Department of Neurology, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Institute for Environmental and Gender-specific Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Tomioka, Urayasu-shi, Chiba, 279-0021, Japan.
Acta Neuropathol Commun. 2018 Sep 19;6(1):96. doi: 10.1186/s40478-018-0587-0.
Accumulating evidence suggests that the lesions of Parkinson's disease (PD) expand due to transneuronal spreading of fibrils composed of misfolded alpha-synuclein (a-syn), over the course of 5-10 years. However, the precise mechanisms and the processes underlying the spread of these fibril seeds have not been clarified in vivo. Here, we investigated the speed of a-syn transmission, which has not been a focus of previous a-syn transmission experiments, and whether a-syn pathologies spread in a neural circuit-dependent manner in the mouse brain. We injected a-syn preformed fibrils (PFFs), which are seeds for the propagation of a-syn deposits, either before or after callosotomy, to disconnect bilateral hemispheric connections. In mice that underwent callosotomy before the injection, the propagation of a-syn pathology to the contralateral hemisphere was clearly reduced. In contrast, mice that underwent callosotomy 24 h after a-syn PFFs injection showed a-syn pathology similar to that seen in mice without callosotomy. These results suggest that a-syn seeds are rapidly disseminated through neuronal circuits immediately after seed injection, in a prion-like seeding experiment in vivo, although it is believed that clinical a-syn pathologies take years to spread throughout the brain. In addition, we found that botulinum toxin B blocked the transsynaptic transmission of a-syn seeds by specifically inactivating the synaptic vesicle fusion machinery. This study offers a novel concept regarding a-syn propagation, based on the Braak hypothesis, and also cautions that experimental transmission systems may be examining a unique type of transmission, which differs from the clinical disease state.
越来越多的证据表明,帕金森病(PD)的病变是由于错误折叠的α-突触核蛋白(a-syn)组成的纤维在 5-10 年内通过神经元间传递而扩大的。然而,这些纤维种子传播的确切机制和过程尚未在体内得到阐明。在这里,我们研究了 a-syn 传递的速度,这是以前的 a-syn 传递实验的焦点,以及这些纤维种子是否以依赖于神经回路的方式在小鼠大脑中传播。我们注射了 a-syn 预形成纤维(PFFs),这是 a-syn 沉积传播的种子,要么在胼胝体切开术之前,要么在之后,以断开双侧半球的连接。在接受胼胝体切开术之前接受注射的小鼠中,a-syn 病理学向对侧半球的传播明显减少。相比之下,在 a-syn PFF 注射后 24 小时接受胼胝体切开术的小鼠表现出与未接受胼胝体切开术的小鼠相似的 a-syn 病理学。这些结果表明,在体内类朊病毒种子实验中,a-syn 种子在种子注射后立即通过神经元回路迅速扩散,尽管人们认为临床 a-syn 病理学需要数年才能扩散到整个大脑。此外,我们发现肉毒杆菌毒素 B 通过特异性失活突触小泡融合机制来阻断 a-syn 种子的跨突触传递。这项研究基于 Braak 假说提供了一个关于 a-syn 传播的新概念,同时也警告说,实验性传播系统可能正在研究一种不同于临床疾病状态的独特传播类型。