Parkinson Disease (PD) 2 belongs to a group of heterogeneous movement disorders jointly named Lewy body disease (LBD) (1). These conditions are associated with progressive and selective loss of dopaminergic and non-dopaminergic cells (2) and the formation of Lewy bodies (LBs) and Lewy neurites, which contain fibrillar ␣-synuclein (␣-syn) (3-6).Although the identification and distribution of ␣-syn-immunoreactive LBs is a useful neuropathological marker for the diagnosis of PD and LBD (7-9), recent studies suggest that abnormal neuronal accumulation of ␣-syn oligomers and protofibrils (10 -12) might be centrally involved in the pathogenesis of the neurodegenerative process in these disorders. ␣-Synuclein is an abundant synaptic protein (13) that interacts with a variety of proteins (14, 15), including those involved in regulating the vesicular release of dopamine (16,17).While the cause of sporadic PD is still unclear, familial forms of PD have been linked to mutations in various genes including ␣-syn, parkin, DJ1, PTEN-induced kinase 1 (PINK1), and leucine-rich repeat kinase-2 (LRRK2) (18 -21). Missense mutations (A30P, A53T, and E46K) and multiplications in the ␣-syn gene (22, 23) that accelerate aggregation and toxic conversion of ␣-syn have been described in a few families with autosomal dominant PD (24). Mutations in parkin are the most common cause of familial parkinsonism (25-27). Several reports indicate that parkin functions as an E3 ubiquitin protein ligase and that familial-linked mutations in parkin disrupt its ligase activity (28, 29) and de-stabilize its ubiquitin-like domain (30). In sporadic forms of PD and LBD, parkin accumulates in the insoluble fraction (31). In addition to incorporating ubiquitin to a number of substrates (32) such as the aminoacyl tRNA synthetase cofactor p38/JTV-1 (p38), ␣-tubulin, cell division control-related protein-1 (CDCrel-1, also known as the septin, Sept5), glycosylated ␣-syn (33), Parkin-associated endothelin receptorlike receptor (Pael-R) (34), and synphilin-1, parkin ubiquitinates itself as an early step in its proteasome-mediated degradation process (29,35,36). Of these substrates, more recent studies in parkin knock-out mice have shown that p38 is the most important parkin substrate (37); however, p38 is unlikely to be a target of parkin-mediated degradation because a previous study showed that p38 is largely mono-ubiquitinated in the presence of parkin, and poly-ubiquitinated p38 is difficult to detect (38).Based on the genetic evidence and the known role of parkin as a ubiquitin ligase, most studies have focused at investigating the role of parkin alterations and proteasomal dysfunction on ␣-syn accumulation in the pathogenesis of PD (28, 39). However, recent evidence suggests that mutations (40) and stress