In a study by Barros (2025), researchers examined a patient with early-onset Parkinson's disease (PD) who had a rare homozygous GBA1 gene variant but did not show symptoms of Gaucher disease (GD). The patient underwent whole-exome sequencing, which was validated with Sanger sequencing, to identify the genetic variant responsible for her condition. The variant found has an extremely low global frequency and is known to reduce enzymatic activity, which is significant because the GBA1 gene is linked to the strongest genetic risk factor for PD.
The case presented by Barros is particularly noteworthy because it demonstrates the complex relationship between GBA1 variants and the development of PD, even in the absence of GD symptoms. The study emphasizes the importance of considering such genetic factors in PD pathogenesis, especially given the variant's founder effect in individuals of African descent. This research contributes to a deeper understanding of the genetic underpinnings of PD and the diverse manifestations of GBA1-related conditions.