of PINK1 Deficiency both inherited and sporadic disease; namely protein aggregation and impairment of the ubiquitin proteasome system, mitochondrial dysfunction, oxidative stress and protein phosphorylation. The role of mitochondrial dysfunction in PD has been suggested since the original discovery that the complex I inhibitor 1-methyl4-phenyl-1,2,3,6-tetrahydropyridine caused the development of PD in recreational drug users. Other complex I inhibitors including rotenone and paraquat have similarly been found to cause PDlike symptoms in rodent models. Inhibition of the mitochondrial respiratory chain is known to increase the generation of free radicals leading to cellular oxidative stress within cells. Concordantly, evidence of impaired complex I activity has been reported in post-mortem PD brain tissue with an increase in markers of oxidative stress. However the most convincing evidence to date has been the characterisation of genes mutated in familial PD with putative functional roles within mitochondria. Both PINK1 and Omi/HtrA2 have predicted mitochondrial targeting sequences and appear to exhibit protective functions within this organelle. Parkin, DJ-1, asynuclein and LRRK2 have also been shown to associate with the mitochondrion or impact upon its function, but the mechanisms involved remain unclear. PINK1 is a highly conserved 581 amino acid protein with a catalytic serine/threonine kinase domain with close sequence homology to CAMK1. Several studies have demonstrated 19770292 that recombinant PINK1 can undergo autophosphorylation as well as phosphorylate generic substrates in vitro. It has a predicted N-terminal mitochondrial targeting motif and a significant proportion has been localised to both the inner and outer mitochondrial membranes. Full length PINK1 preprotein can also be cleaved to a `mature’ form by an unknown protease. PINK1 mRNA is ubiquitously expressed in human tissues, with highest expression in heart, muscle and testes. It is uniformly expressed in mammalian brain, with highest expression levels found within the cell purchase 80321-63-7 bodies of neurons and glia. Homozygous and compound heterozygous mutations in the PINK1 gene locus are known to cause PARK6 familial Parkinsonism, which is indistinguishable from idiopathic PD apart from an earlier age of onset. To date there are no neuropathological data from any individual affected with a homozygous mutation in the PINK1 gene. However, brains of patients with PINK1 heterozygote mutations display the typical pathological hallmarks of idiopathic PD. The prevalence of PINK1 mutations in autosomal recessive early onset PD range from 0-15%, depending on the patient series analysed. This suggests that PINK1 is the second most common causative gene in early onset PD after parkin. The vast majority of pathogenic mutations in PINK1 gene are located within the kinase domain and include nonsense, missense and deletion mutations which are predicted to either reduce or obliterate kinase activity. Accordingly, reduced kinase activity has been demonstrated in vitro for the pathogenic mutations G309D, L437P, G386A and G409V. The most common mutation, a C1366T transition, reportedly triggers nonsense-mediated mRNA decay, resulting in a 8090% reduction in transcript levels in 25730130 tissues from homozygous patients. Taken together, these findings suggest that PARK6 parkinsonism results from 
a loss-of-function of the PINK1 protein. Valid animal models of PINK1 parkinsonism should recapitulate the motor symptoms se
