RT Journal Article T1 Identification of SYNJ1 in a Complex Case of Juvenile Parkinsonism Using a Multiomics Approach. A1 Leno-Durán, Ester A1 Arrabal, Luisa A1 Roldán, Susana A1 Medina-Cáliz, Inmaculada A1 Alcántara-Domínguez, Clara A1 García-Cabrera, Victor A1 Saiz, Jorge A1 Barbas, Coral A1 Sanchez-Perez, Maria-Jose A1 Entrala-Bernal, Carmen A1 Fernández-Rosado, Francisco A1 Lorente, Jose Antonio A1 Gutierrez-Ríos, Purificacion A1 Martínez-Gonzalez, Luis Javier K1 Juvenile Parkinsonism K1 SYNJ1 K1 Metabolism K1 Multiomics K1 Mutation screening K1 Whole-exome sequencing AB This study aimed to elucidate the genetic causes underlying the juvenile parkinsonism (JP) diagnosed in a girl with several family members diagnosed with spinocerebellar ataxia type 2 (SCA2). To achieve this, whole-exome sequencing, analysis of CAG repeats, RNA sequencing analysis on fibroblasts, and metabolite identification were performed. As a result, a homozygous missense mutation SNP T>C (rs2254562) in synaptojamin 1 (SYNJ1), which has been implicated in the regulation of membrane trafficking in the synaptic vesicles, was identified. Additionally, we observed overexpression of L1 cell adhesion molecule (L1CAM), Cdc37, GPX1, and GPX4 and lower expression of ceruloplasmin in the patient compared to the control. We also found changes in sphingolipid, inositol, and inositol phosphate metabolism. These findings help to clarify the mechanisms of JP and suggest that the etiology of JP in the patient may be multifactorial. This is the first report of the rs2254562 mutation in the SYNJ gene identified in a JP patient with seizures and cognitive impairment. PB MDPI YR 2024 FD 2024-09-09 LK https://hdl.handle.net/10668/24312 UL https://hdl.handle.net/10668/24312 LA en NO Leno-Durán E, Arrabal L, Roldán S, Medina I, Alcántara-Domínguez C, García-Cabrera V, et al. Identification of SYNJ1 in a Complex Case of Juvenile Parkinsonism Using a Multiomics Approach. Int J Mol Sci. 2024 Sep 9;25(17):9754. NO This research was funded by Fundación Mutua Madrileña, Spain (XIII Call on Research Grants 2016), reference number AP163052016. DS RISalud RD Sep 6, 2025