RT Journal Article SR Electronic T1 Novel Associations of BST1 and LAMP3 with Rapid Eye Movement Sleep Behavior Disorder JF Neurology JO Neurology FD Lippincott Williams & Wilkins SP 10.1212/WNL.0000000000011464 DO 10.1212/WNL.0000000000011464 A1 Mufti, Kheireddin A1 Yu, Eric A1 Rudakou, Uladzislau A1 Krohn, Lynne A1 Ruskey, Jennifer A. A1 Asayesh, Farnaz A1 Laurent, Sandra B. A1 Spiegelman, Dan A1 Arnulf, Isabelle A1 Hu, Michele T.M. A1 Montplaisir, Jacques Y. A1 Gagnon, Jean-François A1 Desautels, Alex A1 Dauvilliers, Yves A1 Gigli, Gian Luigi A1 Valente, Mariarosaria A1 Janes, Francesco A1 Bernardini, Andrea A1 Högl, Birgit A1 Stefani, Ambra A1 Holzknecht, Evi A1 Sonka, Karel A1 Kemlink, David A1 Oertel, Wolfgang A1 Janzen, Annette A1 Plazzi, Giuseppe A1 Antelmi, Elena A1 Figorilli, Michela A1 Puligheddu, Monica A1 Mollenhauer, Brit A1 Trenkwalder, Claudia A1 Sixel-Döring, Friederike A1 De Cock, Valérie Cochen A1 Monaca, Christelle Charley A1 Heidbreder, Anna A1 Ferini-Strambi, Luigi A1 Dijkstra, Femke A1 Viaene, Mineke A1 Abril, Beatriz A1 Boeve, Bradley F. A1 Trempe, Jean-François A1 Rouleau, Guy A. A1 Postuma, Ronald B. A1 Gan-Or, Ziv YR 2021 UL http://n.neurology.org/content/early/2021/01/04/WNL.0000000000011464.abstract AB Objective: To examine the role of genes identified through genome-wide association studies (GWASs) of Parkinson disease (PD) in the risk of isolated rapid-eye-movement (REM) sleep behavior disorder (iRBD).Methods: We fully sequenced 25 genes previously identified in GWASs of PD, in a total of 1,039 iRBD patients and 1,852 controls. The role of rare heterozygous variants in these genes was examined using burden tests. The contribution of biallelic variants was further tested. To examine the potential impact of rare nonsynonymous BST1 variants on the protein structure, we performed in silico structural analysis. Finally, we examined the association of common variants using logistic regression adjusted for age and sex.Results: We found an association between rare heterozygous nonsynonymous variants in BST1 and iRBD (p=0.0003 at coverage >50X and 0.0004 at >30X), mainly driven by three nonsynonymous variants (p.V85M, p.I101V and p.V272M) found in 22 (1.2%) controls vs. two (0.2%) patients. All three variants seem to be loss-of-function variants with a potential effect on the protein structure and stability. Rare non-coding heterozygous variants in LAMP3 were also associated with iRBD (p=0.0006 at >30X). We found no association between rare heterozygous variants in the rest of genes and iRBD. Several carriers of biallelic variants were identified, yet there was no overrepresentation in iRBD.Conclusion: Our results suggest that rare coding variants in BST1 and rare non-coding variants in LAMP3 are associated with iRBD. Additional studies are required to replicate these results and examine whether loss-of-function of BST1 could be a therapeutic target.