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RIC3 (HGNC:30338) was implicated in autosomal-dominant Parkinson disease (PD) through whole exome sequencing in a 14-member Indian pedigree showing non-motor symptoms. A heterozygous c.169C>A (p.Pro57Thr) variant segregated with disease in two affected cousins by targeted sequencing (PMID:27055476), and an additional c.502G>C (p.Val168Leu) variant was observed in a separate PD case (PMID:27055476). Large replication analyses, including a Han Chinese cohort of 218 patients (PMID:28606768) and a French-Canadian/French series of 535 patients and 527 controls (PMID:28153381), detected no enrichment of RIC3 variants, disputing the initial association.
Functional studies in PC12-derived neurons demonstrated a dominant-negative effect of RIC3 mutants, with reduced α7 nicotinic acetylcholine receptor (CHRNA7) membrane localization and decreased colocalization by confocal imaging (PMID:27055476). Although these in vitro assays reveal a potential mechanism for cholinergic dysregulation, the lack of consistent genetic association in diverse populations warrants a disputed classification for RIC3 in PD. Future large-scale studies in underrepresented ancestries are needed before RIC3 variants can be considered in clinical PD testing.
Gene–Disease AssociationDisputedInitial segregation in one small pedigree with 2 probands (PMID:27055476) and one additional unrelated case; subsequent case-control studies in diverse populations (n>750) showed no enrichment of RIC3 variants (PMIDs:28606768,28153381). Genetic EvidenceLimited2 probands with RIC3 variants in one family (c.169C>A (p.Pro57Thr)) and one unrelated case; lack of replication in larger cohorts (PMIDs:28606768,28153381). Functional EvidenceModerateDominant-negative RIC3 mutants reduced α7 receptor membrane expression and colocalization in neuronal cells (PMID:27055476). |