帕金森病病理从大鼠的胃肠道直接传播到大脑。
Direct evidence of Parkinson pathology spread from the gastrointestinal tract to the brain in rats.
机构信息
Neural Plasticity and Repair Unit, Department of Experimental Medical Science, Wallenberg Neuroscience Center, Lund University, BMC A10, 22184, Lund, Sweden.
出版信息
Acta Neuropathol. 2014 Dec;128(6):805-20. doi: 10.1007/s00401-014-1343-6. Epub 2014 Oct 9.
The cellular hallmarks of Parkinson's disease (PD) are the loss of nigral dopaminergic neurons and the formation of α-synuclein-enriched Lewy bodies and Lewy neurites in the remaining neurons. Based on the topographic distribution of Lewy bodies established after autopsy of brains from PD patients, Braak and coworkers hypothesized that Lewy pathology primes in the enteric nervous system and spreads to the brain, suggesting an active retrograde transport of α-synuclein (the key protein component in Lewy bodies), via the vagal nerve. This hypothesis, however, has not been tested experimentally thus far. Here, we use a human PD brain lysate containing different forms of α-synuclein (monomeric, oligomeric and fibrillar), and recombinant α-synuclein in an in vivo animal model to test this hypothesis. We demonstrate that α-synuclein present in the human PD brain lysate and distinct recombinant α-synuclein forms are transported via the vagal nerve and reach the dorsal motor nucleus of the vagus in the brainstem in a time-dependent manner after injection into the intestinal wall. Using live cell imaging in a differentiated neuroblastoma cell line, we determine that both slow and fast components of axonal transport are involved in the transport of aggregated α-synuclein. In conclusion, we here provide the first experimental evidence that different α-synuclein forms can propagate from the gut to the brain, and that microtubule-associated transport is involved in the translocation of aggregated α-synuclein in neurons.
帕金森病(PD)的细胞特征是黑质多巴胺能神经元丧失和剩余神经元中α-突触核蛋白丰富的路易体和路易神经突的形成。基于 PD 患者死后大脑中路易体的地形分布,Braak 和同事假设路易病变首先在肠神经系统中出现,并传播到大脑,这表明α-突触核蛋白(路易体中的关键蛋白成分)通过迷走神经进行主动逆行运输。然而,到目前为止,这一假设尚未通过实验进行检验。在这里,我们使用含有不同形式的α-突触核蛋白(单体、寡聚体和纤维)的人类 PD 大脑裂解物和重组α-突触核蛋白在体内动物模型中测试这一假设。我们证明,在肠道壁注射后,人类 PD 大脑裂解物中存在的α-突触核蛋白和不同的重组α-突触核蛋白形式通过迷走神经进行运输,并以时间依赖性方式到达脑干中的迷走神经背核。在分化的神经母细胞瘤细胞系中的活细胞成像中,我们确定缓慢和快速的轴突运输成分都参与了聚集的α-突触核蛋白的运输。总之,我们在这里提供了第一个实验证据,证明不同的α-突触核蛋白形式可以从肠道传播到大脑,并且微管相关运输参与了神经元中聚集的α-突触核蛋白的易位。