Review Article

The Current State of Parkinsonism in West Africa: A Systematic Review

Table 3

Summary of genetic studies.

Author(s), referenceCountryPopulation characteristicsGenes studiedMethod of analysisSummary findingsStudy limitations

Okubadejo et al. [38]NigeriaPD cases: 57
Males: 43 (75.4%)
Females: 14 (24.6%)
Age at study [mean ± SD (range)]: 62.3 ± 9.1 (43–80) y
ATXN3
LRRK2
PRKN
Screen for pathogenic repeat expansions
Sanger sequencing of exons 31 and 41
Sanger sequencing of all exons and exon/intron boundaries
No pathogenic expansions
No variants
Several variants but none pathogenic
Small sample size; thus, definite conclusions about the prevalence of gene mutations are unachievable.

Cilia et al. [25]GhanaPD cases: 54
Males: 33 (61.1%)
Females: 21 (75.4%)
Age at study [mean ± SD (range)]: 65 ± 12 (34–89) y
Age at onset [mean ± SD (range)]: 59.5 ± 12 (30–83) y
LRRK2Sequencing of exon 31 and exon 41 with their intron-exon boundariesOne nonpathogenic variantSmall sample size; thus, definite conclusions about the prevalence of gene mutations are unachievable.

Okubadejo et al. [18]NigeriaPD cases: 123
Males: 93 (73.8%)
Females: 3 (26.2%)
Age at study [mean ± SD (range)]: 61.9 ± 9.9 (36–81) y
Age at onset [mean ± SD]: 59.0 ± 13 y
LRRK2Kompetitive Allele Specific PCR (KASP) assay to screen for p.G2019S mutationLRRK2 p.G2019S mutation is not implicated in PD in Nigerian patients1. Other known mutations of the LRRK2 gene were not screened.
2. Screening method did not allow for the identification of novel pathologic variants.

Rizig et al. [12]NigeriaPD cases: 92
Males: 70 (76.1%)
Females: 22 (23.9%)
Age at study [mean ± SD (range)]: 62.1 ± 9.2 (39–90) y
Age at onset [mean ± SD (range)]: 58.8 ± 9.4 (36–78) y
LRRK2Kompetitive Allele Specific PCR (KASP) assay of 12 variantsLRRK2 pathogenic alleles were absent for all 12 SNPs1. Other known mutations of the LRRK2 gene were not screened.
2. Screening method did not allow for the identification of novel pathologic variants.

PD: Parkinson’s disease; ATXN3: ataxin 3; LRRK2: leucine-rich repeat kinase 2; PRKN: Parkin RBR E3 Ubiquitin Protein Ligase; SNPs: single nucleotide polymorphisms; PCR: polymerase chain reaction; y: years; SD: standard deviation.