Intercellular transfer of pathogenic ?-synuclein by extracellular vesicles is induced by the lipid peroxidation product 4-hydroxynonenal.
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ABSTRACT: Parkinson's disease (PD) is characterized by accumulations of toxic ?-synuclein aggregates in vulnerable neuronal populations in the brainstem, midbrain, and cerebral cortex. Recent findings suggest that ?-synuclein pathology can be propagated transneuronally, but the underlying molecular mechanisms are unknown. Advances in the genetics of rare early-onset familial PD indicate that increased production and/or reduced autophagic clearance of ?-synuclein can cause PD. The cause of the most common late-onset PD is unclear, but may involve metabolic compromise and oxidative stress upstream of ?-synuclein accumulation. As evidence, the lipid peroxidation product 4-hydroxynonenal (HNE) is elevated in the brain during normal aging and moreso in brain regions afflicted with ?-synuclein pathology. Here, we report that HNE increases aggregation of endogenous ?-synuclein in primary neurons and triggers the secretion of extracellular vesicles (EVs) containing cytotoxic oligomeric ?-synuclein species. EVs released from HNE-treated neurons are internalized by healthy neurons which as a consequence degenerate. Levels of endogenously generated HNE are elevated in cultured cells overexpressing human ?-synuclein, and EVs released from those cells are toxic to neurons. The EV-associated ?-synuclein is located both inside the vesicles and on their surface, where it plays a role in EV internalization by neurons. On internalization, EVs harboring pathogenic ?-synuclein are transported both anterogradely and retrogradely within axons. Focal injection of EVs containing ?-synuclein into the striatum of wild-type mice results in spread of synuclein pathology to anatomically connected brain regions. Our findings suggest a scenario for late-onset PD in which lipid peroxidation promotes intracellular accumulation and then extrusion of EVs containing toxic ?-synuclein species; the EVs are then internalized by adjacent neurons, so propagating the neurodegenerative process.
SUBMITTER: Zhang S
PROVIDER: S-EPMC5705257 | biostudies-literature | 2018 Jan
REPOSITORIES: biostudies-literature
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