Two up-to-date known paraoxonase 1 (PON1) polymorphisms (GIn-Arg 191 and Le
u-Met 54) affect the hydrolysis of toxic oxons and might intensify effects
of pollutants, organophosphates and other environmental chemicals in develo
pment of Parkinson's disease (PD). We reported previously that PON1 Gln-Arg
191 polymorphism did not influence on the susceptibility to PD. In the pre
sent study we have investigated the PON1 Leu-Met 54 polymorphism in 117 pat
ients with sporadic idiopathic PD. A new approach for Leu-Met 54 polymorphi
sm genotyping has been developed. We have showed the frequency of the Met 5
4 allele of PON1 to be significantly increased in patients with PD compared
with the controls (chi (2)=8.63, df=1, P<0.003). The relative risk of PD i
n the Met 54 allele carriers has been estimated to be 2.3 fold higher than
in homozygotes for the L allele. Moreover it appeared to be even 5.15 highe
r in the subgroup of patients with early-onset PD. We suggest that the Met
54 allele may be considered to be an independent risk factor for PD. This m
utation could probably cause PON1 impaired metabolism of environmental neur
otoxins and might be responsible for neurodegeneration. <(c)> 2001 Publishe
d by Elsevier Science B.V.