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The familial parkinsonism locus on chromosome 4 and idiopathic Parkinson’s disease in Japan
  1. TEIKO KIMPARA,
  2. ATSUSHI TAKEDA
  1. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  2. Department of Neurology, Konan Hospital, Sendai, Japan
  3. Department of Neurology, National Nishitaga Hospital, Sendai, Japan
  4. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  1. Dr Atsushi Takeda, Department of Neurology, Tohoku University, School of Medicine, 1–1 Seiryo-machi, Aoba-ku, Sendai, Japan. Telephone 0081 22 717 7189; fax 0081 22 717 7192.
  1. NAOSHI OKITA,
  2. SADAO TAKASE
  1. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  2. Department of Neurology, Konan Hospital, Sendai, Japan
  3. Department of Neurology, National Nishitaga Hospital, Sendai, Japan
  4. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  1. Dr Atsushi Takeda, Department of Neurology, Tohoku University, School of Medicine, 1–1 Seiryo-machi, Aoba-ku, Sendai, Japan. Telephone 0081 22 717 7189; fax 0081 22 717 7192.
  1. HIROSHI SAITO
  1. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  2. Department of Neurology, Konan Hospital, Sendai, Japan
  3. Department of Neurology, National Nishitaga Hospital, Sendai, Japan
  4. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  1. Dr Atsushi Takeda, Department of Neurology, Tohoku University, School of Medicine, 1–1 Seiryo-machi, Aoba-ku, Sendai, Japan. Telephone 0081 22 717 7189; fax 0081 22 717 7192.
  1. YASUTO ITOYAMA
  1. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  2. Department of Neurology, Konan Hospital, Sendai, Japan
  3. Department of Neurology, National Nishitaga Hospital, Sendai, Japan
  4. Department of Neurology, Tohoku University, School of Medicine, Sendai, Japan
  1. Dr Atsushi Takeda, Department of Neurology, Tohoku University, School of Medicine, 1–1 Seiryo-machi, Aoba-ku, Sendai, Japan. Telephone 0081 22 717 7189; fax 0081 22 717 7192.

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Parkinson’s disease is the most common neurodegenerative disorder after Alzheimer’s disease, preferentially affecting locomotor activities of elderly people. Although our knowledge concerning the pathogenesis of Parkinson’s disease is still limited, some environmental toxins have been postulated as candidate substances which accelerate dopaminergic neuronal death through impaired cellular metabolism, such as mitochondrial oxidative dysfunction or excessive effects of free radicals. However, there has been increasing evidence suggesting that genetic factors may play some part in the pathophysiological processes of this disease. For example, studies using PET indicated a significantly higher concordance rate for decreased striatal [18F] dopa uptake in monozygotic twins.1 Furthermore, recent complex clinical analyses, aimed at re-evaluating family histories of cases of Parkinson’s disease, showed a significantly higher incidence of parkinsonian symptoms among relatives. These findings suggest autosomal dominant inheritance of the disease.2 Under these circumstances, several genes have been proposed as candidate genes for Parkinson’s disease.3 However, the association of these candidate genes with the disease is still controversial.

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Frequency of the polymorphism …

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