The Evolution of Genetics: Alzheimer’s and Parkinson’s Diseases

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The Evolution of Genetics: Alzheimer’s and Parkinson’s Diseases Andrew Singleton, John Hardy  Neuron  Volume 90, Issue 6, Pages 1154-1163 (June 2016) DOI: 10.1016/j.neuron.2016.05.040 Copyright © 2016 Terms and Conditions

Figure 1 The Simple Schema Underlying the Development of Mechanism-Based Therapeutics Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions

Figure 2 Circular Representation of the Genome with Genes and Loci Associated with PD Indicated Genes that contain causal mutations are shown in blue; genes that contain moderate effect protein coding risk alleles are shown in red; GWA-identified loci that contain modest effect risk alleles are represented by proximal gene symbols in black. Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions

Figure 3 The Application of Genetic Methods to Discovery of Novel Genetic Causes and Contributors to Disease These methods, which center on unbiased and largely genome-wide approaches, have enabled the majority of our understanding of the etiology of disease. Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions

Figure 4 The Application of Both Unbiased Genetics Methods and High Content Protein-Protein Interaction Assays Revealed the Interaction between Lrrk2, GAK, and Rab7L1 Not only did this work establish GAK and RAB7L1 as the pathologically relevant genes at these GWA-identified risk loci, but it also considerably expanded our understanding of Lrrk2 function, a critical aim in PD research. Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions

Figure 5 The Primary Challenge Following Gene Identification Remains Understanding the Pathobiological Process; Typically This Problem Has Been Tackled Using Limited Scale and Reductionist Methods, which Require Some A Priori Hypotheses Regarding Potential Mechanism of Action We suggest here that this understanding can be greatly facilitated using burgeoning high-content screening technologies and large-scale data mining. Not only does this have the ability to implicate specific processes in disease, but it can also aid in further mapping of the genetic basis of disease. Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions

Figure 6 Genetics Can Be Applied as a Tool to Facilitate Therapeutic Trials and Ultimately Treatment This includes genetic identification of at risk individuals, use in defining biomarkers, and defining sub-types of both disease and response to treatment. It can also be used as part of the process of identifying people in the prodrome of the disease before clinical symptoms become apparent, which is precisely when one would want to start mechanistic treatment. Neuron 2016 90, 1154-1163DOI: (10.1016/j.neuron.2016.05.040) Copyright © 2016 Terms and Conditions