rs76763715
badMag 9.0This 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.
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.
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.
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.
▶GWAS Catalog Trait Associations (3)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
GWAS Catalog Trait Associations (3)
Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.
REM sleep behavior disorder
glucosylceramidase activity trait
Parkinson disease
▶ClinVar annotation
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 susceptibilityFunctionalGaoxiang 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.
▶Disease variants in genomes of 44 centenariansCase reportN=44Yun Freudenberg‐Hua et al.(2014)· Molecular Genetics & 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.
▶A genome screen of successful aging without cognitive decline identifies LRP1B by haplotype analysisAssociationN=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.
▶Clinical Spectrum of Homozygous and Heterozygous PINK1 Mutations in a Large German Family With Parkinson DiseaseCase 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.
▶Further evidence that interactions between CYP2D6 and pesticide exposure increase risk for Parkinson's diseaseFunctionalN=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.
Gene information from NCBI Gene. Variant classifications from ClinVar.
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