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Different α-synuclein prion strains cause dementia with Lewy bodies and multiple system atrophy.

Abstract
The α-synuclein protein can adopt several different conformations that cause neurodegeneration. Different α-synuclein conformers cause at least three distinct α-synucleinopathies: multiple system atrophy (MSA), dementia with Lewy bodies (DLB), and Parkinson's disease (PD). In earlier studies, we transmitted MSA to transgenic (Tg) mice and cultured HEK cells both expressing mutant α-synuclein (A53T) but not to cells expressing α-synuclein (E46K). Now, we report that DLB is caused by a strain of α-synuclein prions that is distinct from MSA. Using cultured HEK cells expressing mutant α-synuclein (E46K), we found that DLB prions could be transmitted to these HEK cells. Our results argue that a third strain of α-synuclein prions likely causes PD, but further studies are needed to identify cells and/or Tg mice that express a mutant α-synuclein protein that is permissive for PD prion replication. Our findings suggest that other α-synuclein mutants should give further insights into α-synuclein prion replication, strain formation, and disease pathogenesis, all of which are likely required to discover effective drugs for the treatment of PD as well as the other α-synucleinopathies.
AuthorsJacob I Ayers, Joanne Lee, Octovia Monteiro, Amanda L Woerman, Ann A Lazar, Carlo Condello, Nick A Paras, Stanley B Prusiner
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 119 Issue 6 (02 08 2022) ISSN: 1091-6490 [Electronic] United States
PMID35115402 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2022 the Author(s). Published by PNAS.
Chemical References
  • Prions
  • alpha-Synuclein
Topics
  • Aged
  • Cell Line
  • Dementia (metabolism)
  • Female
  • Humans
  • Lewy Body Disease (metabolism)
  • Male
  • Middle Aged
  • Multiple System Atrophy (metabolism)
  • Parkinson Disease (metabolism)
  • Prions (metabolism)
  • Synucleinopathies (metabolism)
  • alpha-Synuclein (metabolism)

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