2004-04-30
Support Year
2
Fiscal Year
2003
Total Cost
$162,198
Indirect Cost
Name
Washington University
Department
Neurology
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Lundin, Jessica I; Checkoway, Harvey; Criswell, Susan R et al. (2014) Screening for early detection of parkinsonism using a self-administered questionnaire: a cross-sectional epidemiologic study. Neurotoxicology 45:232-7
Gonzalez-Cuyar, Luis F; Nelson, Gill; Criswell, Susan R et al. (2014) Quantitative neuropathology associated with chronic manganese exposure in South African mine workers. Neurotoxicology 45:260-6
Hacker, Carl D; Perlmutter, Joel S; Criswell, Susan R et al. (2012) Resting state functional connectivity of the striatum in Parkinson's disease. Brain 135:3699-711
Nelson, Gill; Criswell, Susan R; Zhang, Jing et al. (2012) Research capacity development in South African manganese mines to bridge exposure and neuropathologic outcomes. Neurotoxicology 33:683-6
Racette, Brad A; Criswell, Susan R; Lundin, Jessica I et al. (2012) Increased risk of parkinsonism associated with welding exposure. Neurotoxicology 33:1356-61
Racette, Brad A; Aschner, Michael; Guilarte, Tomas R et al. (2012) Pathophysiology of manganese-associated neurotoxicity. Neurotoxicology 33:881-6
Willis, Allison W; Sterling, Callen; Racette, Brad A (2010) Conjugal Parkinsonism and Parkinson disease: a case series with environmental risk factor analysis. Parkinsonism Relat Disord 16:163-6
Xiao, J; Zhao, Y; Bastian, R W et al. (2010) Novel THAP1 sequence variants in primary dystonia. Neurology 74:229-38
Criswell, Susan; Sterling, Callen; Swisher, Laura et al. (2010) Sensitivity and specificity of the finger tapping task for the detection of psychogenic movement disorders. Parkinsonism Relat Disord 16:197-201
Hobson, Angela J; Sterling, David A; Emo, Brett et al. (2009) Validity and reliability of an occupational exposure questionnaire for parkinsonism in welders. J Occup Environ Hyg 6:324-31

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