Capacity building in sub-Saharan Africa to conduct cutting-edge genetics research in Parkinson's disease.
撒哈拉以南非洲地区开展帕金森病前沿遗传学研究的能力建设。
基本信息
- 批准号:9199863
- 负责人:
- 金额:$ 13.43万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2016
- 资助国家:美国
- 起止时间:2016-08-01 至 2018-07-31
- 项目状态:已结题
- 来源:
- 关键词:AccountingAffectAfrica South of the SaharaAfricanAfrican AmericanApplications GrantsArabsAshkenazimAsiansBiologicalBlood specimenBrainCaregiversCaucasiansCharacteristicsClinicClinicalClinical ResearchClinical assessmentsCollaborationsComplexCopy Number PolymorphismCountryDNADNA SequenceDataDemographic TransitionsDevelopmentDideoxy Chain Termination DNA SequencingDiseaseDrug DesignEducational workshopEpidemicFoundationsFounder EffectFrequenciesFunding OpportunitiesFutureGenesGeneticGenetic Predisposition to DiseaseGenetic ResearchGenetic studyGoalsIndividualKnowledgeLRRK2 geneLaboratoriesLifeLigationLightLongevityMedical GeneticsMissionMitochondrial DNAMonitorMutationNational Institute of Neurological Disorders and StrokeNational Institute on AgingNerve DegenerationNeurologicNigeriaNigerianOxidative StressPINK1 geneParkinson DiseaseParticipantPathway interactionsPatient RecruitmentsPatientsPilot ProjectsPopulationPrevalencePublic HealthPublishingQuality of lifeRecruitment ActivityReportingResearchResearch InfrastructureResearch PersonnelResearch Project GrantsRisk FactorsSalivaSample SizeSamplingSeveritiesSiteSolidSouth AfricaSouth AfricanTargeted ResequencingTeaching HospitalsTechniquesUnited States National Institutes of HealthUniversitiesVariantVisitWorld Health Organizationage relatedbaseburden of illnesscost effectivedesigndisability-adjusted life yearsdisease-causing mutationdisorder riskeffective therapyexperiencefollow-upfollower of religion Jewishgene discoverygenetic risk factorhigh riskinsightinternational centermeetingsmembermitochondrial dysfunctionmotor symptommutation screeningnervous system disorderneuron lossnon-motor symptomnovelparkin gene/proteinprogramsreduce symptomsresponse
项目摘要
PROJECT SUMMARY/ ABSTRACT
Parkinson’s disease (PD) is estimated to affect over 7 million people worldwide. There is no cure and current
treatment only alleviates the symptoms and do not stop neuronal loss. Due to the array and severity of motor
and non-motor symptoms experienced by PD patients this has a significant effect on their quality of life as well
as that of their caregivers. Further studies are urgently needed on the risk factors that place certain individuals
at higher risk for PD development. It has been shown that PD has a significant genetic component and a
number of genes have been discovered however these studies were predominantly done on Caucasian and
Asian populations. To date, there have been fewer than 10 published genetic studies on PD in Black
populations. It is plausible that these patients harbor pathogenic mutations in novel PD-causing genes. The
discovery of genes such as parkin and PINK1 have shed light on possible disease mechanisms underlying PD
including mitochondrial dysfunction, mitophagy and oxidative stress, and hence identification of other novel PD
genes has the potential to reveal important insight into the pathobiology of the disorder. It is therefore
imperative that more studies are done on Black PD patients. In the proposed study we shall examine the
hypothesis that Black PD patients harbor mutations in novel PD-causing genes due to their unique ancestry.
This R21 project aims to build collaborative research projects between researchers in Nigeria, South Africa and
the USA to study the genetic causes of PD of Black patients from these three countries. We aim to recruit a
minimum of 100 Black PD patients in Nigeria and South Africa for genetic studies, screen for pathogenic
mutations in the known PD-causing genes as well as a panel of 751 neurologically-associated genes.
Moreover, we will set up a pilot study to screen for mutations in mitochondrial DNA. Finally, we will compare
and contrast the clinical and genetic findings across the three populations and to that of other published
studies. Over the two years of the project, research capacity on PD in Nigeria will be developed through setting
up the infrastructure for patient recruitment, follow-up and clinical assessments. Capacity in South Africa will be
developed through the focussed recruitment of Black PD patients, and the setting up of high-throughput
targeted re-sequencing approaches. Capacity in the USA will be developed through access to large numbers
of Black patient numbers and the setting up of the mitochondrial DNA sequencing approach. It is anticipated
that the preliminary data produced through this research collaboration will form the basis for a future larger-
scale R01 grant application. The overall impact of this study is that by identifying novel PD genes this will shed
light on disease mechanisms underlying neurodegeneration and ultimately this will inform the design of more
effective therapies for not only PD but also other forms of neurodegeneration.
项目摘要/摘要
据估计,帕金森氏病(PD)将影响全球超过700万人。没有治愈和最新
治疗只会减轻症状,不会停止神经元丧失。由于电动机的数组和严重程度
PD患者经历的非运动症状也会对其生活质量产生重大影响
就像他们的照顾者一样。迫切需要对将某些人放置的风险因素进行进一步的研究
PD开发的风险更高。已经表明,PD具有重要的遗传成分和A
已经发现了基因数量,但是这些研究主要是在高加索人和高加索人和
亚洲人口。迄今为止,关于黑色的PD的遗传研究少于10个
人群。这些患者在新型PD引起的基因中具有致病性突变是合理的。这
发现Parkin和Pink1之类的基因已经揭示了PD潜在的疾病机制
包括线粒体功能障碍,线粒体和氧化应激,因此鉴定了其他新型PD
基因有可能揭示对该疾病病原体学的重要见解。因此是
必须对黑色PD患者进行更多研究。在拟议的研究中,我们将检查
假设黑人PD患者由于其独特的祖先而在新型PD引起基因中具有突变。
这个R21项目旨在在尼日利亚,南非和
美国研究这三个国家的黑人患者PD的遗传原因。我们的目标是招募
尼日利亚和南非至少100名黑人PD患者进行遗传研究,致病性筛查
已知引起PD的基因以及751个神经相关基因的突变。
此外,我们将建立一项试验研究,以筛选线粒体DNA中的突变。最后,我们将比较
并将三个人群的临床和遗传发现与其他已发表的人群进行对比
研究。在该项目的两年中,将通过设置开发尼日利亚PD的研究能力
提高患者招募,随访和临床评估的基础设施。南非的能力将是
通过重点招募黑色PD患者和高通量的建立来开发
有针对性的重新测序方法。美国的能力将通过访问大量来开发
黑色患者数量和线粒体DNA测序方法的设置。预计
通过这项研究合作产生的初步数据将成为未来更大的基础
比例R01赠款应用程序。这项研究的总体影响是,通过识别新型PD基因,这将脱落
关于神经退行性基础的疾病机制的光明,最终将为您的设计提供更多信息
不仅对PD,而且对其他形式的神经变性的有效疗法。
项目成果
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