2019
DOI: 10.1111/jnc.14704
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How is alpha‐synuclein cleared from the cell?

Abstract: The levels and conformers of alpha‐synuclein are critical in the pathogenesis of Parkinson's Disease and related synucleinopathies. Homeostatic mechanisms in protein degradation and secretion have been identified as regulators of alpha‐synuclein at different stages of its intracellular trafficking and transcellular propagation. Here we review pathways involved in the removal of various forms of alpha‐synuclein from both the intracellular and extracellular environment. Proteasomes and lysosomes are likely to pl… Show more

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Cited by 128 publications
(127 citation statements)
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References 131 publications
(304 reference statements)
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“…Overexpression of human α-syn in the substantia nigra of immune competent mice results in microglial activation, MHC II activation, T cell and monocyte entry into the brain and consequently, loss of substantia nigra neurons [33,60,61]. Our findings support these prior studies by showing that intrastriatal injection of human α-syn PFFs leads to elevated phosphorylated α-syn pathology in immunodeficient compared to wildtype mice [62]. The exacerbation of pathology observed in PFFs injected immunocompromised mice was partially mitigated by adoptive transfer of T cells.…”
Section: Discussionsupporting
confidence: 88%
“…Overexpression of human α-syn in the substantia nigra of immune competent mice results in microglial activation, MHC II activation, T cell and monocyte entry into the brain and consequently, loss of substantia nigra neurons [33,60,61]. Our findings support these prior studies by showing that intrastriatal injection of human α-syn PFFs leads to elevated phosphorylated α-syn pathology in immunodeficient compared to wildtype mice [62]. The exacerbation of pathology observed in PFFs injected immunocompromised mice was partially mitigated by adoptive transfer of T cells.…”
Section: Discussionsupporting
confidence: 88%
“…Recently, it has been proposed that astrocyte and microglia could participate in the exosome-mediated clearance of α-synuclein [70]. However, the absence of α-synuclein immunoreactivity in GFAP (+) cells does not support such a role for astrocytes.…”
Section: Discussionmentioning
confidence: 97%
“…While experimental evidence on the role of UPS in metabolizing α-syn dates back to the early 2000s [52,[117][118][119]140,[144][145][146][147] the implication of autophagy was evident a few years later, and fully confirmed in recent in vivo studies on ATG7-depleted DA neurons [121][122][123]. These studies indicate that both UPS and autophagy are seminal for the survival of DA neurons, since inhibition of either pathway leads to parkinsonism featuring a massive loss of midbrain DA neurons and α-syn accumulation within ubiquitin-positive Lewy body-like inclusions in surviving neurons [119,121,122,140].…”
Section: Alpha-synucleinmentioning
confidence: 99%