RT Journal Article SR Electronic T1 Analysis of DNM3 and VAMP4 as genetic modifiers of LRRK2 Parkinson’s disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 686550 DO 10.1101/686550 A1 EE Brown A1 C Blauwendraat A1 J Trinh A1 M Rizig A1 MA Nalls A1 E Leveille A1 JA Ruskey A1 H Jonvik A1 MMX Tan A1 S Bandres-Ciga A1 S Hassin-Baer A1 K Brockmann A1 J Infante A1 E Tolosa A1 M Ezquerra A1 S Benromdhan A1 M Benmahdjoub A1 J Hardy A1 AB Singleton A1 RN Alcalay A1 T Gasser A1 D Grosset A1 NM Williams A1 A Pittman A1 Z Gan-Or A1 R Fernandez-Santiago A1 A Brice A1 S Lesage A1 M Farrer A1 N Wood A1 HR Morris A1 on behalf of the International Parkinson Disease Genomics Consortium (IPDGC) YR 2019 UL http://biorxiv.org/content/early/2019/07/29/686550.abstract AB Objective To assess genetic modifiers of Parkinson’s disease (PD) age at onset (AAO) penetrance in individuals carrying common and rare LRRK2 risk allelesMethods We analysed reported genetic modifier DNM3 rs2421947 in 724 LRRK2 p.G2019S heterozygotes using linear regression of AAO. We meta-analysed our data with previously published data (n=754). VAMP4 is in close proximity to DNM3 and is associated with PD. We analysed the effect of the rs11578699 VAMP4 variant on pG2019S penetrance in 786 LRRK2 p.G2019S heterozygotes. We also evaluated the impact of VAMP4 variants using AAO regression in 4882 patients with PD carrying a common LRRK2 risk variant (rs10878226).Results There was no evidence for linkage disequilibrium between DNM3 rs2421947 and VAMP4 rs11578699. Our linear regression AAO of 724 p.G2019S carriers showed no relationship between DNM3 rs2421947 and AAO (beta = −1.19, p = 0.55, n =708). Meta-analysis with previously published data did not indicate a significant effect on AAO (beta = −2.21, p = 0.083, n = 1304), but there was significant heterogeneity in the analyses of new and previously published data. VAMP4 rs11578699 was nominally associated with AAO in patients dichotomized by the common LRRK2 risk variant rs10878226 (beta=1.68, se=0.81 p=0.037).Interpretation Analysis of DNM3 in previously unpublished data does not show an interaction between DNM3 and LRRK2 G2019S for AAO, however the inter-study heterogeneity may indicate ethnic-specific effects of DNM3 rs2421947. Analysis of sporadic PD patients stratified by the PD risk variant rs10878226 indicates a possible interaction between LRRK2 and VAMP4.