Literature DB >> 25426138

Phosphatases of α-synuclein, LRRK2, and tau: important players in the phosphorylation-dependent pathology of Parkinsonism.

Jean-Marc Taymans1, Veerle Baekelandt1.   

Abstract

An important challenge in the field of Parkinson's disease (PD) is to develop disease modifying therapies capable of stalling or even halting disease progression. Coupled to this challenge is the need to identify disease biomarkers, in order to identify pre-symptomatic hallmarks of disease and monitor disease progression. The answer to these challenges lies in the elucidation of the molecular causes underlying PD, for which important leads are disease genes identified in studies investigating the underlying genetic causes of PD. LRRK2 and α-syn have been both linked to familial forms of PD as well as associated to sporadic PD. Another gene, microtubule associated protein tau (MAPT), has been genetically linked to a dominant form of frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17) and genome-wide association studies report a strong association between MAPT and sporadic PD. Interestingly, LRRK2, α-syn, and tau are all phosphorylated proteins, and their phosphorylation patterns are linked to disease. In this review, we provide an overview of the evidence linking LRRK2, α-syn, and tau phosphorylation to PD pathology and focus on studies which have identified phosphatases responsible for dephosphorylation of pathology-related phosphorylations. We also discuss how the LRRK2, α-syn, and tau phosphatases may point to separate or cross-talking pathological pathways in PD. Finally, we will discuss how the study of phosphatases of dominant Parkinsonism proteins opens perspectives for targeting pathological phosphorylation events.

Entities:  

Keywords:  LRRK2; PP1; PP2A; Parkinson disease; alpha-synuclein; phosphatase; phosphorylation; tau proteins; tauopathies

Year:  2014        PMID: 25426138      PMCID: PMC4224088          DOI: 10.3389/fgene.2014.00382

Source DB:  PubMed          Journal:  Front Genet        ISSN: 1664-8021            Impact factor:   4.599


INTRODUCTION

Parkinson’s disease (PD) is an incurable disease of aging characterized by the progressive death of dopaminergic cells in the midbrain as well as by α-synuclein-rich intracytoplasmic depositions called Lewy bodies (LBs). Treatments which alleviate disease symptoms have been available for several decades; however, these do not halt disease progression. The development of disease-modifying therapies to replace the symptomatic treatments is therefore a major priority in the biomedical research field. Genetic studies of families with a history of PD (genetic linkage studies) as well as of PD patient groups compared to matched groups of healthy individuals (genetic association studies) have identified genes and genomic variants which contribute to the development of PD (Gasser, 2009; Nalls et al., 2011). These studies have revealed at least 20 PD genes, many of which are currently the subject of studies aiming to understand their biology and disease mechanisms. For instance, several PD genes, such as parkin, DJ-1, Pten induced kinase 1 (PINK1), or ATP13A2, contribute to early onset autosomal recessive forms of Parkinsonism. Other genes are linked to Parkinsonism in an autosomal dominant fashion and are responsible for early onset forms of PD (α-synuclein duplications or triplications, some families with mutated α-synuclein) as well as the more common late onset forms of Parkinsonism (α-synuclein mutants, tau, LRRK2, VPS35, or EIF4G1; Houlden and Singleton, 2012). In this review, we focus on the dominant proteins α-synuclein, tau, and LRRK2 in light of the importance of their phosphorylation for their biological functioning. Mutations in α-synuclein (SNCA, PARK1/4) and mutations in leucine-rich repeat kinase type 2 (LRRK2, PARK8) are linked to autosomal-dominant forms of PD (Gasser, 2009). Also, although protein deposition of microtubule associated protein tau (MAPT) is a feature of Alzheimer’s disease (AD), MAPT gene mutations cause frontotemporal dementia (FTD) with Parkinsonism. Interestingly, these three dominant genes in Parkinsonism (MAPT, SNCA, and LRRK2) have also been identified as risk factors for sporadic PD in genome-wide association studies (GWAS; Taymans and Cookson, 2010; Sharma et al., 2012). The dominant mode of disease transmission through these genes also suggests a gain of toxic function mechanism pointing to an inhibition of toxic function as potential therapeutic strategies. LRRK2, α-syn, and tau are all phosphorylated proteins, and their phosphorylation patterns are linked to disease (Lobbestael et al., 2012; Tenreiro et al., 2014). Early work showed that hyperphosphorylation of tau is correlated to pathology of tauopathies and phosphorylation of α-syn at serine129 is correlated to synucleinopathies (for reviews, see references Martin et al., 2011; Tenreiro et al., 2014); therefore much work has focused on identifying and characterizing kinases of these proteins (for reviews, see references Vancraenenbroeck et al., 2011; Martin et al., 2013b; Tenreiro et al., 2014). The characterization of LRRK2 phosphorylation and the link to disease is still underway although some evidence suggests that a site-dependent mixed phosphorylation state is indicative of disease. Tau and synuclein kinases have been considered as potential therapeutic targets for synucleinopathies and tauopathies and several compounds have been developed for these kinases and tested in preclinical models (for reviews on these topics, see references Vancraenenbroeck et al., 2011; Kramer et al., 2012; Tell and Hilgeroth, 2013). In this review, we will discuss the second main component in the regulation of protein phosphorylation of LRRK2, α-syn, and tau, namely phosphatases. We will briefly introduce the three proteins and discuss what is known about their dephosphorylation and which phosphatases and phosphatase regulators are involved. We will also discuss the relationships between the three proteins with regards to their cognate phosphatases and discuss targeting of phosphatase holoenzymes of LRRK2, α-syn, and tau as a potential phosphomodulatory therapeutic approach.

ALPHA-SYNUCLEIN

The involvement of α-syn in PD was initially identified through genetic linkage studies in a small number of families (Polymeropoulos et al., 1997), including mutations as well as gene duplications (Chartier-Harlin et al., 2004) and triplications (Singleton et al., 2003). Recently, strong association was shown between α-syn and sporadic PD in GWAS (Satake et al., 2009; Simon-Sanchez et al., 2009). Also, α-syn is a major component of LBs (Spillantini et al., 1997). These arguments illustrate that α-syn is a central player in the pathogenesis of PD. Studies investigating the phosphorylation of α-syn in diseased and aged brains have shown that α-syn can be phosphorylated at serines (S87, S129) as well as at several tyrosines including Y125, Y133, and Y136 (Figure ). The pY125 modification has been reported to be inversely correlated with PD-related pathology. Indeed, pY125 appears to protect brains against α-syn mediated toxicity, as this modification is reduced in aged human brain tissue and absent in brain tissue affected by Lewy body dementia (Chen and Feany, 2005; Chen et al., 2009). The pS129 modification on the other hand is most often correlated with PD pathology. This notion is primarily supported by the finding that the majority of α-syn in LBs in postmortem PD brains is phosphorylated at S129 (pS129; Fujiwara et al., 2002; Hasegawa et al., 2002; Anderson et al., 2006). The S129 phosphorylation of α-syn in aggregates has also been observed in animal models of PD (Kahle et al., 2000; Neumann et al., 2002; Takahashi et al., 2003). Mechanistic studies have shown that aggregated forms of α-syn are more prone to phosphorylation and that pS129 phosphorylated aggregates accumulate as the disease progresses (Waxman and Giasson, 2008; Mbefo et al., 2010; Paleologou et al., 2010; Waxman and Giasson, 2011), suggesting that the degree of α-syn pS129 phosphorylation is an indicator of disease progression. Schematic of α-synuclein and its phosphorylation sites. α-syn is a small protein of 140 amino acids in length. It is subdivided into three domains, an N-terminal alpha-helical domain, a central NAC domain (standing for non-Abeta-component) and an acidic C-terminal domain. The S129 site is hyperphosphorylated in disease and is regulated by a phosphatase of the heterotrimeric PP2A class. Please refer to Table for an overview of studies on phosphatases regulating α-syn phosphorylation. The link between S129 phosphorylation and PD pathology has fueled an interest in modulating α-syn phosphorylation at S129 as a potential therapy for PD (Vancraenenbroeck et al., 2011). Multiple kinases have been identified which phosphorylate α-syn at S129, with most evidence pointing to polo-like kinase 2 (PLK2) as the primary phosphorylated of α-syn S129 [for an extended up to date review of α-syn phosphorylation, please refer to Tenreiro et al. (2014)]. A straightforward therapeutic approach based on reducing α-syn phospho-S129 would be to inhibit PLK2 kinase activity; however some contradictory findings should be taken into account. For instance, overexpression of PLK2 in rat brain using adeno-associated viral vectors can suppress α-syn toxicity by promoting autophagy-mediated degradation of phospho-S129 α-syn (Oueslati et al., 2013). Therefore, therapies based on modulating α-syn phospho-S129 appears to require an optimal phosphorylation level rather than a complete dephosphorylation.

PHOSPHATASES OF α-SYN

Few studies have sought to identify phosphatases of α-syn (Braithwaite et al., 2012); however, concurring data point to PP2A as a major phosphatase of the S129 site. For instance, PP2A enzyme but not PP1 is shown to dephosphorylate α-syn-pS129 in vitro (Lee et al., 2011), and treatment of cells with the PP2A inhibitor okadaic acid (OA) but not the PP1 inhibitor tautomycin leads to an increased level of α-syn-pS129. Further characterization showed that α-syn-pS129 was increased upon knockdown of the PP2A catalytic subunit and when PP2A enzyme is methylated. It is important to note that the phosphatases of the PP2A class function in complexes called holoenzymes, which are composed of regulatory and catalytic phosphatase subunits. In the case of PP2A phosphatases, these are composed of a catalytic subunit (PPP2CA or PPP2CB) together with a scaffold subunit (Aα or Aβ) and a regulatory subunit (of which there are four families, B, B′, B′′, and B′′′, each with 2–5 different members). The precise heterotrimeric composition of the holoenzyme guides PP2A to specific substrate sites. Accordingly, the testing of four different holoenzyme compositions shows that holoenzymes with regulatory subunits of the B family are more efficient at dephosphorylating α-syn-pS129 than those of the B′ and B′′ families. Interestingly, α-syn may function in a feedback loop with PP2A, with studies reporting that α-syn has the ability to activate PP2A activity (Peng et al., 2005) and that phospho-S129 α-syn is less efficient at activating PP2A (Lou et al., 2010). PP2A enzymes have the particularity that their enzymatic activity is positively regulated by its methylation which is itself regulated via the opposing activities of a PP2A-specific methyltransferase and a PP2A-specific methylesterase (PME). Accordingly, treatment of mice with the PME inhibitor eicosanoyl-5-hydroxytryptamide (EHT) increases PP2A methylation as well as decreased α-syn-pS129 levels in brain and a concurrent reduction in synuclein pathology (Lee et al., 2011). Related to this, the diabetes drug metformin was shown to reduce α-syn phosphorylation at S129 through activation of PP2A and inhibition of mammalian target of rapamycin (mTOR; Perez-Revuelta et al., 2014). These studies confirm a primordial role of PP2A in the phosphoregulation of α-syn at S129 and also provide a proof-of-principle that phosphorylation levels of α-syn can be modulated by targeting its phosphatases. Thus far, no phosphatases have been described for the tyrosine phosphorylation sites of α-syn. An overview of α-syn phosphatases is given in Table . Overview of studies reporting phosphatases regulating α-syn phosphorylation.

LRRK2

LRRK2 is a complex protein of 2527 amino acids containing several predicted functional domains (Figure ). Several arguments underline the importance of LRRK2 for PD. First, LRRK2 is one of the most prevalent causes of monogenic PD. Furthermore, LRRK2 mutations are present in apparently sporadic cases of PD, with prevalences of 2% to up to 40% in certain population groups and LRRK2 was recently genetically associated to PD in several independent GWAS (Satake et al., 2009; Simon-Sanchez et al., 2009). Finally, PD patients carrying the LRRK2 mutations show a clinical and neuropathological profile which is virtually indistinguishable to sporadic PD (Healy et al., 2008), indicating that LRRK2 may contribute to a PD disease pathway common to both familial and sporadic PD. Schematic of LRRK2 domain structure and currently identified LRRK2 phosphatases. Phosphorylation sites are indicated above the LRRK2 schematic, for those sites confirmed independently by at least two different groups. Sites represented in blue indicate cellular transphosphorylation sites, in orange in vitro autophosphorylation sites and in green autophosphorylation sites confirmed in cells. Disease mutants are indicated below the schematic in black, mutations in italics are risk factor mutations. Arrows (for S910/S935/S955/S973/S1292) indicate the most common regulation of phosphorylation (up or down) observed across most disease mutants. Different sites are likely regulated in different ways, including through PP1 and a yet to be defined phosphatase sensitive to okadaic acid (OA). Please refer to Table comparing the regulation of phosphorylation at S935 compared to S1292. LRRK2 is a highly phosphorylated protein and phosphosite mapping studies have distinguished two notable clusters of phosphorylation sites, one in or near the Ras of complex proteins (ROC) domain (Greggio et al., 2009; Kamikawaji et al., 2009) and another in the interdomain region between the ankyrin repeat (ANK) and leucine rich repeat (LRR) domains (see Figure ; West et al., 2007; Gloeckner et al., 2010; Nichols et al., 2010; see reference Lobbestael et al., 2012 for a detailed overview of studies reporting LRRK2 phosphorylation sites). The physiological and pathological relevance of LRRK2 phosphorylation has only just begun to be described. For instance, phosphosites of the ANK-LRR interdomain region, including the S910/S935/S955/S973 sites, are sites phosphorylated by upstream kinases. These sites are detectable in basal conditions in multiple cellular and tissular systems, including for endogenous LRRK2 in Swiss 3T3 or NIH3T3 cells (Nichols et al., 2010; Lobbestael et al., 2013), mouse primary neurons (Lobbestael et al., 2013), mouse brain, kidney, and lung (Deng et al., 2011; Choi et al., 2012; Zhang et al., 2012; Delbroek et al., 2013), mouse embryonic fibroblasts (Dzamko et al., 2012), mouse bone marrow derived macrophages (Dzamko et al., 2012) and human peripheral blood mononuclear cells (Dzamko et al., 2013). The S910 and S935 sites mediate an interaction of LRRK2 with 14-3-3 proteins and regulate LRRK2 cellular localization (Nichols et al., 2010). The search for the kinases responsible for phosphorylating LRRK2 at this cluster is still ongoing. Studies in vitro and in COS-7 cells have suggested a role for protein kinase A as an upstream kinase of the S910–S935 sites (Muda et al., 2014), however, these findings are not confirmed in other cell types such as HEK293T cells (Reynolds et al., 2014), suggesting cell-specific mechanisms of phosphorylation. This is further supported by the work of Dzamko et al. (2012) who show that inhibitor of kappa B kinases (IKKs) phosphorylate LRRK2 in bone marrow-derived macrophages upon activation of toll-like receptor signaling which is specific to immune cells. The phosphorylation pattern of LRRK2 is completely different from that of its closest homolog LRRK1 which does not contribute to PD, suggesting that phosphorylation regulation of LRRK2 is a potential mechanism distinguishing LRRK2 from LRRK1 functionally. Phosphorylation levels of the ANK-LRRK interdomain phosphosites are reduced for several pathogenic mutants such as R1441C/G, Y1699C, I2020T (Nichols et al., 2010; Li et al., 2011; Lobbestael et al., 2013). This observation suggests that the reduction in LRRK2 phosphorylation levels may be involved in the pathogenic mechanism of LRRK2 PD. A corollary of that conclusion is that reduced LRRK2 phosphorylation may be used as a biomarker, however, there are some caveats. For instance, the most prevalent LRRK2 variant in patients, G2019S, does not display reduced phosphorylation levels and a recent study reported no differences in LRRK2 S935 phosphorylation in PBMCs of PD patients compared to matched healthy individuals (Dzamko et al., 2013). Nevertheless, the striking phosphorylation reduction at the ANK-LRR sites seen in all other confirmed LRRK2 pathogenic mutants warrants further evaluation as a disease or diagnostic biomarker. The other major group of phosphorylation sites for LRRK2 is comprised of autophosphorylation sites. These are sites which were initially identified on LRRK2 protein after in vitro incubation with ATP to allow the protein to autophosphorylate itself (Greggio et al., 2009; Kamikawaji et al., 2009; Gloeckner et al., 2010). The majority of these sites cluster in the ROC domain and studies with phospho-mimicking mutants show that at least some of these modifications (T1491D, T1503D) alter LRRK2 GTP-binding properties (Kamikawaji et al., 2009; Webber et al., 2011). The precise physiological relevance of autophosphorylation sites is unknown since the majority of these sites are undetectable in cells, even on overexpressed protein. The notable exceptions are the T1410 site located in the ROC domain identified in overexpressed LRRK2 in HEK293T cells (Pungaliya et al., 2010), the S1058 (Reyniers et al., 2014), and the S1292 site (Gloeckner et al., 2010; Pungaliya et al., 2010; Sheng et al., 2012), located in the 3rd and 13th of the 14 leucine-rich repeats of the leucine-rich repeat domain, respectively, just outside the ROC domain (Vancraenenbroeck et al., 2012). These reports suggest that at least some autophosphorylation events are occurring in cells. Specifically, the S1292 site has been characterized in more detail and displays a number of interesting features. The S1292 site is one of the few autophosphorylation sites located outside ROC. The site is phosphorylated at detectable levels in basal conditions in LRRK2 overexpressed in cell lines or in transgenic mice (Sheng et al., 2012) as well as on endogenous LRRK2 in lymphocytes (Reynolds et al., 2014). In contrast to what is described for the ANK-LRR interdomain sites, the S1292 levels are increased in cells for the majority of pathogenic mutants and decreased in LRRK2 kinase-dead variants (Sheng et al., 2012; Reynolds et al., 2014). Increased phosphorylation levels at S1292 may therefore be indicative of LRRK2’s pathogenic state; however, this remains to be tested in PD patients. Because the kinase activating mutant G2019S shows increased phospho-S1292 and kinase dead mutants show reduced phospho-S1292, it may be suggested that phospho-S1292 levels are indicative of LRRK2 kinase activity in cells, however, some discrepancies appear. For instance, other mutants, such as N1437H, R1441C, or R1441G which are significantly less active in their kinase activity than G2019S nevertheless display similar phospho-S1292 levels relative to the G2019S (Sheng et al., 2012; Reynolds et al., 2014). Two other pathogenic mutants, Y1699C and I2020T, which display kinase activity similar to WT or slightly increased, show varying phospho-S1292 levels depending on the system tested. Indeed, the Y1699C mutant displays increased phospho-S1292 levels in stable overexpression HEK293T cells (Reynolds et al., 2014) and unchanged phospho-S1292 levels in transfected HEK293T cells (Sheng et al., 2012), while the inverse is true for the I2020T mutant. Further work will be required to elucidate the precise regulation of phospho-S1292 levels in LRRK2. It also remains to be shown whether the conclusions here for S1292 (an autophosphorylation site which occurs in cells) also hold true for other autophosphorylation sites or whether this is a new ‘class’ of sites (besides the ROC autophosphorylation cluster and the ANK-LRR interdomain cluster). Of importance for the development of LRRK2 kinase inhibitors is that the majority of these sites is downregulated by kinase inhibitors and may therefore be used to assess inhibitor activity. For instance, the phosphorylation of autophosphorylation sites such as S1491 is inhibited by LRRK2 kinase inhibitors in vitro (Doggett et al., 2012). Also, cellular treatment with kinase inhibitors leads to a dephosphorylation of the ANK-LRR interdomain sites S910/S935/S955/S973 (Dzamko et al., 2010; Deng et al., 2011; Doggett et al., 2012) as well as the S1292 autophosphorylation site (Sheng et al., 2012; Reynolds et al., 2014). Intriguingly, although the ANK-LRR interdomain phosphorylations are not autophosphorylation sites, the observed dephosphorylation of LRRK2 by kinase inhibitors can be attributed to the activity of the inhibitors on LRRK2 itself. In sum, the emerging picture of LRRK2 phosphorylation is that LRRK2 is a highly phosphorylated protein where at least two, perhaps three, classes of phosphorylation sites can be discerned (see Figure ). A first class of phosphosites in LRRK2 is the in vitro autophosphorylation site class. These sites appear after in vitro autophosphorylation by purified LRRK2; however, their presence in cells is not confirmed. While these sites offer opportunities to develop assays of LRRK2 kinase activity, their physiological relevance is unclear. Further work will be required to determine whether these sites occur in physiological systems under specific conditions of activation, or whether the appearance of these phosphorylations is an in vitro phenomenon. A second class of LRRK2 phosphorylation sites may be termed ‘cellular’ phosphorylation sites, including those sites of the ANK-LRR interdomain region introduced above, exemplified by the S935 site. Finally, the third and most recent class of LRRK2 phosphorylation sites is the class of cellular autophosphorylation sites, exemplified by the S1292 site, which are detected in cells and which also increase after in vitro autophosphorylation. The cellular sites (S935) and cellular autophosphorylation sites (S1292) are the most physiologically relevant and the comparison of both sites (summarized in Table ) suggests that these may be useful indicators of LRRK2 activity or pathology. With a few exceptions, pathogenic mutants of LRRK2 display decreased phospho-S935 levels and increased phospho-S1292 levels. It remains to be confirmed whether these changes can be used as diagnostic or disease biomarkers, either individually or together. Interestingly, cellular treatment with kinase inhibitors leads to a reduction of both S935 and S1292. Therefore, both sites are also useful as pharmacodynamic marker to assess activity of kinase inhibitors in cellular and animal models. Comparison of the two different LRRK2 phosphorylation sites pS935 and pS1292.

PHOSPHATASES OF LRRK2

We recently reported that protein phosphatase 1 (PP1) is a main phosphatase of the LRRK2 ANK-LRR interdomain sites (Lobbestael et al., 2013). The study first shows that of a panel of recombinant serine/threonine phosphatases, only protein phosphatase 1 can efficiently dephosphorylate LRRK2 in vitro. In vitro dephosphorylation was demonstrated on purified LRRK2 protein which was previously metabolically labeled by radioactive phosphates, showing that PP1 is responsible for dephosphorylation at the majority of LRRK2’s phosphosites, a finding confirmed for 4 sites with phospho-specific antibodies, i.e., S910, S935, S955, and S973. Upon pharmacological inhibition of cells with either PP1 or PP2A phosphatase inhibitors, it was observed that PP1 but not PP2A inhibition could reverse LRRK2 dephosphorylation. Interestingly, the effects of PP1 in LRRK2 phosphorylation could be confirmed in multiple cell types including HEK293T, SH-SY5Y neuroblastoma cells, mouse primary cortical neurons, U2OS osteosarcoma cells, NIH3T3 mouse fibroblast cells and A549 human lung cancer cells. This shows that PP1 is active as a LRRK2 phosphatase independent of the cell type tested, and it may be predicted that PP1 can dephosphorylate LRRK2 throughout the body. Similar to PP2A phosphatases, PP1 class phosphatases are holoenzymes which are composed of one catalytic subunit, responsible for catalyzing the actual dephosphorylation event, and one regulatory subunit, responsible for directing the holoenzyme to its specific substrates. There are more than 150 PP1 regulatory subunits reported, allowing several 100 possible holoenzyme compositions (Bollen et al., 2010). This mode of functioning is necessary given that only three PP1 catalytic subunits are expressed in mammalian cells (PP1α, PP1β, and PP1γ; HGNC codes PPP1CA, PPP1CB, and PPP1CC) which on their own are insufficiently diverse to account for the specificity in the huge volume of phosphatase activity mediated by PP1. Indeed, PP1 together with PP2A (which is represented by only two catalytic subunits, PPP2CA and PPP2CB, see below) account for more than 90% of the protein phosphatase activity in eukaryotes (Moorhead et al., 2007; Virshup and Shenolikar, 2009). This is in stark contrast to the diversity for instance of kinases, of which there are ∼400 serine/threonine kinases (Manning et al., 2002). Therefore, a key issue is to identify the composition of the PP1 holoenzyme by identifying the LRRK2-specific PP1 regulatory subunit which associates with the PP1 catalytic subunit. There is little data available on the phosphatases involved in the regulation of LRRK2 phosphosites outside of the ANK-LRR interdomain region, however, initial evidence suggests that other phosphatases are at play. Work done at the S1292 site shows that inhibitor induced dephosphorylation of LRRK2 at S1292 is insensitive to the phosphatase inhibitors calyculin A (mixed PP1 and PP2A inhibitor) and OA (selective PP2A inhibitor; Reynolds et al., 2014), in contrast to what is observed at the S935 site where inhibitor induced dephosphorylation is inhibited by calyculin A (Lobbestael et al., 2013). However, the low basal S1292 phosphorylation levels of the R1441G mutant is upregulated by both calyculin A and OA treatment (Reynolds et al., 2014), while the S935 phosphorylation levels of the same mutant is only upregulated by calyculin A (Lobbestael et al., 2013). These findings suggest the hypothesis that PP2A, rather than PP1, is the phosphatase system regulating R1441G LRRK2 at S1292.

TAU

It may seem surprising to discuss Tau in relation to PD pathogenesis, as this protein has a relatively long history as a protein involved in neurodegenerative dementias; however, accumulating evidence puts this protein to the forefront in PD with a number of reports pointing to specific properties of Tau in PD distinguishing it from Tau in other neurodegenerative disorders. Tau is a microtubule associating protein which is involved in several neurodegenerative diseases including AD, progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), and some cases of frontotemporal lobar dementia (FTLD). Although tau is mostly associated to dementias, the tau gene has also been identified as a risk factor for PD via genome wide association studies (GWAS; Sharma et al., 2012). The genetic association of MAPT locus variants with PD is a striking finding, and is in stark contrast with the fact that no genetic associations of the MAPT locus are observed in AD (Lambert et al., 2013), showing that tau contributes to both AD and PD but via separate mechanisms. Tau can occur in six different splice isoforms ranging in size from 352 to 441 amino acids and at least 45 potential tau phosphorylation sites have been reported, including serine, threonine and tyrosine phosphorylation sites [see figure schematic representation of tau protein and the localization of phosphorylation sites, Figure ; for reviews of tau phosphorylation, please refer to Martin et al. (2013a,b) and Tenreiro et al. (2014)]. Several kinases have been reported to phosphorylate tau. These include proline directed kinases [glycogen synthase kinase 3 (GSK3), cyclin dependent kinase 5 (CDK5), and 5′ adenosine monophosphate-activated protein kinase (AMPK)], non-proline directed kinases [casein kinase 1 (CK1), microtubule affinity regulating kinases (MARKs), death associated protein kinase 1 (DAPK1), cyclic AMP-dependent protein kinase A (PKA) and dual specificity tyrosine-phosphorylation regulated kinase 1A (DYRK-1A)] as well tyrosine kinases including Fyn, Abl, and Syk. The inhibition of tau phosphorylation has been proposed as a therapeutic strategy in tauopathies including early phase clinical testing of GSK-3β inhibition (Del Ser et al., 2013). Schematic representation of the tau protein and its phosphorylation sites. Depicted in red are mutations associated with frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17). Four main classes of phosphatases reported to regulate tau phosphorylation are given above the schematic. (Tau schematic adapted from Martin et al., 2011 and Tenreiro et al., 2014). Please refer to Table for an overview of sites regulated by each of the four main tau phosphatase classes. Tau phosphorylation is important for tau function/dysfunction as hyperphosphorylation of tau is generally correlated with the formation of tau protein aggregates which are major components of neurofibrillary tangles, one of the main neuropathological hallmarks of AD which is also observed in other tauopathies including PD. Phosphorylated tau also more specifically influences its affinity for microtubules and high phosphorylation levels of tau have been reported to negatively influence cytoskeleton, synaptic functions as well as cell viability (Buee et al., 2000). Recently, some work has appeared showing some differences in the tau phosphorylation pattern in post-mortem brain of tauopathies, including PD (Duka et al., 2013). This work revealed notable differences in phosphorylation patterns between PD and other tauopathies. For instance, S202, T205, S262, S409 are hyperphosphorylated in AD and DLB, but are unchanged in PD, while others such as T181, S184, S195, S198, S237, S400 are hyperphosphorylated in all three, AD, DLB, and PD. It remains to be confirmed that these varying phosphorylation patterns are indeed related to the varying pathology observed in these different diseases.

PHOSPHATASES OF TAU

In light of the importance of tau phosphorylation for its pathology, several studies have sought to identify phosphatases dephosphorylating tau (reviewed in Martin et al., 2013a). These studies reveal a predominant role for PP2A, which is the most efficient phosphatase to dephosphorylate tau in vitro at S202, S262, and S356, but not S396 (Bennecib et al., 2000; Kuszczyk et al., 2009; Martin et al., 2009). This finding has been related to AD where to PP2A activity is reduced by up to 50% in AD brains (Voronkov et al., 2011; Martin et al., 2013a), observations pointing towards the potential of targeting PP2A for therapy in tauopathies, although this relation has yet to be explored in PD. Besides the major role for PP2A, other phosphatases have also been found to act on tau phosphorylation. For instance, PP1 has been reported to act on tau at a limited number of sites in AD brains (T212, T217, S262, S396, S422; Rahman et al., 2005). Similarly, PP2B (aka calcineurin) is able to dephosphorylate tau at S262 and S396 (Rahman et al., 2006) while PP5 is reported to dephosphorylate tau at sites S198–S199–S202, T231–S235, S262–S356, S396–S404, and S422 (Gong et al., 2004). An overview of these four classes of phosphatases and the precise sites reported to be regulated by each is given in Table . Overview of different classes of phosphatases reported to regulate tau phosphorylation sites, including PP1, PP2A, PP2B, and PP5. Thus far, the precise regulatory subunits, which may render specificity of these phosphatases to specific tau phosphosites, have yet to be elucidated and confirmed. Some evidence points to the importance of the PP2A regulatory Bα subunit in PP2A mediated phosphoregulation of tau. Expression of the Bα subunit of PP2A is decreased in frontal and temporal cortices of AD brain (Sontag et al., 1999, 2004), although it is not known if Bα subunit expression is altered in PD brain. In in vitro assays, the Bα subunit is found to direct the PP2A holoenzyme to microtubules (Xu et al., 2008; Virshup and Shenolikar, 2009), consistent with a role for the Bα subunit in the PP2A holoenzyme dephosphorylating tau.

POTENTIAL INTERPLAY BETWEEN PHOSPHORYLATION OF LRRK2, α-SYN, AND TAU

As LRRK2, α-syn, and tau are all three involved in dominant Parkinsonism, the hypothesis has been put forward that these three proteins interact in pathological pathways (Taymans and Cookson, 2010), most notably with synuclein and tau acting as toxic proteins and LRRK2 acting as an upstream modulator. Experimental evidence from animal models has begun to support the hypothesis of an interaction between these proteins in PD pathology. For instance, toxicity induced by high α-syn levels in mouse brain is attenuated in LRRK2 knockout mice, both in transgenic mice with high α-syn (inducible CaMKII promoter) expression levels (Lin et al., 2009) as well as after viral delivery of α-syn (Daher et al., 2014), although this has not been replicated in other transgenic mice using other promoters to drive LRRK2 and α-syn expression such as the Thy1 promoter (Herzig et al., 2012) or PrP promoter (Daher et al., 2012) suggesting that the effect is dependent on expression patterns or levels. Several reports show that LRRK2 overexpression affects tau expression or tau phosphorylation (see below), supporting the hypothesis that LRRK2 modulates tau although whether LRRK2 is required for tau toxicity has yet to be tested. Interestingly, the injection of α-syn fibrillar strains into mouse brain is shown to induce tau aggregation (Guo et al., 2013), suggesting an interconnection between α-syn and tau pathological mechanisms. Studies of relationships between LRRK2, α-syn, and tau showing pairwise interactions between these proteins suggest that 3-way interaction studies, which are currently still lacking, are warranted. More information on the overall interplay between these three proteins in PD pathology can be found in recent reviews covering this topic (Greggio et al., 2011; Tenreiro et al., 2014). With regards to the topic of the present review, we highlight below the relationships between LRRK2, α-syn, and tau with regard to their phosphorylation regulation. As LRRK2 is a kinase, it has been hypothesized that LRRK2 may phosphorylate α-syn or tau. Direct phosphorylation of α-syn by LRRK2 in vitro has been tested, however, this led to negative results [reference (Khan et al., 2005) and JMT, VB unpublished results]. Also, in LRRK2 overexpressing mice, phosphorylation levels of α-syn at S129 were found to be unchanged (Herzig et al., 2012) or even reduced compared to controls (Lin et al., 2009), countering the hypothesis that LRRK2 phosphorylates α-syn. Qing and colleagues reported that crude lysates of E. coli expressing LRRK2 as source of enzyme could phosphorylate α-syn at S129, suggesting that LRRK2 may regulate α-syn phosphorylation in conjunction with bacterial proteins (Qing et al., 2009), although this is unlikely to be representative of a human physiological situation. The direct phosphorylation of α-syn by LRRK2 can therefore be excluded. There is, however, evidence that LRRK2 may be involved in regulating tau phosphorylation. First, tau pathology has been observed in post-mortem brain of LRRK2 mutation carriers, including in carriers of the I1371V (Biernacka et al., 2011), N1437H (Puschmann et al., 2012), R1441C (Zimprich et al., 2004), Y1699C (Khan et al., 2005), G2019S (Lin et al., 2010), and I2020T (Ujiie et al., 2012) LRRK2 mutations. Interestingly, genetic studies suggest that tau variants influence LRRK2 disease, more specifically by influencing the age of disease onset (Gan-Or et al., 2012), although another study found that interactions between LRRK2 and tau were at the limit of statistical significance (Biernacka et al., 2011). In cells and in vivo, several pieces of evidence point to LRRK2 in regulating tau phosphorylation. MacLeod et al. (2006) found that overexpressed LRRK2 G2019S or I2020T in primary neurons colocalized with phospho-tau punctae in axons. Overexpression of LRRK2 via the ThyI promoter left tau and phospho-tau (S202/T205) levels unchanged in mouse brains (Herzig et al., 2012), although S202 phosphorylation levels were found to be enhanced in brains of BAC transgenic mice expressing LRRK2 G2019S (Melrose et al., 2010). In Drosophila, overexpression of LRRK2 G2019S is reported to affect tau dendritic localization and promote tau phosphorylation at T212 through the recruitment of GSK3β (Lin et al., 2010). Interestingly, LRRK2 has been shown to phosphorylate tubulin-associated tau but not free tau (Kawakami et al., 2012). This last finding may be related to the observations in cells that LRRK2 can in certain conditions translocate to skein-like cytoplasmic pools. Although these skein-like cytoplasmic pools have yet to be fully characterized, at least a portion of these are associated to microtubules (Kett et al., 2012). This points to a mechanism whereby LRRK2 may be recruited to microtubules where it may regulate tau phosphorylation with other kinase or phosphatase partners. In relation to our knowledge of phosphatases of LRRK2, α-syn, and tau and the pathogenic nature of phosphorylations in these proteins, a strategy to target phosphatases in a way that will counteract PD-associated phosphorylation can be proposed. To target LRRK2 disease-related phosphorylations, PP1 would be targeted in order to modulate phosphorylation at its ANK-LRR interdomain phosphorylation sites to a ‘healthy’ level. For instance, pharmacological inhibition of PP1 was shown to increase the S910/S935/S955/S973 phosphorylation to levels comparable to WT. Also, PP1 inhibition was able to reduce the prevalence of LRRK2 presence in skein-like structures observed with several hypophosphorylated disease mutants (Lobbestael et al., 2013). This effect is consistent with a reduction of microtubule associated LRRK2 and therefore reduced risk of LRRK2-mediated tau hyperphosphorylation, suggesting that PP1 inhibition may be a viable therapeutic strategy to inhibit LRRK2 mediated pathology. Thus far, the specific composition of the PP1 holoenzyme targeting the ANK-LRR interdomain sites remains to be elucidated prior to developing LRRK2-specific phosphoregulation strategies. Also, the elucidation of phosphatases regulating other sites, such as S1292, may also reveal other potential phosphatase targets for potential therapies targeting LRRK2 phosphorylation. For α-syn, targeting PP2A holo-enzymes is a preferred strategy, more specifically through the activation of PP2A to reduce α-syn-S129 phosphorylation levels. The potential of this approach has been shown by pharmacologically enhancing PP2A activity (see above; Lee et al., 2011). The precise PP2A holoenzyme composition for α-syn-S129 has begun to be elucidated, with a preference for the B regulatory subunit above B′ and B′′ subunits. Further elucidation of the preferred C (catalytic) and A (scaffolding) subunits for α-syn-S129 will allow development of phosphatase activation by targeting the PP2A holoenzyme. For tau, several phosphatases may be targeted, including PP2A, PP1, PP2B, or PP5. The predominant role of PP2A suggests that activation of PP2A may also be a beneficial therapeutic strategy. One issue is whether separate PP2A holoenzymes are responsible for dephosphorylation of tau at the separate phosphosites. Specifically for PD, it may be expected that dephosphorylation of tau at PD hyperphosphorylation sites should be targeted prioritarily, including T181, S184, S195, S198, S237, S400 (Duka et al., 2013). Further research will be needed to describe the PD-tau phosphorylations and their regulation.

TARGETING OF PHOSPHATASES

Modulation of phosphorylation levels of disease proteins is an attractive approach to develop disease modifying therapies. For instance, much effort has been spent on targeting kinases responsible for pathogenic phosphorylations. Kinases are also attractive drug targets. Indeed, attrition rates during development of drugs acting on kinases are lower than for most other classes of drugs (Walker and Newell, 2009). An important factor to bear in mind with pharmacological inhibition of kinases is that this will influence the phosphorylation levels of all of the kinase’s substrates, both in the disease protein as well as for all of its other substrates. Therefore, for key phosphorylations, it may be necessary to target phosphorylations through other means than by targeting kinases. One possibility is to target phosphatases. Phosphatases are divided into different classes, including phosphoprotein phosphatases (PPP), metal-dependent protein phosphatases and protein tyrosine phosphatases (PTP). Phosphatases from the PPP class are responsible for the vast majority of dephosphorylations of central nervous system proteins. PPPs, such as PP1 and PP2A class phosphatases, have the characteristic of functioning as a holoenzyme composed of two or more subunits, including a catalytic subunit as well as regulatory subunits. Interestingly, there are few catalytic subunits in the PPP family and the regulatory subunits have therefore generally been thought to confer substrate specificity to the holoenzyme. Emerging structural evidence is supporting this view, namely that phosphatase holoenzymes of the PPP family associate in a structured way and that this structure determines substrate specificity of the dephosphorylation. Some examples are the interaction between PP1 and spinophilin, a complex found in neurons (Ragusa et al., 2010), and the PP1γ–MYPT (myosin phosphatase; PPP1R12A) complex that acts as a myosin phosphatase in muscle (Terrak et al., 2014; Yamashiro et al., 2008). Based on this knowledge, it has been proposed that by targeting the holoenzyme structure, for instance by molecules which disrupt substrate-phosphatase holoenzyme complex, one can specifically modulate phosphorylation levels of proteins (McConnell and Wadzinski, 2009; Tsaytler and Bertolotti, 2013; see conceptual schematic in Figure ). Based on the knowledge of the phosphatases responsible for dephosphorylation of specific phosphosites of proteins, such as emerging knowledge of the composition of phosphatase holoenzymes dephosphorylating specific sites in α-syn, LRRK2, and tau, the specific modulation of phosphorylation levels of single phosphosites is theoretically possible. Further work, including further identification and characterization of specific phosphatase holoenzyme compositions for α-syn, LRRK2, and tau and development of modulators of phosphatase holoenzyme complexes with their specific substrates, is required to test the efficacy of this approach. Regulation of protein phosphorylation via modulators of phosphatase holoenzymes. Several phosphatase classes, such as PP1 and PP2A class phosphatases depicted here function as multiprotein holoenzymes including a catalytic subunit and regulatory subunits. Phosphatase activity can be modulated by protein-protein interaction modulators (depicted here as red studded bars) which can either disrupt the holoenzyme complex itself or disrupt binding of the holoenzyme to its substrate.

CONCLUSION

The three main proteins linked to Parkinsonism, α-syn, tau, and LRRK2 all display phosphorylations which are modified in disease. The phosphorylation changes are the result of a balance between activity of kinases and phosphatases. Emerging evidence points to phosphatases regulating different pathological phosphorylations in these three proteins, primarily PP1 for LRRK2 and PP2A for α-syn and tau. It appears now feasible to target phosphatases of α-syn, tau, and LRRK2 in order to alleviate pathology mediated by pathological phosphorylation of these disease proteins. In order for this approach to reach its full potential, additional research will be required further linking individual or clustered phosphorylation events in these three proteins to disease. Also, refined knowledge of the precise holoenzyme compositions for each pathological phosphorylation is necessary to develop highly specific phosphatase holoenzyme modulators.

Conflict of Interest Statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Table 1

Overview of studies reporting phosphatases regulating α-syn phosphorylation.

SiteIdentified phosphataseComments, references
S129PP2AIn vitro incubation with PP2A [catalytic subunit Cα (PPP2CA), regulatory subunit Bα (PPP2R2A)] dephosphorylates α-syn S129 better than with B′α (PPP2R5A), B′γ (PPP2R5C), or B′′ (PPP2R3A). Knockdown of PPP2CA or PPP2R2A increases α-syn S129 phosphorylation (Lee et al., 2011).
PPP2R1AsiRNA mediated knockdown of PPP2R1A (Protein phosphatase 2 (formerly 2A), regulatory subunit A, alpha isoform) reported to decrease α-syn S129 phosphorylation levels in neuroblastoma derived cells (Henderson-Smith et al., 2013).
PTPRAsiRNA mediated knockdown of PPP3R1 (Protein tyrosine phosphatase, receptor type, A) reported to decrease α-syn S129 phosphorylation levels in neuroblastoma derived cells (Henderson-Smith et al., 2013).
PPP3R1siRNA mediated knockdown of PPP3R1 (Protein phosphatase 3 (formerly 2B), regulatory subunit B, alpha isoform) found to increase α-syn S129 phosphorylation levels in neuroblastoma derived cells (Henderson-Smith et al., 2013).
Table 2

Comparison of the two different LRRK2 phosphorylation sites pS935 and pS1292.

ParameterpS935pS1292
Present in cellsYESYES
Change after in vitro autophosphorylationNO CHANGEINCREASE
Change after cellular kinase inhibitionDECREASEDECREASE
N1437H vs. WT/HIGHER
R1441C/G vs. WTLOWERHIGHER
Y1699C vs. WTLOWERSIMILAR
G2019S vs. WTNO CHANGEHIGHER
I2020T vs. WTLOWERHIGHER
G2385R vs. WTLOWERLOWER
RegulationIKK, PP1, +tbdAutoP, +tbd
Physiological role14-3-3 binding, subcellular localizationPutative role in neurite length regulation
Table 3

Overview of different classes of phosphatases reported to regulate tau phosphorylation sites, including PP1, PP2A, PP2B, and PP5.

SitePP1PP2APP2BPP5
S198Gong et al. (2004)
S199Liu et al. (2005)Liu et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
S202Liu et al. (2005)Liu et al. (2005), Kuszczyk et al. (2009), Martin et al. (2009)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
T205Liu et al. (2005)Liu et al. (2005), Kuszczyk et al. (2009), Martin et al. (2009)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Liu et al. (2005)
T212Liu et al. (2005), Rahman et al. (2005)Liu et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Liu et al. (2005)
S214Liu et al. (2005)Liu et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Liu et al. (2005)
T217Rahman et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Rahman et al. (2006)
T231Saito et al. (1995), Chen et al. (2008)Gong et al. (2004)
S235Liu et al. (2005)Saito et al. (1995), Liu et al. (2005), Chen et al. (2008)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
S262Liu et al. (2005), Rahman et al. (2005)Saito et al. (1995), Liu et al. (2005), Chen et al. (2008), Martin et al. (2009)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
S293
S324
S356Saito et al. (1995), Chen et al. (2008), Martin et al. (2009)Gong et al. (2004)
S396Liu et al. (2005), Rahman et al. (2005)Liu et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
S404Liu et al. (2005)Saito et al. (1995), Liu et al. (2005), Chen et al. (2008)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Gong et al. (2004), Liu et al. (2005)
S409Liu et al. (2005)Liu et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Liu et al. (2005), Rahman et al. (2006)Liu et al. (2005)
S422Rahman et al. (2005)Saito et al. (1995), Bennecib et al. (2000), Rahman et al. (2006)Gong et al. (2004)
  106 in total

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Authors:  Renee Vancraenenbroeck; Evy Lobbestael; Marc De Maeyer; Veerle Baekelandt; Jean-Marc Taymans
Journal:  CNS Neurol Disord Drug Targets       Date:  2011-09-01       Impact factor: 4.388

Review 2.  From promiscuity to precision: protein phosphatases get a makeover.

Authors:  David M Virshup; Shirish Shenolikar
Journal:  Mol Cell       Date:  2009-03-13       Impact factor: 17.970

Review 3.  Targeting phosphatases as the next generation of disease modifying therapeutics for Parkinson's disease.

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Journal:  Neurochem Int       Date:  2012-02-08       Impact factor: 3.921

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Authors:  João Paulo L Daher; Olga Pletnikova; Saskia Biskup; Alessandra Musso; Sandra Gellhaar; Dagmar Galter; Juan C Troncoso; Michael K Lee; Ted M Dawson; Valina L Dawson; Darren J Moore
Journal:  Hum Mol Genet       Date:  2012-02-21       Impact factor: 6.150

5.  Phosphorylation of Ser-129 is the dominant pathological modification of alpha-synuclein in familial and sporadic Lewy body disease.

Authors:  John P Anderson; Donald E Walker; Jason M Goldstein; Rian de Laat; Kelly Banducci; Russell J Caccavello; Robin Barbour; Jiping Huang; Kristin Kling; Michael Lee; Linnea Diep; Pamela S Keim; Xiaofeng Shen; Tim Chataway; Michael G Schlossmacher; Peter Seubert; Dale Schenk; Sukanto Sinha; Wei Ping Gai; Tamie J Chilcote
Journal:  J Biol Chem       Date:  2006-07-17       Impact factor: 5.157

6.  Alpha-synuclein activation of protein phosphatase 2A reduces tyrosine hydroxylase phosphorylation in dopaminergic cells.

Authors:  Xiangmin Peng; Xiangmin M Peng; Roya Tehranian; Paula Dietrich; Leonidas Stefanis; Ruth G Perez
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7.  Tyrosine and serine phosphorylation of alpha-synuclein have opposing effects on neurotoxicity and soluble oligomer formation.

Authors:  Li Chen; Magali Periquet; Xu Wang; Alessandro Negro; Pamela J McLean; Bradley T Hyman; Mel B Feany
Journal:  J Clin Invest       Date:  2009-10-12       Impact factor: 14.808

Review 8.  Phosphorylation of LRRK2: from kinase to substrate.

Authors:  Evy Lobbestael; Veerle Baekelandt; Jean-Marc Taymans
Journal:  Biochem Soc Trans       Date:  2012-10       Impact factor: 5.407

9.  Structure of a protein phosphatase 2A holoenzyme: insights into B55-mediated Tau dephosphorylation.

Authors:  Yanhui Xu; Yu Chen; Ping Zhang; Philip D Jeffrey; Yigong Shi
Journal:  Mol Cell       Date:  2008-09-26       Impact factor: 17.970

10.  Characterization of a selective inhibitor of the Parkinson's disease kinase LRRK2.

Authors:  Xianming Deng; Nicolas Dzamko; Alan Prescott; Paul Davies; Qingsong Liu; Qingkai Yang; Jiing-Dwan Lee; Matthew P Patricelli; Tyzoon K Nomanbhoy; Dario R Alessi; Nathanael S Gray
Journal:  Nat Chem Biol       Date:  2011-03-06       Impact factor: 15.040

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Review 1.  Targeting PP2A in cancer: Combination therapies.

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Journal:  Biochim Biophys Acta Mol Cell Res       Date:  2018-09-01       Impact factor: 4.739

2.  FLZ Attenuates α-Synuclein-Induced Neurotoxicity by Activating Heat Shock Protein 70.

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3.  A prismatic view of protein phosphorylation in health and disease.

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Review 4.  Movement and Other Neurodegenerative Syndromes in Patients with Systemic Rheumatic Diseases: A Case Series of 8 Patients and Review of the Literature.

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5.  Fibroblast Biomarkers of Sporadic Parkinson's Disease and LRRK2 Kinase Inhibition.

Authors:  G A Smith; J Jansson; E M Rocha; T Osborn; P J Hallett; O Isacson
Journal:  Mol Neurobiol       Date:  2015-09-23       Impact factor: 5.590

Review 6.  LRRK2 Phosphorylation, More Than an Epiphenomenon.

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Journal:  Front Neurosci       Date:  2020-06-16       Impact factor: 4.677

7.  Mutant Presenilin 1 Dysregulates Exosomal Proteome Cargo Produced by Human-Induced Pluripotent Stem Cell Neurons.

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Journal:  ACS Omega       Date:  2021-05-13

Review 8.  Mechanisms and therapeutic applications of electromagnetic therapy in Parkinson's disease.

Authors:  Maria Vadalà; Annamaria Vallelunga; Lucia Palmieri; Beniamino Palmieri; Julio Cesar Morales-Medina; Tommaso Iannitti
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9.  Pharmacological LRRK2 kinase inhibition induces LRRK2 protein destabilization and proteasomal degradation.

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Journal:  Sci Rep       Date:  2016-09-23       Impact factor: 4.379

10.  Intracellular repair of oxidation-damaged α-synuclein fails to target C-terminal modification sites.

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