RT Journal Article T1 The Genetic Architecture of Parkinson Disease in Spain: Characterizing Population-Specific Risk, Differential Haplotype Structures, and Providing Etiologic Insight. A1 Bandres-Ciga, Sara A1 Ahmed, Sarah A1 Sabir, Marya S A1 Blauwendraat, Cornelis A1 Adarmes-Gomez, Astrid D A1 Bernal-Bernal, Inmaculada A1 Bonilla-Toribio, Marta A1 Buiza-Rueda, Dolores A1 Carrillo, Fatima A1 Carrion-Claro, Mario A1 Gomez-Garre, Pilar A1 Jesus, Silvia A1 Labrador-Espinosa, Miguel A A1 Macias, Daniel A1 Mendez-Del-Barrio, Carlota A1 Periñan-Tocino, Teresa A1 Tejera-Parrado, Cristina A1 Vargas-Gonzalez, Laura A1 Diez-Fairen, Monica A1 Alvarez, Ignacio A1 Tartari, Juan Pablo A1 Buongiorno, Mariateresa A1 Aguilar, Miquel A1 Gorostidi, Ana A1 Bergareche, Jesus Alberto A1 Mondragon, Elisabet A1 Vinagre-Aragon, Ana A1 Croitoru, Ioana A1 Ruiz-Martinez, Javier A1 Dols-Icardo, Oriol A1 Kulisevsky, Jaime A1 Marin-Lahoz, Juan A1 Pagonabarraga, Javier A1 Pascual-Sedano, Berta A1 Ezquerra, Mario A1 Camara, Ana A1 Compta, Yaroslau A1 Fernandez, Manel A1 Fernandez-Santiago, Ruben A1 Muñoz, Esteban A1 Tolosa, Eduard A1 Valldeoriola, Francesc A1 Gonzalez-Aramburu, Isabel A1 Sanchez-Rodriguez, Antonio A1 Sierra, Maria A1 Menendez-Gonzalez, Manuel A1 Blazquez, Marta A1 Garcia, Ciara A1 Suarez-San-Martin, Esther A1 Garcia-Ruiz, Pedro A1 Martinez-Castrillo, Juan Carlos A1 Vela-Desojo, Lydia A1 Ruz, Clara A1 Barrero, Francisco Javier A1 Escamilla-Sevilla, Francisco A1 Minguez-Castellanos, Adolfo A1 Cerdan, Debora A1 Tabernero, Cesar A1 Gomez-Heredia, Maria Jose A1 Perez-Errazquin, Francisco A1 Romero-Acebal, Manolo A1 Feliz, Cici A1 Lopez-Sendon, Jose Luis A1 Mata, Marina A1 Martinez-Torres, Irene A1 Kim, Jonggeol Jeffrey A1 Dalgard, Clifton L A1 Brooks, Janet A1 Saez-Atienzar, Sara A1 Gibbs, J Raphael A1 Jorda, Rafael A1 Botia, Juan A A1 Bonet-Ponce, Luis A1 Morrison, Karen E A1 Clarke, Carl A1 Tan, Manuela A1 Morris, Huw A1 Edsall, Connor A1 Hernandez, Dena A1 Simon-Sanchez, Javier A1 Nalls, Mike A A1 Scholz, Sonja W A1 Jimenez-Escrig, Adriano A1 Duarte, Jacinto A1 Vives, Francisco A1 Duran, Raquel A1 Hoenicka, Janet A1 Alvarez, Victoria A1 Infante, Jon A1 Marti, Maria Jose A1 Clarimon, Jordi A1 Lopez-de-Munain, Adolfo A1 Pastor, Pau A1 Mir, Pablo A1 Singleton, Andrew K1 Parkinson's disease K1 Spanish population K1 age at onset K1 polygenic risk score K1 risk haplotype AB The Iberian Peninsula stands out as having variable levels of population admixture and isolation, making Spain an interesting setting for studying the genetic architecture of neurodegenerative diseases. To perform the largest PD genome-wide association study restricted to a single country. We performed a GWAS for both risk of PD and age at onset in 7,849 Spanish individuals. Further analyses included population-specific risk haplotype assessments, polygenic risk scoring through machine learning, Mendelian randomization of expression, and methylation data to gain insight into disease-associated loci, heritability estimates, genetic correlations, and burden analyses. We identified a novel population-specific genome-wide association study signal at PARK2 associated with age at onset, which was likely dependent on the c.155delA mutation. We replicated four genome-wide independent signals associated with PD risk, including SNCA, LRRK2, KANSL1/MAPT, and HLA-DQB1. A significant trend for smaller risk haplotypes at known loci was found compared to similar studies of non-Spanish origin. Seventeen PD-related genes showed functional consequence by two-sample Mendelian randomization in expression and methylation data sets. Long runs of homozygosity at 28 known genes/loci were found to be enriched in cases versus controls. Our data demonstrate the utility of the Spanish risk haplotype substructure for future fine-mapping efforts, showing how leveraging unique and diverse population histories can benefit genetic studies of complex diseases. The present study points to PARK2 as a major hallmark of PD etiology in Spain. PB John Wiley & Sons, Inc. YR 2019 FD 2019-12 LK http://hdl.handle.net/10668/15500 UL http://hdl.handle.net/10668/15500 LA en NO Bandres-Ciga S, Ahmed S, Sabir MS, Blauwendraat C, Adarmes-Gómez AD, Bernal-Bernal I, et al. The Genetic Architecture of Parkinson Disease in Spain: Characterizing Population-Specific Risk, Differential Haplotype Structures, and Providing Etiologic Insight. Mov Disord. 2019 Dec;34(12):1851-1863. DS RISalud RD Aug 23, 2025