Multiple system atrophy (MSA) is a neurodegenerative disease caused by an accumulation of ␣-synuclein (␣-syn) in oligodendrocytes. Little is known about the cellular mechanisms by which ␣-syn accumulation causes neuronal degeneration in MSA. Our previous research, however, revealed that in a mouse model of MSA, oligodendrocytic inclusions of ␣-syn induced neuronal accumulation of ␣-syn, as well as progressive neuronal degeneration. Here we identify the mechanisms that underlie neuronal accumulation of ␣-syn in a mouse MSA model. We found that the ␣-syn protein binds to -III tubulin in microtubules to form an insoluble complex. The insoluble ␣-syn complex progressively accumulates in neurons and leads to neuronal dysfunction. Furthermore, we demonstrated that the neuronal accumulation of insoluble ␣-syn is suppressed by treatment with a microtubule depolymerizing agent. The underlying pathological process appeared to also be inhibited by this treatment , providing promise for future therapeutic approaches.