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medrxiv2026-09-03Parkinson diseasemitophagygenetics

Indian early-onset Parkinson genetics pile onto mitochondrial organization and autophagy

In 668 young-onset Indian Parkinson cases (mean onset 39.4), half carry a reportable P/LP variant or VUS. Projected onto pathways, mitochondrial organization (73.5%), autophagy (67.9%), and synaptic-vesicle transport (59.8%) dominate. PRKN is the top P/LP gene. Ancestry-specific convergence still lands on the organelle.

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Signal profile (abstract-level)

Parkinson disease · mitophagy · genetics

Score 80/100MEDRXIVmedium confidenceParkinson disease
80
Importance
50
Mito signal
53
Dysfunction
83
Evidence
50
Translational

Editorial signal profile from the abstract (importance score, mito keywords, dysfunction tags, evidence density, translational cues). Not a figure reproduced from the preprint PDF.

Finding. Six hundred sixty-eight young-onset Indian Parkinson patients (mean motor start 39.4 years) were sequenced in GOPI-YOPD. Half have something reportable. Menon and colleagues keep pathogenic/likely-pathogenic genes (11) apart from VUS (40), enrich them, then project pathways onto people. Among those 336 carriers, mitochondrial organization is 73.5%, autophagy 67.9%, synaptic-vesicle transport 59.8%. PRKN is the most common pathogenic gene before the abstract cuts off.

Why this paper matters European PD genetics already knew Parkin and mitochondria. An Indian young-onset cohort that still lands there, with participant-level percentages, is how you stop pretending one ancestry is the disease.

Score 80. Cohort size, organelle pathway dominance, PRKN. Confidence is medium: VUS inflation, truncated results.

What to do with it If you catalog non-European PD genetics, take the 73.5% mitochondrial-organization number with the P/LP-versus-VUS split attached. Read the full PRKN table in the PDF.

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Source preprint

From genes to pathways: genetic convergence in early-onset Parkinson’s disease in India

10.64898/2026.08.31.26361762

Menon R, Khan AI, Elangovan D, Kandadai RM, Goyal V, Desai SD, Joshi D, Kumar H, Wadia PM, Mukherjee A, Kumar N, Mehta S, Geetha TS, Chargulla S, Murugan S, Venkata M, Shah HS, Paramanandam V, Chandarana M, Yadav R, Dhamija RK, Pal PK, Biswas A, Gupta R, Borgohain R, Ramprasad V, Kukkle PL, Parkinson Research Alliance of India (PRAI).

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