Masuda-Suzukake Masami
Dementia project, Tokyo Metropolitan Institute of Medical Science.
Nihon Yakurigaku Zasshi. 2019;154(6):301-305. doi: 10.1254/fpj.154.301.
Accumulation of insoluble alpha-synuclein (αS) is a pathological hallmark of some progressive neurodegenerative diseases including Parkinson's disease, dementia with Lewy bodies, and multiple system atrophy, collectively termed synucleinopathies. In diseased brain, αS forms β-sheet-rich amyloid fibrils and it is accumulated in neurons or glial cells. A growing body of evidence suggests that spreading of αS pathology occur by prion-like propagation mechanisms. Our study revealed that intracerebral injection of synthetic αS amyloid fibrils into wild-type mice induced prion-like propagation of αS pathology at 1 month post injection, while injection of soluble αS did not induce αS pathology. Furthermore, injection of αS amyloid fibrils into αS knockout mice failed to induce any pathologies. We also have demonstrated that intracerebral injection of αS amyloid fibrils into small primates, adult common marmosets, resulted in spreading of αS pathologies and loss of TH-positive neurons. These in vivo experiments clearly indicate that αS amyloid fibrils has prion-like properties and it propagates through neural networks. The underlying mechanisms of αS propagation are poorly understood, however, αS propagation model animals would be useful in elucidating pathogenetic mechanisms and developing disease-modifying drugs for sporadic synucleinopathies.
不溶性α-突触核蛋白(αS)的积累是包括帕金森病、路易体痴呆和多系统萎缩在内的一些进行性神经退行性疾病的病理标志,这些疾病统称为突触核蛋白病。在患病大脑中,αS形成富含β-折叠的淀粉样纤维,并在神经元或神经胶质细胞中积累。越来越多的证据表明,αS病理的传播是通过朊病毒样传播机制发生的。我们的研究表明,向野生型小鼠脑内注射合成的αS淀粉样纤维在注射后1个月诱导了αS病理的朊病毒样传播,而注射可溶性αS则未诱导αS病理。此外,向αS基因敲除小鼠注射αS淀粉样纤维未能诱导任何病理变化。我们还证明,向小型灵长类动物成年普通狨猴脑内注射αS淀粉样纤维会导致αS病理的传播和TH阳性神经元的丧失。这些体内实验清楚地表明,αS淀粉样纤维具有朊病毒样特性,并通过神经网络传播。然而,αS传播的潜在机制尚不清楚,αS传播模型动物将有助于阐明发病机制并开发针对散发性突触核蛋白病的疾病修饰药物。