Induction of α-synuclein aggregate formation by CSF exosomes from patients with Parkinson's disease and dementia with Lewy bodies

Autor: Anne Stuendl, Anja Schneider, Niels Kruse, Karin M Danzer, Claudia Bartels, Wiebke Moebius, Brit Mollenhauer, Marcel Kunadt
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
Pathology
Parkinson's disease
animal diseases
cerebrospinal fluid [Lewy Body Disease]
Cohort Studies
chemistry.chemical_compound
metabolism [Cerebrospinal Fluid]
0302 clinical medicine
Cerebrospinal fluid
metabolism [Exosomes]
cerebrospinal fluid [Parkinson Disease]
Longitudinal Studies
Neurodegeneration
Parkinson Disease
alpha-Synuclein
Female
extracellular vesicles
Lewy Body Disease
medicine.medical_specialty
metabolism [Parkinson Disease]
metabolism [Lewy Body Disease]
exosomes
Exosome
cerebrospinal fluid
Progressive supranuclear palsy
03 medical and health sciences
Protein Aggregates
α-synuclein
mental disorders
medicine
Humans
ddc:610
physiology [Protein Aggregates]
biosynthesis [alpha-Synuclein]
Alpha-synuclein
Dementia with Lewy bodies
business.industry
Original Articles
medicine.disease
Microvesicles
nervous system diseases
030104 developmental biology
Cross-Sectional Studies
nervous system
chemistry
Immunology
Parkinson’s disease
Neurology (clinical)
business
030217 neurology & neurosurgery
Follow-Up Studies
cerebrospinal fluid [alpha-Synuclein]
Zdroj: Brain 139(2), 481-494 (2016). doi:10.1093/brain/awv346
Brain
DOI: 10.1093/brain/awv346
Popis: Stuendl et al. show that CSF exosomes of patients with Parkinson’s disease or dementia with Lewy bodies contain α-synuclein and induce α-synuclein aggregation in a reporter cell line. Thus, exosomes may support inter-neuronal transmission of α-synuclein pathology. CSF exosomal α-synuclein may serve as a biomarker in α-synuclein-related neurodegeneration.
Extracellular α-synuclein has been proposed as a crucial mechanism for induction of pathological aggregate formation in previously healthy cells. In vitro, extracellular α-synuclein is partially associated with exosomal vesicles. Recently, we have provided evidence that exosomal α-synuclein is present in the central nervous system in vivo. We hypothesized that exosomal α-synuclein species from patients with α-synuclein related neurodegeneration serve as carriers for interneuronal disease transmission. We isolated exosomes from cerebrospinal fluid from patients with Parkinson’s disease, dementia with Lewy bodies, progressive supranuclear palsy as a non-α-synuclein related disorder that clinically overlaps with Parkinson’s disease, and neurological controls. Cerebrospinal fluid exosome numbers, α-synuclein protein content of cerebrospinal fluid exosomes and their potential to induce oligomerization of α-synuclein were analysed. The quantification of cerebrospinal fluid exosomal α-synuclein showed distinct differences between patients with Parkinson’s disease and dementia with Lewy bodies. In addition, exosomal α-synuclein levels correlated with the severity of cognitive impairment in cross-sectional samples from patients with dementia with Lewy bodies. Importantly, cerebrospinal fluid exosomes derived from Parkinson’s disease and dementia with Lewy bodies induce oligomerization of α-synuclein in a reporter cell line in a dose-dependent manner. Our data suggest that cerebrospinal fluid exosomes from patients with Parkinson’s disease and dementia with Lewy bodies contain a pathogenic species of α-synuclein, which could initiate oligomerization of soluble α-synuclein in target cells and confer disease pathology.
Databáze: OpenAIRE