Background
Inflammation and oxidative stress are recognized as important contributors to Parkinson’s disease pathogenesis. As such, genetic variability in these pathways could have a role in susceptibility for the disease as well as in the treatment outcome. Dopaminergic treatment is effective in management of motor symptoms, but poses a risk for motor and non-motor adverse events. Our aim was to evaluate the impact of selected single-nucleotide polymorphisms in genes involved in inflammation and oxidative stress on Parkinson’s disease susceptibility and the occurrence of adverse events of dopaminergic treatment.
Methods
In total, 224 patients were enrolled, and their demographic and clinical data on the disease course were collected. Furthermore, a control group of 146 healthy Slovenian blood donors were included for Parkinson’s disease’ risk evaluation. Peripheral blood was obtained for DNA isolation. Genotyping was performed for
NLRP3
rs35829419,
CARD8
rs2043211,
IL1β
rs16944,
IL1β
rs1143623,
IL6
rs1800795,
CAT
rs1001179,
CAT
rs10836235,
SOD2
rs4880,
NOS1
rs2293054,
NOS1
rs2682826,
TNF-α
rs1800629, and
GPX1
rs1050450. Logistic regression was used for analysis of possible associations.
Results
We observed a nominally significant association of the
IL1β
rs1143623 C allele with the risk for Parkinson’s disease
(
OR = 0.59; 95%CI = 0.38–0.92,
p
= 0.021).
CAT
rs1001179 A allele was significantly associated with peripheral edema (OR = 0.32; 95%CI = 0.15–0.68;
p
= 0.003). Other associations observed were only nominally significant after adjustments:
NOS1
rs2682826 A allele and excessive daytime sleepiness and sleep attacks (OR = 1.75; 95%CI = 1.00–3.06,
p
= 0.048),
SOD2
rs4880 T allele and nausea/vomiting (OR = 0.49, 95%CI = 0.25–0.94;
p
= 0.031),
IL1β
rs1143623 C allele and orthostatic hypotension (OR = 0.57, 95%CI = 0.32–1.00,
p
= 0.050), and
NOS1
rs2682826 A allele and impulse control disorders (OR = 2.59; 95%CI = 1.09–6.19;
p
= 0.032). We did not find any associations between selected polymorphisms and motor adverse events.
Conclusions
Apart from some nominally significant associations, one significant association between
CAT
genetic variability and peripheral edema was observed as well. Therefore, the results of our stud...