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路易体痴呆相关的ß-突触核蛋白突变 V70M 和 P123H 导致突变特异性的神经病理学病变。

Dementia with Lewy bodies-associated ß-synuclein mutations V70M and P123H cause mutation-specific neuropathological lesions.

机构信息

Department of Neurology, University Medicine Göttingen, Göttingen 37073, Germany.

Department of Neurology, University Medicine Göttingen, Göttingen 37075, Germany.

出版信息

Hum Mol Genet. 2021 Apr 26;30(3-4):247-264. doi: 10.1093/hmg/ddab036.

DOI:10.1093/hmg/ddab036
PMID:33760043
Abstract

Beta (ß)-synuclein (ß-Syn) has long been considered to be an attenuator for the neuropathological effects caused by the Parkinson's disease-related alpha (α)-synuclein (α-Syn) protein. However, recent studies demonstrated that overabundant ß-Syn can form aggregates and induce neurodegeneration in central nervous system (CNS) neurons in vitro and in vivo, albeit at a slower pace as compared with α-Syn. Here, we demonstrate that ß-Syn mutants V70M, detected in a sporadic case of dementia with Lewy bodies (DLB), and P123H, detected in a familial case of DLB, robustly aggravate the neurotoxic potential of ß-Syn. Intriguingly, the two mutations trigger mutually exclusive pathways. ß-Syn V70M enhances morphological mitochondrial deterioration and degeneration of dopaminergic and non-dopaminergic neurons, but it has no influence on neuronal network activity. Conversely, ß-Syn P123H silences neuronal network activity, but it does not aggravate neurodegeneration. ß-Syn wild type (WT), V70M and P123H formed proteinase K-resistant intracellular fibrils within neurons, albeit with less stable C-termini as compared with α-Syn. Under cell-free conditions, ß-Syn V70M demonstrated a much slower pace of fibril formation as compared with WT ß-Syn, and P123H fibrils present with a unique phenotype characterized by large numbers of short, truncated fibrils. Thus, it is possible that V70M and P123H cause structural alterations in ß-Syn, which are linked to their distinct neuropathological profiles. The extent of the lesions caused by these neuropathological profiles is almost identical to that of overabundant α-Syn and is thus likely to be directly involved into the etiology of DLB. Overall, this study provides insights into distinct disease mechanisms caused by mutations of ß-Syn.

摘要

β-突触核蛋白(β-Syn)长期以来被认为是帕金森病相关的α-突触核蛋白(α-Syn)蛋白引起的神经病理学效应的抑制剂。然而,最近的研究表明,过量的β-Syn 可以在体外和体内形成聚集体并诱导中枢神经系统(CNS)神经元的神经退行性变,尽管与α-Syn 相比速度较慢。在这里,我们证明在散发性路易体痴呆(DLB)病例中检测到的β-Syn 突变 V70M 和在家族性 DLB 病例中检测到的 P123H 可显著加重β-Syn 的神经毒性作用。有趣的是,这两种突变触发了相互排斥的途径。β-Syn V70M 增强了形态线粒体恶化和多巴胺能和非多巴胺能神经元的变性,但对神经元网络活动没有影响。相反,β-Syn P123H 沉默了神经元网络活动,但没有加重神经退行性变。β-Syn 野生型(WT)、V70M 和 P123H 在神经元内形成了蛋白酶 K 抗性的细胞内原纤维,尽管与α-Syn 相比,它们的 C 末端不太稳定。在无细胞条件下,β-Syn V70M 的原纤维形成速度比 WT β-Syn 慢得多,而 P123H 原纤维则呈现出独特的表型,其特征是大量短而截断的原纤维。因此,V70M 和 P123H 可能导致β-Syn 的结构改变,这与它们独特的神经病理学特征有关。这些神经病理学特征引起的病变程度与过量的α-Syn 几乎相同,因此可能直接涉及 DLB 的病因。总的来说,这项研究为β-Syn 突变引起的不同疾病机制提供了深入的了解。

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