Aggregation of αSynuclein promotes progressive in vivo neurotoxicity in adult rat dopaminergic neurons
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- Taschenberger, G., Garrido, M., Tereshchenko, Y. et al. Acta Neuropathol (2012) 123: 671. doi:10.1007/s00401-011-0926-8
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Fibrillar αSynuclein is the major constituent of Lewy bodies and Lewy neurites, the protein deposits characteristic for Parkinson’s disease (PD). Multiplications of the αSynuclein gene, as well as point mutations cause familial PD. However, the exact role of αSynuclein in neurodegeneration remains uncertain. Recent research in invertebrates has suggested that oligomeric rather than fibrillizing αSynuclein mediates neurotoxicity. To investigate the impact of αSynuclein aggregation on the progression of neurodegeneration, we expressed variants with different fibrillation propensities in the rat substantia nigra (SN) by means of recombinant adeno-associated viral (AAV) vectors. The formation of proteinase K-resistant αSynuclein aggregates was correlated to the loss of nigral dopaminergic (DA) neurons and striatal fibers. Expression of two prefibrillar, structure-based design mutants of αSynuclein (i.e., A56P and A30P/A56P/A76P) resulted in less aggregate formation in nigral DA neurons as compared to human wild-type (WT) or the inherited A30P mutation. However, only the αSynuclein variants capable of forming fibrils (WT/A30P), but not the oligomeric αSynuclein species induced a sustained progressive loss of adult nigral DA neurons. These results demonstrate that divergent modes of αSynuclein neurotoxicity exist in invertebrate and mammalian DA neurons in vivo and suggest that fibrillation of αSynuclein promotes the progressive degeneration of nigral DA neurons as found in PD patients.
KeywordsαSynucleinParkinson’s diseaseAggregationAdeno-associated virusSubstantia nigra
Parkinson’s disease (PD) is the most prevalent neurodegenerative movement disorder, affecting more than 2% of individuals over the age of 60 years. Pathological hallmarks of the disease are the progressive loss of dopaminergic (DA) neurons in the substantia nigra pars compacta (SNpc) and the presence of proteinous aggregates termed Lewy bodies within DA neurons, which are predominantly composed of fibrillar αSynuclein . Gene triplication and inherited mutations of αSynuclein cause early-onset PD, demonstrating a crucial role for αSynuclein in the etiology of the disease [11, 17]. However, how αSynuclein induces neurodegeneration remains as elusive as its physiological function.
αSynuclein belongs to the class of intrinsically disordered proteins in solution, but it adopts a partially folded structure upon a variety of environmental stimuli . While membrane bound α-helical αSynuclein does not contribute to aggregation and fibrillation , soluble folding intermediates are thought to be essential for the initiation of aggregation of the protein by a cascade comprising initially soluble, then insoluble oligomers, and finally fibrils as found in Lewy bodies . The predominant physiological species of αSynuclein in cells and brain is a helically folded tetramer with a low propensity to aggregate into fibrils .
Lewy bodies are usually found in living neurons and are also present in 10–15% of healthy, aged individuals [15, 18]. Considering Lewy bodies as a protective sink for misfolded proteins rather than a toxic entity is therefore an attractive, but controversially discussed hypothesis . Given the strong indications that αSynuclein is causally involved in degeneration of nigral DA neurons, it seems likely that oligomeric αSynuclein rather than fibrillar aggregates are the mediators of neuronal death. Consequently, the “toxic oligomer” hypothesis was postulated [6, 42, 46]. This hypothesis gained further support by a recent study in several invertebrate and cell-culture model systems of PD which reported increased neurotoxicity upon overexpression of αSynuclein variants that exhibited increased propensity to form oligomeric, prefibrillar structures and decreased propensities to form fibrillar aggregates .
Considering that species like Drosophila and C. elegans do not express αSynuclein orthologs, assessing aggregate formation and correlating aggregates to neurodegeneration to evaluate their relevance for PD should ideally be performed in adult mammalian DA neurons. In addition, PD is a slowly progressing disorder and a correlation of αSynuclein aggregation with the progressive loss of nigral DA neurons has not been assessed so far. To evaluate long-term effects of αSynuclein aggregate formation on DA neuron survival, we expressed αSynuclein variants with different aggregation propensities in neurons of the rat SN and quantified the loss of DA neurons over a time course of 3.5 months. To interfere with aggregation, the single-proline mutation found in the familial A30P mutant was moved to a position within the β-sheet rich core of αSynuclein fibrils. The single-proline αSynuclein mutant A56P as well as the triple-proline mutant A30P/A56P/A76P (TP) showed drastically reduced propensity to form proteinase K (PK)-resistant aggregates in vitro and in vivo, confirming the prior characterization of the mutants as prefibrillar αSynuclein variants by biophysical methods and in invertebrates . However, only the αSynuclein species with increased aggregation propensities, human wild-type (WT) and A30P, triggered a further progressing degeneration of nigral DA neurons, and WT αSynuclein showed the highest degree of neurotoxicity after longer term overexpression. Our findings suggest that fibril formation of αSynuclein promotes the progressive degeneration of nigral DA neurons as found in PD patients and show that invertebrate and mammalian DA neurons are differently vulnerable to αSynuclein aggregation.
Materials and methods
AAV2 serotype vectors were constructed to express the human WT αSynuclein, the inherited A30P mutation, the two pre-fibrillary αSynuclein mutants A56P and A30P/A56P/A76P (TP), and EGFP. AAV2 serotype vectors were prepared essentially as previously described . Their genomes consisted of AAV2 ITRs, human synapsin-1 gene promoter driving expression of αSynuclein variants, WPRE for enhanced mRNA stability and bovine growth hormone polyadenylation site. For Western blot assessing expression levels, primary cortical neuronal cultures were prepared from rat embryos at E18. Western blotting and preparation of conditioned medium and cell extracts were performed according to the procedure described previously .
Stereotaxic injection and tissue processing
All surgical procedures, intracerebral stereotaxic vector injections into the left hemisphere SNpc (coordinates were AP: −5.3; ML: +2.2; DV: −7.7 mm, relative to bregma) and tissue preparations were performed as described . Young adult female Wistar rats (250–280 g) were injected with a total of 2 μl containing 1.2 × 108 transducing units. Animals were sacrificed at 2, 4, 8 and 14 weeks after virus injection. 30-μm thick serial coronal sections from both the SN and striatum were collected on a cryostat (Leica) and processed for immunohistochemistry.
The following primary antibodies against αSynuclein were used: mouse anti-human LB509 and syn211 (1:500, Invitrogen), 5C2 (1:500, Santa Cruz), and mouse anti-αSynuclein (1:500, Clone 42, BD Transduction Laboratories) recognizing human and rat αSynuclein. Immunofluorescent visualization of DA neurons was performed with rabbit polyclonal antibody against tyrosine hydroxylase (TH, 1:1,000, AB152). Monoclonal anti-β-Tubulin was obtained from Sigma. Primary antibodies were applied for 48 h at 4°C followed by 1 h incubation at RT with secondary antibodies on free-floating sections. For indirect immunofluorescence and Western-blot analysis, secondary antibodies against rabbit or mouse IgGs and conjugated with Cy2, Cy3, or horseradish peroxidase were used (Dianova). For the SNpc, every fourth section was used for immunohistochemistry (−4.52 to −6.3 mm, relative to bregma). For the striatum, one rostral and one caudal section were processed for each condition. Bright-field and fluorescent images were taken on an Axioplan microscope equipped with a 16-bit greyscale CCD camera using AxioVision 4.6 software (Zeiss). Some sections were examined with a laser-scanning confocal microscope (Leica TCS SP5) or with an ApoTome (Zeiss).
Quantification of neurodegeneration
For the bright-field microscopy analysis, visualization of DA neurons was performed with rabbit polyclonal antibody against vesicular monoamine transporter 2 (VMAT2, AB1767, Chemicon). Sections were preincubated first with 3% H2O2/10% methanol for 5 min and then with 5% normal goat serum for 1 h before incubation with the primary antibody VMAT2 (1:3,000, 4°C, 48 h). Incubation with biotinylated secondary anti-rabbit antibody (1:250) at room temperature for 1 h was followed by the avidin–biotin complex (ABC, Vector laboratories) method. The reaction product was visualized using 3,3′-diaminobenzidine tetrachloride (DAB, Sigma) as a chromogen.
To estimate the total number of DA neurons, VMAT2-immunoreactive cells were counted by stereology in every fourth brain section in the region of the SNpc (10 sections throughout the SN). VMAT2-positive cells of the ventral tegmental area were excluded from counting. Cell counts were performed in a blind manner using the StereoInvestigator software (MicroBrightField, Bioscience). Unbiased stereological estimates of the total number of VMAT2-positive neurons per SNpc were obtained using the optical fractionator method . Survival of DA neurons was analyzed at 2, 4, 8, and 14 weeks after vector administration, with exception of the EGFP group, which was sacrificed at the last time point only.
Insolubility of the human αSynuclein aggregates was demonstrated utilizing a modified version of a PK digestion and immunohistochemistry protocol . Free-floating sections collected from brains 2 and 4 weeks after viral-vector injection were digested in PBS containing 10 μg/ml PK (Invitrogen) for a period of 10 min at 55°C. Longer incubation times with PK resulted in disintegration of the tissue and were therefore avoided. Maximum incubation time and temperature were established in preliminary experiments. Control sections adjacent to the digested ones were incubated in PBS only. Sections were quenched with 3% H2O2/10% methanol for 8 min and processed for immunohistochemistry using the syn211 antibody, that recognizes human αSynuclein protein. Immunoreactivity was visualized with the Vector ABC DAB system. All slices were processed simultaneously under strictly the same conditions and image acquisition and measurements were performed with the exact same settings and parameters. Bright-field images of the SN were taken on an Axioplan microscope equipped with a 63× oil immersion objective and using AxioVision software (Zeiss, Germany). Quantitative data were extracted with the MacBiophotonics ImageJ program (NIH, Maryland, USA, http://rsb.info.nih.gov/ij/). To estimate the PK-resistant fraction of αSynuclein, we performed measurements in at least six randomly selected fields per image from at least six images each. Cell somata were excluded from the quantification of the neuropil. As transgene expression was restricted to the injected side in all animals, we used the uninfected contralateral hemisphere as well as EGFP transduced sections to set the lower threshold value to correct for non-specific background. The upper threshold value was defined in undigested control sections.
For Thioflavin-S (ThioS) staining, mounted sections were incubated with 0.05% ThioS (Sigma) in 50% ethanol for 8 min after a quenching procedure to reduce background autofluorescence  and antibody incubations. Sections were differentiated in two changes of 80% ethanol for 10 s each, washed three times in large volumes of PBS, incubated with DAPI for 5 min and washed again.
Multiple comparisons were made by one-way ANOVA followed by Tukey’s honestly significant difference test. The unpaired t test with Welch correction was used for statistical comparison between two groups. Differences were considered significant at p < 0.05. Statistical tests were performed using the R software package .
Diminished aggregate formation by prefibrillar αSynuclein variants in cultured neurons
Diminished aggregate formation by prefibrillar αSynuclein variants in adult DA neurons of the rat SNpc
To study the time course of aggregate formation in our in vivo model, we analyzed tissue sections obtained 2 weeks after viral-vector injection. Abnormally accumulated abundant cytoplasmic PK-resistant aggregates had already developed in nigral neurons overexpressing WT αSynuclein (Fig. 2r). The detected aggregates had, however, a smaller individual grain size compared with aggregates 4 weeks after injection.
As the aggregates were resistant to PK and thus likely consisted of fibrillar αSynuclein [8, 33], the extensive prior classification of WT and A30P αSynuclein as fibril-forming variants, and A56P and TP as fibrillization impaired variants  was confirmed in DA neurons of adult rats in vivo.
Only fibril-forming αSynuclein variants induce a long-lasting progression of DA neuron degeneration
Survival of DA neurons was first analyzed 2 weeks after vector administration and already showed an extensive loss of DA neurons in the SNpc of animals expressing the human WT αSynuclein (43 ± 3%, compared with the non-injected control side). Only WT αSynuclein caused significant neuronal death at this early time point. Two weeks later, also the proline mutants of αSynuclein induced significant neurotoxicity. Four weeks after virus injection, we found that about 50% of DA neurons had degenerated in tissue expressing either WT (48 ± 17%), A56P (48 ± 8%) or TP (50 ± 7%) αSynuclein, while 27 ± 9% of DA neurons had died after expression of A30P αSynuclein (Fig. 4m). Thus, the prefibrillar αSynuclein mutants A56P and TP induced a similar extent of neurodegeneration as compared to WT αSynuclein at this time point. However, in contrast to results obtained in invertebrate and cellular models , prefibrillar αSynuclein did not aggravate DA neuron degeneration compared to WT αSynuclein.
Eight weeks post transduction, WT, A56P, and TP still produced a comparable extent of neurodegeneration (56 ± 19, 54 ± 12, 47 ± 8 and 31 ± 13% of DA neurons had degenerated through expression of WT, A56P, TP and A30P αSynuclein, respectively).
A fourth group of animals was analyzed 14 weeks after vector injections (Fig. 4a–m). In these brains, 69 ± 11% of DA neurons had degenerated in the WT group, and 39 ± 13% in the A30P group, demonstrating a progressive neuropathology. However, <50% DA neuron loss was detected in the A56P (42 ± 10) and TP (46 ± 8) groups (Fig. 4m), indicating that expression of these αSynuclein variants did not cause further progression of DA neuron degeneration. Instead, cell loss through expression of A56P and TP αSynuclein had already reached its maximum and final state at 4 weeks. Toxicity in these models could be entirely attributed to αSynuclein since EGFP controls showed only marginal evidence of degeneration 14 weeks post transduction (5.6 ± 4% cell loss).
To determine whether the reduced number of DA cells in the SN was attributable to an actual loss of cells rather than to a downregulation of the cellular markers used, i.e., the TH enzyme and the VMAT2 protein, we used an antibody to the neuron-specific protein NeuN to label nigral neurons. The NeuN marker revealed a marked loss of SNpc cells on the AAV-αSynuclein-injected side, confirming that the neurons had indeed degenerated. Quantification of NeuN-positive cells in the SNpc of WT αSynuclein-injected animals 4 weeks post transduction revealed a 56% reduction compared to the non-injected side. Percentages of TH-positive cells among NeuN-positive cells were approximately 60% on the unlesioned side and increased on average to 68% on the injected sides, suggesting also a loss of non-DA neurons.
It should be noted that 14 weeks after application of AAV2-WT αSynuclein, we detected only few DA cell bodies which demonstrated immunoreactivity for both, the DA marker TH and human αSynuclein, while robust αSynuclein immunoreactivity persisted in the dystrophic remaining neuritis (Fig. 4j). In contrast, in TP and A56P expressing brains, many neuronal cell bodies were immunoreactive for TH and αSynuclein, suggesting that DA neurons overexpressing the prefibrillar αSynuclein variants can survive for long periods of time (Fig. 4k).
Fibrillar and prefibrillar αSynuclein variants are secreted from rat primary cortical neurons
The amount of released αSynuclein in the conditioned medium correlated with the intracellular expression levels of this protein (Fig. 5f). In the same set of cultures, endogenously expressed cytosolic protein tubulin was not detected in the culture medium, indicating that αSynuclein release was not the result of membrane leakage caused by cell death. To further corroborate that release of αSynuclein is not caused by dying neurons, we counted αSynuclein-positive neurons in primary cultures at 5, 7 and 9 days post transduction. No substantial decrease in cell number over time was detected. Since we found no sign of increased cell death in neurons overexpressing WT αSynuclein, we can exclude the possibility that the enhanced release of WT αSynuclein into the culture medium is attributable to membrane leakage (Fig. 5g).
Differential striatal axonal pathology induced by αSynuclein fibrillar and prefibrillar variants
αSynuclein constitutes the major component of Lewy bodies and amyloid plaques , and its causal contribution to the etiology of Parkinson’s disease is evident . αSynuclein can adopt several oligomeric and fibrillar conformation states, but it is still uncertain which of the different conformational states of αSynuclein mediate neurotoxicity. The present study was motivated by recent results showing that rationally designed mutants of αSynuclein showed dramatically reduced propensity to form insoluble aggregates in solution and in C. elegans, and that these variants of αSynuclein demonstrated enhanced neurotoxicity in mammalian cell lines, Drosophila, C. elegans and cultured rat DA neurons . These results were interpreted as a confirmation of the “toxic oligomer” hypothesis in the sense that the primary toxic species of αSynuclein are prefibrillar, putatively soluble oligomeric conformations.
Extensive biophysical analysis demonstrated that the point mutations neither alter the structural properties of the protein as monomer in solution, nor prohibit the formation of an α-helical conformation on the surface of SDS micelles, but strongly differed in their ability to form amyloid fibrils. All variants efficiently bind to phospholipid vesicles. The vesicle affinity of A56P or TP αSynuclein was very similar to that observed for A30P .
We report on a rat model using AAV2 delivery of αSynuclein that differs in the rate of progression and severity in DA pathology based on the variant of AAV2-αSynuclein injected. Human-WT αSynuclein caused a rapid onset of nigral pathology (within 2 weeks), including the abundant presence of PK-resistant aggregates of αSynuclein, and a continuous progressive loss of DA neurons between 2 and 14 weeks. Expression of A30P αSynuclein also caused a gradually progressive loss of DA neurons, but with a later onset compared to WT. The prefibrillar αSynuclein variants produced initially only marginal signs of toxicity (at 2 weeks) followed by a dramatic DA cell death at 4 weeks, however, without further progression. Thus, interestingly, the non-aggregating αSynuclein variants showed clearly different kinetics of toxicity compared to those αSynuclein variants that are able to form fibrils (WT and A30P). Taken together, our results highlight a possible link between fibrillization of αSynuclein and progressive neurodegeneration. We are neither suggesting that the propensity of αSynuclein to aggregate is the only property nor that it is the main property of the protein causing DA neurodegeneration, but our results clearly indicate that aggregation plays a major role in the progression of DA cell loss and that aggregation-impaired mutants have lost the ability to trigger a sustained neurodegeneration.
We demonstrate that the prefibrillar αSynuclein variants A56P and TP form fewer PK-resistant aggregates as compared to WT αSynuclein and the familial A30P mutation, not only in cultured primary cortical rat neurons but also in neurites and cell bodies of adult nigral DA neurons in vivo. Thus, these proteins behaved in vivo as predicted by biophysical assessments in defined solutions . However, in contrast to cell culture and invertebrate models, the prefibrillar mutants did not amplify αSynuclein-related degeneration of rat DA neurons in vivo as compared to the WT protein. Whereas at 4 and 8 weeks after viral-vector application cell death was still comparable between fibrillar WT αSynuclein and prefibrillar variants, WT was the most toxic variant after 14 weeks of expression. Among the mutants, A56P and TP caused a stronger cell loss at 4 and 8 weeks, but they were neither in the beginning (2 weeks) nor at a later stage (14 weeks) more toxic than A30P. Thus, already after 4 weeks, the neurotoxic effect of the prefibrillar mutants appeared to have subsided, because after an initial insult the remaining neurons survived despite the fact that the level of αSynuclein expression remained high. These results show that nigral DA neurons were vulnerable to high levels of either WT or mutant αSynuclein, however, only the fibril-forming WT and A30P variants of αSynuclein caused a progressive form of DA neuron degeneration.
The discrepancy between our current results and previous work conducted in invertebrate models and cultured primary neurons  with respect to αSynuclein toxicity highlights the necessity to confirm studies that investigate the neurotoxic consequences of αSynuclein aggregation also in adult mammalian DA neurons in vivo. Given that αSynuclein is a very abundant protein in mammalian brain  it is likely that mammalian neurons have developed mechanisms to modulate αSynuclein aggregation, which do not exist in invertebrate neurons. Furthermore, our current results demonstrate that even in rat DA neurons, in vivo expression of oligomeric versus fibril-forming αSynuclein variants can lead to divergent results. In a recent study , it was shown that artificial mutants disrupting salt bridges between β-strands of αSynuclein (E35K or E57K) generated more oligomers and less fibrils than WT or A30P αSynuclein in aggregation assays under certain conditions (but more fibrils under different conditions), and that these mutants were significantly more toxic than WT or A30P αSynuclein for rat DA neurons in vivo. Thus, differences in experimental design with respect to the nature of the αSynuclein mutations (disrupting salt bridges between β-strands through lysine substitutions  versus directly disrupting β-sheets through proline substitutions ), viral-vector system and promoter, duration of transgene expression, and readout of aggregate formation in vivo make it difficult to evaluate the toxic oligomer hypothesis, and warrant further studies under more matching conditions.
Progressive neurodegeneration and its correlation to the formation of PK-resistant aggregates were assessed in our current study for the first time. The composition of PK-resistant αSynuclein aggregates is incompletely defined but ample evidence suggests that they consist at least partially of fibrillar αSynuclein. αSynuclein fibrils generated in vitro [8, 14, 30, 33], and fibrillar αSynuclein in the detergent-insoluble fraction of human synucleinopathy brains are resistant to PK digestion [30, 33]. In contrast, small-sized oligomers are not PK-resistant as recently shown in brain lysates of A53T transgenic mice . Colocalization of αSynuclein aggregates with the classical amyloid stain ThioS has been reported  but it was absent in many other studies [21, 24, 25, 31]. Such colocalization may crucially depend on the accessibility of exposed grooves, which are rich in aromatic residues, on the surface of amyloid fibrils . Despite the missing colocalization with ThioS, the resistance of aggregates of WT or A30P αSynuclein to PK is in agreement with a very stable structure as found in amyloid fibrils.
We report here that fibrillar and prefibrillar αSynuclein variants caused divergent axonal pathologies, further exemplifying that they induce neurotoxicity by different means. Degenerating axons of WT αSynuclein expressing DA neurons displayed a multitude of small varicosities of about 30–50 μm2 area, but very few large retraction bulb-like profiles larger than 300 μm2 in size. Conversely, axons of TP αSynuclein-expressing DA neurons demonstrated fewer small varicosities but more large retraction bulb-like profiles. Thus, axonal transport and/or structural integrity appear to be differentially affected by the presence of αSynuclein variants which are impaired in fibrillation (A56P/TP) as compared to those variants which have high propensity to form fibrils (WT/A30P).
In our rodent model, the familial A30P mutant was found to be less toxic than human WT αSynuclein at all investigated time points. This is in agreement with another rat model using rAAV2/6-mediated expression of αSynuclein in which WT αSynuclein displayed stronger toxicity than the A30P mutant when assayed 8 weeks post-virus injection . Even though WT and A30P are both fibrillar αSynuclein variants, we provided evidence that A30P is less likely to aggregate in vivo, which is in agreement with many other studies showing that A30P does form fibrils, but fibrillizes more slowly than WT [9, 28]. This could explain, at least in part, the differences in toxicity between these αSynuclein variants, but is most likely not the only reason. The A30P mutation reduces the affinity of αSynuclein for biological membranes and this may have an impact on pathophysiological effects . Indeed, it has been shown that the A30P mutant fails to impair the growth of yeast cells .
Our models demonstrate that αSynuclein overexpression for 4 weeks is sufficient to trigger significant nigral DA cell loss independent of the αSynuclein species. Two weeks after transduction, both the fibrillar as well as prefibrillar proline mutants showed only marginal evidence of degeneration. After 4 and 8 weeks of overexpression, A56P and TP displayed higher toxicity than the A30P mutation. This could be taken as an argument for the toxic oligomer. Nevertheless, at 14 weeks post transduction, the A30P mutant had already reached the same toxic effect as A56P and TP. Those αSynuclein species that have the potential to trigger a gradual progression of neurodegeneration are likely to be the most toxic at long term, even if they do not cause the highest cell loss at intermediate time points. It was reported that A30P induced a time-dependent degeneration process and that at 5 months expression, A30P had caused the same loss of TH-positive nigral neurons as WT αSynuclein . Another study also detected no significant difference in loss of TH-positive neurons between WT and A30P . Likewise, a study in mice did not find any obvious difference in pathogenicity between the WT and A30P mutant form of αSynuclein  implying that A30P can induce the same extend of neuronal loss as WT.
We hypothesize that the ability of αSynuclein to form fibrils is required for progressive neurodegeneration. The A53T variant of αSynuclein has an increased aggregation propensity in vitro and forms fibrils more quickly than human WT αSynuclein . The finding that AAV-mediated overexpression of mutant A53T αSynuclein results in progressive, time-dependent DA neuron loss in rats is consistent with our idea. In animals given either WT or A53T αSynuclein, the pathological changes were similar, both quantitatively and qualitatively  and the authors noted a similar appearance of αSynuclein-positive cytoplasmic inclusions and granular deposits as described in the present study. In a different report, overexpression of A53T αSynuclein in the rat nigra resulted in protracted, but nevertheless progressive neurodegeneration . The delayed degeneration may be related to the fact that human A53T corresponds to WT αSynuclein in rodents. The demonstrated gradual loss of DA cell bodies in the SN caused by the fibrillar mutant A53T is in agreement with our conclusion, that αSynuclein fibril formation is not an epiphenomenon but mechanistically involved in progressive neurodegeneration.
In conclusion, generation of both soluble oligomers and PK-resistant aggregates of αSynuclein leads to death of mammalian DA neurons in vivo, but formation of PK-resistant aggregates is required for the induction of progressive degeneration of DA neurons as found in PD patients. The formation of PK-resistant fibrillar aggregates may thus represent the critical pathomechanism that needs to be targeted to achieve a slowing down of the progression of PD and related synucleinopathies.
This work was supported by the German research Council funded Center of Molecular Physiology of the Brain (CMPB) (GT, SK, MB); by the European Research Training Network MRTN-CT-2003-504636 (MG), the Max Planck Society, BMBF (NGFN-Plus 01GS08190), European Union (NEURASYNC PITN-GA-2009-238316) and DFG Heisenberg scholarship (ZW 71/2-1 and 3-1) to MZ. We thank Chao Liang, Ulrike Schöll and Monika Zebski for excellent technical assistance, and Boldizsar Czeh for help with stereology.
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