| INTRODUC TI ONParkinson's disease (PD) is the second most common neurodegenerative disorder worldwide characterized by dopaminergic neuron loss in the substantia nigra. 1 PD expresses as some motor symptoms (MS) like tremors, slowness, rigidity, as well as some non-motor symptoms (NMS) include dementia, depression, constipation, et al 2,3 Although drugs can help to release the pain and movement disorder, PD cannot be cured or halted at present. 4 Recently, several genome-wide association studies (GWAs) have found some multiple risk loci for PD, which may pave a road to future gene therapy. 5,6 Mitochondrial ubiquitin ligase 1 (MUL1), also known as RNF218, C1orf166, growth inhibition and death E3 ligase (GIDE), mitochondrial-anchored protein ligase (MAPL), and mitochondrial ubiquitin ligase activator of NF-kB (MULAN), is an E3 protein ligase. 7 Well known to stabilize Drp1 and degrade Mfn, MUL1 expression results in smaller and more fragmented mitochondria, which is achieved by small ubiquitin-like modifier (SUMO) ligase activity and ubiquitin ligase activity, and can lead to apoptosis. 7,8 When over or under expressed, MUL1 can slow or accelerate cell growth, respectively, via pathways involving caspases activation and c-Jun N-terminal kinase (JNK) activation which can induce apoptosis. 9 Recent researches indicated that MUL1 may play a key role in PD pathogenesis. Jina Yun and his team found the MUL1 pathway could help maintain mitochondrial integrity by compensating for loss of PINK1/parkin and ameliorate PD motor symptoms in drosophila and mammals. 4,10 Another research in mice uncovered that suppression of MUL1 expression in VPS35-deficient DA neurons could restore PD-related defects, including mitochondrial fragmentation and DA neuronal loss. 11 These results certified that MUL1 may act as an individualized therapeutic gene target for PD treatment. Although many studies have been conducted to explore the structure and function of MUL1 in mitochondria, 8,9 there are few reports on the relationship between MUL1 genetic variations and PD pathogenesis, which is more clinically useful. With this in mind, we conducted a case-control study in a Chinese population to evaluate the possible association between single nucleotide polymorphisms (SNPs) in MUL1 gene and PD development.Objectives: Parkinson's disease (PD) is afflicting millions of patients worldwide, and gene therapy may be a hope for cure. Recent researches have shown that MUL1 may play a key role in PD pathogenesis, but no specific genetic variants have been identified. This study was aimed to verify the hypothesis that variants in MUL1 gene were associated with PD risk in a Chinese cohort.Methods: Ten single nucleotide polymorphisms of the MUL1 gene were genotyped through Sanger sequencing in a case-control study containing 100 PD patients and 100 controls matched for age and gender.
Results: Our results showed that rs529974 in MUL1 gene was significantly associated with the risk of PD. The allele T in rs529974(+) caused an additional PD tendency (O...