Department of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.
Institute on Aging and Center for Neurodegenerative Disease Research, Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J Parkinsons Dis. 2021;11(3):1187-1196. doi: 10.3233/JPD-212562.
Mutations in leucine-rich repeat kinase 2 (LRRK2) are the most common cause of familial Parkinson's disease (PD) and are also associated with genetic risk in idiopathic PD. Mutations in LRRK2, including the most common p.G2019S lead to elevated kinase activity, making LRRK2 kinase inhibitors prime targets for therapeutic development. However, the role of LRRK2 kinase activity in PD pathogenesis has remained unclear. While essentially all LRRK2-PD patients exhibit dopaminergic neuron loss, many of these patients do not have α-synuclein Lewy bodies in their brains. So, what is the neuropathological substrate of LRRK2-PD? Tau has emerged as a possible candidate due to the presence of tau pathology in the majority of LRRK2 mutation carriers and reports of hyperphosphorylated tau in LRRK2 animal models.
In the current study, we aim to address whether a mutation in LRRK2 changes the cell-autonomous seeding of tau pathology in primary neurons. We also aim to assess whether LRRK2 kinase inhibitors are able to modulate tau pathology.
METHODS/RESULTS: Treatment of primary neurons with LRRK2 kinase inhibitors leads to prolonged kinase inhibition but does not alter tau pathology induction. The lack of an effect of LRRK2 kinase activity was further confirmed in primary neurons expressing LRRK2G2019S and with two different forms of pathogenic tau. In no case was there more than a minor change in tau pathology induction.
Together, our results indicate that LRRK2 kinase activity is not playing a major role in the induction of tau pathology in individual neurons. Understanding the impact of LRRK2 kinase inhibitors on pathology generation is important as kinase inhibitors move forward in clinical trials.
富含亮氨酸重复激酶 2(LRRK2)突变是家族性帕金森病(PD)最常见的原因,也与特发性 PD 的遗传风险相关。LRRK2 中的突变,包括最常见的 p.G2019S,导致激酶活性升高,使 LRRK2 激酶抑制剂成为治疗开发的主要目标。然而,LRRK2 激酶活性在 PD 发病机制中的作用仍不清楚。虽然几乎所有 LRRK2-PD 患者都表现出多巴胺能神经元丧失,但这些患者的大脑中并没有 α-突触核蛋白路易体。那么,LRRK2-PD 的神经病理学基础是什么?由于大多数 LRRK2 突变携带者中存在 tau 病理学,以及在 LRRK2 动物模型中报告存在过度磷酸化的 tau,tau 已成为一个可能的候选物。
在本研究中,我们旨在研究 LRRK2 突变是否改变了原代神经元中 tau 病理的细胞自主播散。我们还旨在评估 LRRK2 激酶抑制剂是否能够调节 tau 病理学。
方法/结果:用 LRRK2 激酶抑制剂处理原代神经元可导致激酶抑制延长,但不会改变 tau 病理诱导。在表达 LRRK2G2019S 和两种不同形式的致病性 tau 的原代神经元中,LRRK2 激酶活性的缺乏进一步得到证实。在任何情况下,tau 病理诱导的变化都不超过轻微改变。
总之,我们的结果表明,LRRK2 激酶活性在单个神经元中 tau 病理的诱导中不起主要作用。了解 LRRK2 激酶抑制剂对病理发生的影响很重要,因为激酶抑制剂在临床试验中取得进展。