Neuroregeneration Research Institute, Harvard Medical School/McLean Hospital, Belmont, MA 02478, USA.
Shire, 300 Shire Way, Lexington, MA 02421, USA.
Neurobiol Dis. 2015 Oct;82:495-503. doi: 10.1016/j.nbd.2015.09.009. Epub 2015 Sep 25.
Diminished lysosomal function can lead to abnormal cellular accumulation of specific proteins, including α-synuclein, contributing to disease pathogenesis of vulnerable neurons in Parkinson's disease (PD) and related α-synucleinopathies. GBA1 encodes for the lysosomal hydrolase glucocerebrosidase (GCase), and mutations in GBA1 are a prominent genetic risk factor for PD. Previous studies showed that in sporadic PD, and in normal aging, GCase brain activity is reduced and levels of corresponding glycolipid substrates are increased. The present study tested whether increasing GCase through AAV-GBA1 intra-cerebral gene delivery in two PD rodent models would reduce the accumulation of α-synuclein and protect midbrain dopamine neurons from α-synuclein-mediated neuronal damage. In the first model, transgenic mice overexpressing wildtype α-synuclein throughout the brain (ASO mice) were used, and in the second model, a rat model of selective dopamine neuron degeneration was induced by AAV-A53T mutant α-synuclein. In ASO mice, intra-cerebral AAV-GBA1 injections into several brain regions increased GCase activity and reduced the accumulation of α-synuclein in the substantia nigra and striatum. In rats, co-injection of AAV-GBA1 with AAV-A53T α-synuclein into the substantia nigra prevented α-synuclein-mediated degeneration of nigrostriatal dopamine neurons by 6 months. These neuroprotective effects were associated with altered protein expression of markers of autophagy. These experiments demonstrate, for the first time, the neuroprotective effects of increasing GCase against dopaminergic neuron degeneration, and support the development of therapeutics targeting GCase or other lysosomal genes to improve neuronal handling of α-synuclein.
溶酶体功能减弱会导致特定蛋白质(包括α-突触核蛋白)在细胞内异常积累,从而导致帕金森病(PD)和相关的α-突触核蛋白病中易感神经元的疾病发病机制。GBA1 编码溶酶体水解酶葡萄糖脑苷脂酶(GCase),GBA1 突变是 PD 的一个主要遗传风险因素。先前的研究表明,在散发性 PD 中以及在正常衰老过程中,GCase 大脑活性降低,相应糖脂底物水平升高。本研究通过在两种 PD 啮齿动物模型中通过 AAV-GBA1 脑内基因传递来增加 GCase,以测试其是否能减少 α-突触核蛋白的积累并保护中脑多巴胺神经元免受 α-突触核蛋白介导的神经元损伤。在第一个模型中,使用了大脑中过表达野生型 α-突触核蛋白的转基因小鼠(ASO 小鼠),在第二个模型中,通过 AAV-A53T 突变型 α-突触核蛋白诱导大鼠选择性多巴胺神经元变性。在 ASO 小鼠中,将 AAV-GBA1 脑内注射到几个脑区可增加 GCase 活性并减少黑质和纹状体中 α-突触核蛋白的积累。在大鼠中,将 AAV-GBA1 与 AAV-A53T α-突触核蛋白共注射到黑质中可预防 6 个月时的黑质纹状体多巴胺神经元的 α-突触核蛋白介导的变性。这些神经保护作用与自噬标志物的蛋白表达改变有关。这些实验首次证明了增加 GCase 对多巴胺能神经元变性的神经保护作用,并支持针对 GCase 或其他溶酶体基因的治疗方法的开发,以改善神经元对 α-突触核蛋白的处理。