| Literature DB >> 31255487 |
Sangjune Kim1, Seung-Hwan Kwon1, Tae-In Kam1, Nikhil Panicker1, Senthilkumar S Karuppagounder1, Saebom Lee1, Jun Hee Lee1, Wonjoong Richard Kim1, Minjee Kook1, Catherine A Foss2, Chentian Shen2, Hojae Lee1, Subhash Kulkarni3, Pankaj J Pasricha3, Gabsang Lee4, Martin G Pomper2, Valina L Dawson5, Ted M Dawson6, Han Seok Ko7.
Abstract
Analysis of human pathology led Braak to postulate that α-synuclein (α-syn) pathology could spread from the gut to brain via the vagus nerve. Here, we test this postulate by assessing α-synucleinopathy in the brain in a novel gut-to-brain α-syn transmission mouse model, where pathological α-syn preformed fibrils were injected into the duodenal and pyloric muscularis layer. Spread of pathologic α-syn in brain, as assessed by phosphorylation of serine 129 of α-syn, was observed first in the dorsal motor nucleus, then in caudal portions of the hindbrain, including the locus coeruleus, and much later in basolateral amygdala, dorsal raphe nucleus, and the substantia nigra pars compacta. Moreover, loss of dopaminergic neurons and motor and non-motor symptoms were observed in a similar temporal manner. Truncal vagotomy and α-syn deficiency prevented the gut-to-brain spread of α-synucleinopathy and associated neurodegeneration and behavioral deficits. This study supports the Braak hypothesis in the etiology of idiopathic Parkinson's disease (PD).Entities:
Keywords: Braak hypothesis; Lewy body pathology; Parkinson’s disease; gut to brain transmission; motor symptoms; neurodegeneration; non-motor symptoms; pre-formed fibrils; vagus nerve; α-synuclein
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Year: 2019 PMID: 31255487 PMCID: PMC6706297 DOI: 10.1016/j.neuron.2019.05.035
Source DB: PubMed Journal: Neuron ISSN: 0896-6273 Impact factor: 17.173