A novel X-linked four-repeat tauopathy with Parkinsonism and spasticity

Parvoneh Poorkaj, Wendy H. Raskind, James B. Leverenz, Mark Matsushita, Cyrus P. Zabetian, Ali Samii, Sophia Kim, Nayiry Gazi, John G. Nutt, John Wolff, Dora Yearout, J. Lynne Greenup, Ellen J. Steinbart, Thomas D. Bird

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The parkinsonian syndromes comprise a highly heterogeneous group of disorders. Although 15 loci are linked to predominantly familial Parkinson's disease (PD), additional PD loci are likely to exist. We recently identified a multigenerational family of Danish and German descent in which five males in three generations presented with a unique syndrome characterized by parkinsonian features and variably penetrant spasticity for which X-linked disease transmission was strongly suggested (XPDS). Autopsy in one individual failed to reveal synucleinopathy; however, there was a significant four-repeat tauopathy in the striatum. Our objective was to identify the locus responsible for this unique parkinsonian disorder. Members of the XPDS family were genotyped for markers spanning the X chromosome. Two-point and multipoint linkage analyses were performed and the candidate region refined by analyzing additional markers. A multipoint LODmax score of 2.068 was obtained between markers DXS991 and DXS993. Haplotype examination revealed an ∼20 cM region bounded by markers DXS8042 and DXS1216 that segregated with disease in all affected males and obligate carrier females and was not carried by unaffected at-risk males. To reduce the possibility of a false-positive linkage result, multiple loci and genes associated with other parkinsonian or spasticity syndromes were excluded. In conclusion, we have identified a unique X-linked parkinsonian syndrome with variable spasticity and four-repeat tau pathology, and defined a novel candidate gene locus spanning ∼28 Mb from Xp11.2-Xq13.3.

Original languageEnglish (US)
Pages (from-to)1409-1417
Number of pages9
JournalMovement Disorders
Issue number10
StatePublished - Jul 30 2010


  • Genetic linkage
  • Parkinson's disease/Parkinsonism
  • Tauopathy
  • X-linked Parkinsonism
  • X-linked spastic paraparesis

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


Dive into the research topics of 'A novel X-linked four-repeat tauopathy with Parkinsonism and spasticity'. Together they form a unique fingerprint.

Cite this