Deposits of amyloid fibrils of α-synuclein are the histological hallmarks of Parkinson's disease, multiple system atrophy, and dementia with Lewy bodies. Although most cases of these diseases are sporadic, autosomal-dominant hereditary mutations have been linked to Parkinson's disease and dementia with Lewy bodies. Seeing the changes to the structure of amyloid fibrils bearing these mutations may help to understand these diseases. To this end, we determined the cryo-EM structures of α-synuclein fibrils containing the H50Q hereditary mutation. We find that the H50Q mutation results in two new polymorphs of α-synuclein, which 2 `we term Narrow and Wide Fibrils. Both polymorphs recapitulate the conserved kernel formed by residues 50-77 observed in wild-type structures; however, the Narrow and Wide Fibrils reveal that H50Q disrupts a key interaction between H50-E57 on the opposing protofilament, abolishing the extensive protofilament interface formed by preNAC residues in the wild-type "rod" structure. Instead, the Narrow Fibril is formed from a single protofilament and the two protofilaments of the Wide protofilament are held together by only a pair of atomsthe Cɣ atoms from the two threonine 59 sidechains. Further, we find that H50Q forms an intramolecular hydrogen bond with K45 leading to the formation of a novel β-arch formed by residues 36-46 that features an extensive hydrogen-bond network between Y39, T44, and E46. The structures of the H50Q polymorphs help to rationalize the faster aggregation kinetics, higher seeding capacity in biosensor cells, and greater cytotoxicity we observe for H50Q compared to wild-type α-synuclein.
Introduction:Several lines of evidence suggest that aggregation of α-synuclein (α-syn) into amyloid fibrils underlies the group of diseases termed synucleinopthies -Parkinson's Disease (PD), Lewy Body Dementia (LBD), and Multiple Systems Atrophy (MSA): 1) α-syn fibrils are found in the hallmark lesions of PD and LDB -Lewy Bodiesas well as in the hallmark glial and neuronal lesions in MSA 1,2 . 2) Hereditary mutations in α-syn have been linked to PD and LDB 3 . 3) Dominantly inherited duplications and triplications of the chromosomal region that contains wild-type SNCAthe gene that encodes α-synare sufficient to cause PD 4-6 . 4) Recombinantly assembled α-syn fibrils show cross-β structure and their injection into the brains of wild-type 3 ` mice induced PD-like Lewy body and Lewy neurite formation, as well as cell-to-cell spreading, and motor deficits reminiscent of PD 7,8 .Advances in solid-state NMR and cryo-EM have greatly increased our knowledge of the structure of full-length amyloid proteins, allowing us to examine interactions beyond the local views provided by crystallographic methods 9-13 . Therefore, we previously used cryo-EM to determine the structures of wild-type full-length α-syn fibrils (Figure 1 b, left). These structures reveal two distinct polymorphs -termed the rod and twister 14 . Both fibrils are wound from two identical protofilaments related by an approximate 21 fi...