α-Synuclein (α-Syn) amyloid fibrils in synucleinopathies (such as Parkinson's disease (PD), multiple system atrophy (MSA)) are structurally and functionally different, reminiscent of prion-like strains. However, how a single protein can form different fibril polymorphs in various synucleinopathies is not known. Here, we demonstrate the structure-function relationship of two distinct α-Syn fibril polymorphs, the pre-matured fibrils (PMF) and helixmatured fibrils (HMF) based on α-Syn aggregation intermediates. These polymorphs not only display the structural differences, including their fibril core structure as demonstrated by solidstate nuclear magnetic resonance (NMR) spectroscopy and H/D-exchange coupled with mass spectrometry but also possess different cellular activities such as seeding, cellular internalization, and cell-to-cell transmission. The HMF with a compact core structure exhibits low seeding potency in cells but readily internalizes and transmits from one cell to another.Whereas the less structured PMF lacks the cell-to-cell transmission ability but induces abundant α-Syn pathology and triggers the formation of aggresomes in cells. Overall, the study highlights how the conformational heterogeneity in the aggregation pathway may lead to fibril polymorphs with distinct prion-like behavior in PD.
IntroductionSynucleinopathies are the group of neurological disorders, which are characterized by the presence of intracellular inclusion bodies composed of α-synuclein (α-Syn) amyloid fibrils 1 . Although α-Syn amyloids in neuronal inclusions termed as Lewy bodies (LBs) and Lewy neurites (LNs) are the characteristic feature of Parkinson's disease (PD), the α-Syn inclusions in oligodendrocytes (glial cell inclusions; GCIs) are predominant in multiple system atrophy (MSA). Previous studies have suggested that amyloid fibrils associated with various neurodegenerative disorders are infectious and exhibit 'prion-like' behavior 2,3 . For example, exogenously added α-Syn fibrils readily internalize in cells and induce the aggregation of endogenous soluble α-Syn into pathogenic insoluble LB-like inclusions 4,5 . Moreover, the LB/LN-like inclusions are also observed in animals upon receiving intracerebral injections of synthetic α-Syn fibrils or brain homogenates from old transgenic (Tg) mice with α-Syn pathology 6,7 . This suggests prion-like cellular transmission and propagation of α-Syn amyloids in PD and related disorders 8 . In this context, it has been hypothesized that α-Syn assembles into polymorphs, which may account for distinct disease phenotypes observed amongst the synucleinopathies. α-Syn fibrils from GCIs in oligodendrocytes and LBs in neurons of diseased brain samples differ significantly in their structure and exhibit distinct seeding propensity 9 .Although α-Syn fibril polymorphs mostly differ in their fibril diameter, presence of twists, and the number of protofilaments 10,11 , they share a common cross-β-sheet structure with different packing and inter-protofilament interface 12,13 as shown by cryo-...