Review Article

Cognitive Impairment in Genetic Parkinson’s Disease

Table 3

Studies assessing cognitive function in GBA-associated PD.

ParticipantsType of studyCognitive measureFindings

Alcalay et al. [64]37 GBA-EOPD (≤50 years)Cross-sectionalSelf-reported cognitive impairmentGBA-PD reported more self-cognitive impairment compared with LRRK2-PD, Parkin-PD, and IPD
596 EOPD (LRRK2-PD, Parkin-PD, and noncarrier PD)MMSEThere were no significant differences among the genetic groups in MMSE
Brockmann et al. [79]20 GBA-PDCross-sectionalMoCAGBA-PD performed worse than IPD
20 IPD
Alcalay et al. [82]33 GBA-PD (≤50 years)Cross-sectionalMMSEGBA-PD performed worse on the MMSE, memory, and visuospatial domains
60 EOPD noncarriers of any genetic mutationNeuropsychological batteryClinical diagnosis of MCI or dementia more frequent in GBA-PD
CORE-PD cohortClinical diagnosis (normal, MCI, dementia)
Mc Neil et al. [88]30 Gaucher’s disease patientsCross-sectionalMMSEGaucher’s disease patients and GBA-PD performed worse in MoCA compared with controls; no significant differences in MMSE score
30 GBA-PDMoCA
30 controls
Chanine et al. [83]20 GBA-PDCross-sectionalConsensus clinical determinationGBA-PD more likely to have MCI or dementia
242 IPD
Setó-Salvia et al. [85]22 GBA-PDCross-sectionalDiagnosis of dementia based on a score ≥1 on the CDR and criteria of the MDS IV-TRHigher prevalence of dementia in GBA-PD than in noncarriers
225 IPD
Winder-Rhodes et al. [89]9 GBA-PD vs 250 non-GBA-PD (cross-sectional phase)Cross-sectional and longitudinalMMSENo significant differences in MMSE comparing GBA-PD and noncarriers
4 GBA-PD vs 106 noncarrier PD (longitudinal phase)Diagnosis of dementiaGBA carriers had an increased risk of conversion to dementia (RR 5.45)
Mata et al. [90]60 GBA mutation carrier PDCross-sectionalNeuropsychological batteryGBA-PD and p.E326 K performed worse in working memory/executive function and visuospatial function; also, more proportion of dementia in both groups
65 p.E326K polymorphism carriers
1055 IPD
Davis et al. [91]27 GBA mutation carrier PDProspective longitudinalNeuropsychological batteryp.E326 K PD had a higher proportion of progression to MCI and dementia
32 p.E326K polymorphism carriersProgression to MCI and dementia
674 IPD
Malek et al. [92]142 GBA-PDCross-sectionalMoCANo significant differences
1584 IPD
Newly diagnosed PD patients (average disease duration 1.5 years)
Biswas et al. [93]198 IPDCross-sectionalNeuropsychological batteryImpaired recent memory was significantly associated with p.L444P carriers
136 PD with cognitive impairment
184 Parkinson plus 46 Alzheimer disease
241 controls

EOPD = early-onset Parkinson’s disease; IPD = idiopathic Parkinson’s disease; MMSE = Mini-Mental State Examination; MoCA = Montreal Cognitive Assessment; MCI = mild cognitive impairment; CDR = Clinical Dementia Rating; RR = relative risk.