rs76763715

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This is a variant in the GBA gene that changes a asparagine to an threonine.

Key Literature Trait Associations

Gaucher Disease

Homozygous or compound-heterozygous GBA1 p.N409S (N370S) is the classic cause of Gaucher disease type 1 (GD1), the most common lysosomal storage disorder. N409S dominates among Ashkenazi Jewish and White GD patients and is strongly associated with the non-neuronopathic (type 1) phenotype. A 2014 JAMA Neurology study of 1,275 Ashkenazi Jewish individuals showed that even GD patients (biallelic) face a cumulative PD risk of 9.1% by age 80, while obligate heterozygotes carry ~7.7% risk—both far exceeding the 2.1% non-carrier baseline. ClinVar classifies p.N409S as Pathogenic across 15 conditions with multiple submitters and no conflicts.

Rossi M et al. Classification and Genotype-Phenotype Relationships of GBA1 Variants: MDSGene Systematic Review. Movement Disorders : Official Journal of the Movement Disorder Society (2025)
Allele C
OR
p
N 27,963
Preliminary work
multi-ancestry
Allele C
OR
p 8.0e-3
N 1,275
Preliminary work
Ashkenazi Jewish

Parkinson's Disease

Heterozygous carriers of the GBA1 p.N409S (N370S) variant face substantially elevated risk of Parkinson's disease compared to non-carriers. A landmark 2009 multicenter NEJM study (n=10,589) showed the overall odds ratio for any GBA mutation reaching 5.43, with N370S present in 15% of Ashkenazi Jewish PD patients vs. 3% of controls. A 2018 meta-analysis of 45,074 individuals confirmed N370S increases PD risk across both Ashkenazi Jewish and non-AJ populations (OR range 1.78–10.49 by subgroup). Genotype-phenotype data show N370S carriers have earlier mean onset (~57.9 years vs. 60.7) and a higher proportion of affected family members.

Sidransky E et al. Multicenter analysis of glucocerebrosidase mutations in Parkinson's disease. The New England Journal of Medicine (2009)
Allele C
OR 5.43
p 1.0e-30
N 10,589
Large GWAS
multi-ancestry
Allele C
OR
p
N 45,074
Meta-analysis
multi-ancestry
Rossi M et al. Classification and Genotype-Phenotype Relationships of GBA1 Variants: MDSGene Systematic Review. Movement Disorders : Official Journal of the Movement Disorder Society (2025)
Allele C
OR
p
N 27,963
Preliminary work
multi-ancestry
Allele C
OR 2.20
p
N 4,558
Preliminary work
Ashkenazi Jewish

Dementia with Lewy bodies

GBA1 N409S (N370S) significantly elevates risk of dementia with Lewy bodies (DLB), a major synucleinopathy. A 2022 meta-analysis confirmed that GBA variants including N370S increase DLB risk and are associated with earlier age of onset, more severe cognitive impairment, and faster symptom progression compared to non-carriers. A large 2020 Brain study (217,165 individuals, 622 LBD cases) characterized genetic modifiers of GBA-associated LBD risk, implicating SNCA and CTSB loci as key modifiers; GBA p.N370S iPSC-derived neurons showed decreased cathepsin B expression.

Liu L et al. Effect of GBA gene variants on clinical characteristics of dementia with Lewy bodies: a review and meta-analyses. Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology (2022)
Allele C
OR
p
Candidate gene study
multi-ancestry
Allele C
OR
p
N 217,165
Preliminary work
multi-ancestry

Parkinson's disease dementia

Carriers of GBA1 N409S (N370S) who develop Parkinson's disease face accelerated cognitive decline and elevated risk of PD dementia. A 2025 meta-analysis found N370S associated with a 54% increase in PD dementia risk (RR=1.54; 95% CI: 1.24–1.92; p<0.0001). A 2020 systematic review of 43 studies confirmed rs76763715 was significantly associated with greater cognitive impairment in PD (p<0.001). An earlier meta-analysis reported an HR of approximately 1.95 for dementia in N370S carriers vs. non-carriers. These findings make GBA1 genotyping prognostically relevant for PD patients.

Allele C
OR
p 1.0e-4
Meta-analysis
multi-ancestry
Allele C
OR
p 1.0e-3
Candidate gene study
multi-ancestry
Allele C
OR
p
Meta-analysis
multi-ancestry

GWAS Catalog Trait Associations (3)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

REM sleep behavior disorder

Allele C
OR 2.84
p 2.0e-10
N 142,479
Large GWAS
European
Allele C
OR 3.38
p
N 330
Candidate gene study
multi-ancestry
Allele C
OR
p
Candidate gene study
multi-ancestry

glucosylceramidase activity trait

Somerville EN et al. Genome-Wide Association Study of Glucocerebrosidase Activity Modifiers. Molecular Neurobiology 62(9):11560-11571 (2025)
Allele C
OR 4.36
p 5.0e-43
N 1,220
Large GWAS
European

Parkinson disease

Allele T
OR 0.75
p 2.0e-22
N 482,730
Meta-analysisLarge GWAS
European

ClinVar annotation

Pathogenic★★★
47 submitters130 publications

Dementia, Lewy body, susceptibility to; Gaucher disease type I; Parkinson disease, late-onset; not provided; Gaucher disease; Rigidity;Akinesia; 7 conditions; Gaucher disease-ophthalmoplegia-cardiovascular calcification syndrome;Gaucher disease type III;Gaucher disease type I;Gaucher disease type II; Gaucher disease perinatal lethal; Abnormal bleeding;Thrombocytopenia; Parkinson disease; Lewy body dementia; GBA1-related disorder; not specified; Parkinson disease, late-onset;Lewy body dementia

View on ClinVar →

Research that mentions this SNP (5)

A genetic variation in the CpG island of pseudogene GBAP1 promoter is associated with gastric cancer susceptibility
FunctionalGaoxiang Ma et al.(2019)· Cancer

This paper presents a CRISPR-Cas9 gene editing strategy in patient-derived induced pluripotent stem cells (iPSCs) for correcting or inserting point mutations (particularly the N370S mutation in GBA, rs76763715), with quality control measures to prevent off-target editing of the GBA pseudogene (GBAP1). The approach is validated as a tool to investigate genetic mechanisms in GBA-related Parkinson's disease and Gaucher's disease.

Traits studied:Gaucher's diseaseParkinson's disease
Disease variants in genomes of 44 centenarians
Case reportN=44Yun Freudenberg‐Hua et al.(2014)· Molecular Genetics &amp; Genomic Medicine

Whole genome sequencing of 44 Ashkenazi Jewish centenarians identified 216 coding variants annotated as pathogenic or likely pathogenic in ClinVar. The study found 130 rare variants (MAF <5%) reported to cause degenerative, neoplastic, and cardiac diseases with various inheritance patterns. Notably, several carriers had no clinical manifestations despite carrying variants linked to serious diseases (e.g., an APOE ε4 homozygote without Alzheimer's disease, a UBQLN2 P525S carrier without ALS). These findings suggest incomplete penetrance and reduced clinical significance for many reported disease mutations.

Traits studied:Aging and longevityAlzheimer's diseaseAmyotrophic lateral sclerosisBecker muscular dystrophyBrugada syndromeCancer/NeoplasmCardiac arrhythmiaCardiomyopathyDeafnessDementia with Lewy bodiesDiabetesDuchenne muscular dystrophyEhlers-Danlos syndromeGaucher diseaseGlaucomaHypercholesterolemiaIchthyosisKeratoconusLong QT syndromeObesityParkinson's diseasePremature ovarian failureRetinitis pigmentosa
A genome screen of successful aging without cognitive decline identifies LRP1B by haplotype analysis
AssociationN=3,923Poduslo SE et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A genome-wide survival meta-analysis of 3,923 Parkinson's disease patients identified three genome-wide significant loci associated with progression to Parkinson's disease dementia: APOE rs429358 (HR=2.41, P=2.32×10−15), LRP1B rs80306347 (HR=3.23, P=7.07×10−9), and BBS9 rs78294974 (HR=3.90, P=3.59×10−8). The study reveals APOE ε4 and LRP1B as major risk factors and suggests the amyloid pathway's involvement in dementia development.

Traits studied:Cognitive decline in Parkinson's diseaseDementia progressionParkinson's disease dementia
Clinical Spectrum of Homozygous and Heterozygous PINK1 Mutations in a Large German Family With Parkinson Disease
Case reportN=3,660Katja Hedrich et al.(2006)· Archives of Neurology

PhD thesis describing a gene hunting study of Parkinson's disease in Queensland families with inherited parkinsonism. Identified multiple pathogenic mutations including KCNJ15 p.R28C segregating in a 9-member kindred, SIPA1L1 p.R236Q in one multi-incident family, and de novo FAM134B p.D381V mutation. Also screened known PD genes (VPS35 p.D620N, LRRK2 p.G2019S, SNCA duplications, PARK2) and examined segregation of putative PD genes in multi-incident families.

Traits studied:DystoniaEssential tremorInherited parkinsonismMultiple movement disordersMultiple systems atrophyParkinson's disease
Further evidence that interactions between CYP2D6 and pesticide exposure increase risk for Parkinson's disease
FunctionalN=3,660Yifu Deng et al.(2004)· Annals of Neurology

This PhD thesis from the Queensland Parkinson's Project screened 3,660 participants (1,861 PD patients and 1,799 controls) for genetic causes of Parkinson's disease. The study identified known pathogenic mutations in PD genes (VPS35 p.D620N, LRRK2 p.G2019S, SNCA duplications, PARK2) and conducted gene hunting in multi-incident families using whole exome sequencing. Novel candidate mutations were identified including KCNJ15 p.R28C (segregating in a 9-member affected family, also found in 2 additional patients), SIPA1L1 p.R236Q (identified in 1 multi-incident family and 1 familial case), and FAM134B p.D381V (found in an early-onset de novo case), though additional evidence is required to establish causality.

Traits studied:Early-onset Parkinson's diseaseParkinson's diseaseParkinsonism

Gene information from NCBI Gene. Variant classifications from ClinVar.

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