Unfolded protein response markers Grp78 and eIF2alpha are upregulated with increasing alpha-synuclein levels in Lewy body disease.

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY Neuropathology and Applied Neurobiology Pub Date : 2024-08-01 DOI:10.1111/nan.12999
Dominik Hrabos, Ilaria Poggiolini, Livia Civitelli, Emilia Galli, Chris Esapa, Mart Saarma, Päivi Lindholm, Laura Parkkinen
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Abstract

Aims: Endoplasmic reticulum stress followed by the unfolded protein response is one of the cellular mechanisms contributing to the progression of α-synuclein pathology in Parkinson's disease and other Lewy body diseases. We aimed to investigate the activation of endoplasmic reticulum stress and its correlation with α-synuclein pathology in human post-mortem brain tissue.

Methods: We analysed brain tissue from 45 subjects-14 symptomatic patients with Lewy body disease, 19 subjects with incidental Lewy body disease, and 12 healthy controls. The analysed brain regions included the medulla, pons, midbrain, striatum, amygdala and entorhinal, temporal, frontal and occipital cortex. We analysed activation of endoplasmic reticulum stress via levels of the unfolded protein response-related proteins (Grp78, eIF2α) and endoplasmic reticulum stress-regulating neurotrophic factors (MANF, CDNF).

Results: We showed that regional levels of two endoplasmic reticulum-localised neurotrophic factors, MANF and CDNF, did not change in response to accumulating α-synuclein pathology. The concentration of MANF negatively correlated with age in specific regions. eIF2α was upregulated in the striatum of Lewy body disease patients and correlated with increased α-synuclein levels. We found the upregulation of chaperone Grp78 in the amygdala and nigral dopaminergic neurons of Lewy body disease patients. Grp78 levels in the amygdala strongly correlated with soluble α-synuclein levels.

Conclusions: Our data suggest a strong but regionally specific change in Grp78 and eIF2α levels, which positively correlates with soluble α-synuclein levels. Additionally, MANF levels decreased in dopaminergic neurons in the substantia nigra. Our research suggests that endoplasmic reticulum stress activation is not associated with Lewy pathology but rather with soluble α-synuclein concentration and disease progression.

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在路易体疾病中,随着α-突触核蛋白水平的增加,折叠蛋白反应标记物GRP78和eIF2alpha也随之上调。
目的:内质网应激和未折叠蛋白反应是导致帕金森病和其他路易体疾病中α-突触核蛋白病变进展的细胞机制之一。我们的目的是研究人类死后脑组织中内质网应激的激活及其与α-突触核蛋白病理学的相关性:我们分析了 45 名受试者的脑组织--14 名有症状的路易体病患者、19 名偶发路易体病患者和 12 名健康对照者。分析的脑区包括延髓、脑桥、中脑、纹状体、杏仁核以及内叶、颞叶、额叶和枕叶皮层。我们通过未折叠蛋白反应相关蛋白(Grp78、eIF2α)和内质网应激调节神经营养因子(MANF、CDNF)的水平分析了内质网应激的激活情况:结果:我们发现,内质网定位的两种神经营养因子(MANF和CDNF)的区域水平不会随着α-突触核蛋白病理学的累积而改变。eIF2α在路易体病患者纹状体中上调,并与α-突触核蛋白水平的增加相关。我们在路易体病患者的杏仁核和黑质多巴胺能神经元中发现了伴侣蛋白Grp78的上调。杏仁核中的GRP78水平与可溶性α-突触核蛋白水平密切相关:我们的数据表明,GRP78和eIF2α的水平发生了强烈但具有区域特异性的变化,这与可溶性α-突触核蛋白的水平呈正相关。此外,黑质多巴胺能神经元中的 MANF 水平也有所下降。我们的研究表明,内质网应激激活与路易病理学无关,而是与可溶性α-突触核蛋白浓度和疾病进展有关。
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来源期刊
CiteScore
8.20
自引率
2.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: Neuropathology and Applied Neurobiology is an international journal for the publication of original papers, both clinical and experimental, on problems and pathological processes in neuropathology and muscle disease. Established in 1974, this reputable and well respected journal is an international journal sponsored by the British Neuropathological Society, one of the world leading societies for Neuropathology, pioneering research and scientific endeavour with a global membership base. Additionally members of the British Neuropathological Society get 50% off the cost of print colour on acceptance of their article.
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