Abstract:Aging is the predominant risk factor for both genetic and sporadic Parkinson’s disease (PD). The majority of PD cases are nonfamilial, and the connection between aging and PD-associated genes is not well understood. Haploinsufficiency of the GBA gene, leading to a reduction in glucocerebrosidase (GCase) activity, is one of the most common genetic risk factors for PD. Furthermore, GCase activity is also reduced in brain regions of sporadic PD patients, with a corresponding accumulation of its glycosphingolipid … Show more
“…Cognitive areas such as hippocampus, frontal cortex, and amygdala also showed relative decrease in Gcase1 activity, along with a significant elevation of hippocampal glucosylsphingosine in sporadic cases (Gegg et al ). This correlates with a higher Lewy body burden identified in the hippocampus and medial temporal regions, as well as in a diffused cortical Lewy body pathology in GBA ‐linked PD (Watson and Leverenz ; Hallett et al ). These pathological observations strengthen clinical findings that cognitive deterioration is severe in PD patients with GBA mutations compared to that of sporadic cases (Liu et al ; Mata et al ).…”
Section: Lysosomes: Pd May Also Begin At the End Of The Tunnelmentioning
Parkinson’s disease (PD) is one of the most common neurodegenerative disorders, affecting 1–1.5% of the total population. While progress has been made in understanding the neurodegenerative mechanisms that lead to cell death in late stages of PD, mechanisms for early, causal pathogenic events are still elusive. Recent developments in PD genetics increasingly point at endolysosomal (E‐L) system dysfunction as the early pathomechanism and key pathway affected in PD. Clathrin‐mediated synaptic endocytosis, an integral part of the neuronal E‐L system, is probably the main early target as evident in auxilin, RME‐8, and synaptojanin‐1 mutations that cause PD. Autophagy, another important pathway in the E‐L system, is crucial in maintaining proteostasis and a healthy mitochondrial pool, especially in neurons considering their inability to divide and requirement to function an entire life‐time. PINK1 and Parkin mutations severely perturb autophagy of dysfunctional mitochondria (mitophagy), both in the cell body and synaptic terminals of dopaminergic neurons, leading to PD. Endolysosomal sorting and trafficking is also crucial, which is complex in multi‐compartmentalized neurons. VPS35 and VPS13C mutations noted in PD target these mechanisms. Mutations in GBA comprise the most common risk factor for PD and initiate pathology by compromising lysosomal function. This is also the case for ATP13A2 mutations. Interestingly, α‐synuclein and LRRK2, key proteins involved in PD, function in different steps of the E‐L pathway and target their components to induce disease pathogenesis. In this review, we discuss these E‐L system genes that are linked to PD and how their dysfunction results in PD pathogenesis.
This article is part of the Special Issue “Synuclein”.
“…Cognitive areas such as hippocampus, frontal cortex, and amygdala also showed relative decrease in Gcase1 activity, along with a significant elevation of hippocampal glucosylsphingosine in sporadic cases (Gegg et al ). This correlates with a higher Lewy body burden identified in the hippocampus and medial temporal regions, as well as in a diffused cortical Lewy body pathology in GBA ‐linked PD (Watson and Leverenz ; Hallett et al ). These pathological observations strengthen clinical findings that cognitive deterioration is severe in PD patients with GBA mutations compared to that of sporadic cases (Liu et al ; Mata et al ).…”
Section: Lysosomes: Pd May Also Begin At the End Of The Tunnelmentioning
Parkinson’s disease (PD) is one of the most common neurodegenerative disorders, affecting 1–1.5% of the total population. While progress has been made in understanding the neurodegenerative mechanisms that lead to cell death in late stages of PD, mechanisms for early, causal pathogenic events are still elusive. Recent developments in PD genetics increasingly point at endolysosomal (E‐L) system dysfunction as the early pathomechanism and key pathway affected in PD. Clathrin‐mediated synaptic endocytosis, an integral part of the neuronal E‐L system, is probably the main early target as evident in auxilin, RME‐8, and synaptojanin‐1 mutations that cause PD. Autophagy, another important pathway in the E‐L system, is crucial in maintaining proteostasis and a healthy mitochondrial pool, especially in neurons considering their inability to divide and requirement to function an entire life‐time. PINK1 and Parkin mutations severely perturb autophagy of dysfunctional mitochondria (mitophagy), both in the cell body and synaptic terminals of dopaminergic neurons, leading to PD. Endolysosomal sorting and trafficking is also crucial, which is complex in multi‐compartmentalized neurons. VPS35 and VPS13C mutations noted in PD target these mechanisms. Mutations in GBA comprise the most common risk factor for PD and initiate pathology by compromising lysosomal function. This is also the case for ATP13A2 mutations. Interestingly, α‐synuclein and LRRK2, key proteins involved in PD, function in different steps of the E‐L pathway and target their components to induce disease pathogenesis. In this review, we discuss these E‐L system genes that are linked to PD and how their dysfunction results in PD pathogenesis.
This article is part of the Special Issue “Synuclein”.
“…In line with these observations is the occurrence of hemolysis, multinucleated macrophages, neuropathology, growth retardation, and chronic low-grade inflammation in GD patients [4]. Of note, in the brain of ageing mice reduction of active GCase in combination with increased glucosylceramide and glucosylsphingosine levels were observed [116].…”
Section: Formation Of Glucosylsphingosine From Accumulating Glccermentioning
confidence: 89%
“…Of note, active GCase activity is also decreased, and corresponding glycosphingolipid substrate levels elevated, in the brain in PD without GBA1 mutations [114,115]. Abnormalities in multiple enzymes and other proteins involved in sphingolipid metabolism were observed in association with PD [114,116,117]. With increasing age, the brain of mice shows reduced GCase levels and increased amounts of lipid substrate [115].…”
Section: Gaucher Disease a Lysosomal Storage Disordermentioning
Glucocerebrosidase (GCase) is a retaining β-glucosidase with acid pH optimum metabolizing the glycosphingolipid glucosylceramide (GlcCer) to ceramide and glucose. Inherited deficiency of GCase causes the lysosomal storage disorder named Gaucher disease (GD). In GCase-deficient GD patients the accumulation of GlcCer in lysosomes of tissue macrophages is prominent. Based on the above, the key function of GCase as lysosomal hydrolase is well recognized, however it has become apparent that GCase fulfills in the human body at least one other key function beyond lysosomes. Crucially, GCase generates ceramides from GlcCer molecules in the outer part of the skin, a process essential for optimal skin barrier property and survival. This review covers the functions of GCase in and beyond lysosomes and also pays attention to the increasing insight in hitherto unexpected catalytic versatility of the enzyme.
“…These findings are within the broader context of an established literature implicating diminished mechanisms of cellular autophagy in idiopathic PD [66][67][68]. Interestingly, there appears to be an age-dependent reduction in GCase activity in both mice and human brain [69,70]. Moreover, GCase activity levels are reduced compared to controls in the brains of non-GBA idiopathic PD subjects [71]; however, studies looking at substrate accumulation are somewhat varied.…”
The association between Gaucher disease (
GD
) and Parkinson disease (
PD
) has been described for almost two decades. In the biallelic state (homozygous or compound heterozygous) mutations in the glucocerebrosidase gene (
GBA
) may cause
GD
, in which glucosylceramide, the sphingolipid substrate of the glucocerebrosidase enzyme (
GC
ase), accumulates in visceral organs leading to a number of clinical phenotypes. In the biallelic or heterozygous state,
GBA
mutations increase the risk for
PD
. Mutations of the
GBA
allele are the most significant genetic risk factor for idiopathic
PD
, found in 5%–20% of idiopathic
PD
cases depending on ethnicity. The neurological consequences of
GBA
mutations are reviewed and the proposition that
GBA
mutations result in a disparate but connected range of clinically and pathologically related neurological features is discussed. The literature relating to the clinical, biochemical and genetic basis of
GBA PD
, type 1 GD and neuronopathic GD is considered highlighting commonalities and distinctions between them. The evidence for a unifying disease mechanism is considered.
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