Putnam Geneviève L, Maitta Robert W
Case Western Reserve University School of Medicine, Cleveland, OH, USA.
University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Heliyon. 2025 Jan 15;11(2):e41981. doi: 10.1016/j.heliyon.2025.e41981. eCollection 2025 Jan 30.
The α-synuclein protein is an established molecule in Lewy body pathology, especially Parkinson's disease (PD). While the pathological role of α-synuclein (α-syn) in PD has been well described, novel evidence may suggest that α-syn interacts with inflammasomes in response to aging. As age is an inevitable physiological state and is also considered the greatest risk factor for PD, this calls for investigation into how α-syn, aging, and PD could be linked. There is a growing amount of data regarding α-syn normal function in the body that includes involvement in cellular transport such as protein complexes assembly, vesicular trafficking, neurotransmitter release, as well as immune cell maturation. Regarding abnormal α-syn, a number of autosomal dominant mutations have been identified as causes of familial PD, however, symptomatology may not become apparent until later in life due to compensatory mechanisms in the dopaminergic response. This potentially links age-related physiological changes not only as a risk factor for PD, but for the concept of "inflammaging ". This is defined as chronic inflammation that accompanies aging observed in many neurodegenerative pathologies, that include α-syn's ability to form oligomers and toxic fibrils seen in PD. This oligomeric α-syn stimulates pro-inflammatory signals, which may worsen PD symptoms and propagate chronic inflammation. Thus, this review will explore a potential link between α-syn's role in the immune system, inflammaging, and PD.
α-突触核蛋白是路易体病理学中已确定的一种分子,在帕金森病(PD)中尤为突出。虽然α-突触核蛋白(α-syn)在帕金森病中的病理作用已得到充分描述,但新证据表明,α-syn可能会因衰老而与炎性小体相互作用。由于衰老是一种不可避免的生理状态,也是帕金森病最大的风险因素,因此有必要研究α-syn、衰老和帕金森病之间的联系。关于α-syn在体内的正常功能,已有越来越多的数据,包括参与细胞运输,如蛋白质复合物组装、囊泡运输、神经递质释放以及免疫细胞成熟。关于异常的α-syn,一些常染色体显性突变已被确定为家族性帕金森病的病因,然而,由于多巴胺能反应中的代偿机制,症状可能直到晚年才会显现。这不仅将与年龄相关的生理变化潜在地联系为帕金森病的一个风险因素,还与“炎症衰老”的概念联系起来。炎症衰老被定义为在许多神经退行性疾病中观察到的伴随衰老的慢性炎症,其中包括在帕金森病中α-syn形成寡聚体和有毒纤维的能力。这种寡聚化的α-syn会刺激促炎信号,这可能会加重帕金森病症状并加剧慢性炎症。因此,本综述将探讨α-syn在免疫系统中的作用、炎症衰老和帕金森病之间的潜在联系。