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Hao Deng, PhD, MD; Wei-Dong Le, MD, PhD; Christine B. Hunter, RN; Nicte Mejia, MD; Wen-Jie Xie, MD; Joseph Jankovic, MD

Arch Neurol. 2007;64(3):421-424.

Background  Mutations in the parkin gene cause autosomal recessive early-onset Parkinson disease (EOPD). The A265G variant in the HS1 binding protein 3 gene (HS1BP3) is common in essential tremor (ET).

Objective  To investigate the presence of mutations in the parkin gene and the A265G variant in the HS1BP3 gene in a Mexican family with EOPD, ET, and Bell palsy.

Design  Direct sequencing, semiquantitative polymerase chain reaction, and reverse transcription–polymerase chain reaction were performed in the 14 members of this family.

Setting  Mexican family.

Patients  Two patients with EOPD were analyzed.

Results  Compound heterozygous mutations (EX 3_6 del and EX 5 del) in the parkin gene were identified in 2 patients with EOPD, characterized by beneficial response to levodopa, relatively slow progression, and motor complications. Although heterozygous EX 3_6 del and homozygous EX 5 del mutations in the parkin gene have been previously described, to our knowledge, this is the first report of these mutations in compound heterozygotes. Seven heterozygous A265G variants in the HS1BP3 gene were found in this pedigree, but they did not cosegregate with ET, Parkinson disease, or Bell palsy, supporting the conclusion that this variant is not associated with ET.

Conclusions  Compound heterozygous parkin mutations (EX 3_6 del and EX 5 del) caused EOPD in this family, but the A265G variant in the HS1BP3 gene, previously considered to be responsible for ET, was probably not pathogenically related to the ET in this family.

Author Affiliations: Department of Neurology, Baylor College of Medicine, Houston, Tex.

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