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α-synuclein in the pathophysiology of Alzheimer's disease

Twohig, Daniel LU orcid and Nielsen, Henrietta M (2019) In Molecular Neurodegeneration 14(1).
Abstract

The Alzheimer's disease (AD) afflicted brain is neuropathologically defined by extracellular amyloid-β (Aβ) plaques and intraneuronal neurofibrillary tangles composed of hyperphosphorylated tau protein. However, accumulating evidence suggests that the presynaptic protein α-synuclein (αSyn), mainly associated with synucleinopathies like Parkinson's disease (PD), dementia with Lewy bodies (DLB) and multiple system atrophy (MSA), is involved in the pathophysiology of AD. Lewy-related pathology (LRP), primarily comprised of αSyn, is present in a majority of autopsied AD brains, and higher levels of αSyn in the cerebrospinal fluid (CSF) of patients with mild cognitive impairment (MCI) and AD have been linked to cognitive decline. Recent... (More)

The Alzheimer's disease (AD) afflicted brain is neuropathologically defined by extracellular amyloid-β (Aβ) plaques and intraneuronal neurofibrillary tangles composed of hyperphosphorylated tau protein. However, accumulating evidence suggests that the presynaptic protein α-synuclein (αSyn), mainly associated with synucleinopathies like Parkinson's disease (PD), dementia with Lewy bodies (DLB) and multiple system atrophy (MSA), is involved in the pathophysiology of AD. Lewy-related pathology (LRP), primarily comprised of αSyn, is present in a majority of autopsied AD brains, and higher levels of αSyn in the cerebrospinal fluid (CSF) of patients with mild cognitive impairment (MCI) and AD have been linked to cognitive decline. Recent studies also suggest that the asymptomatic accumulation of Aβ plaques is associated with higher CSF αSyn levels in subjects at risk of sporadic AD and in individuals carrying autosomal dominant AD mutations. Experimental evidence has further linked αSyn mainly to tau hyperphosphorylation, but also to the pathological actions of Aβ and the APOEε4 allele, the latter being a major genetic risk factor for both AD and DLB. In this review, we provide a summary of the current evidence proposing an involvement of αSyn either as an active or passive player in the pathophysiological ensemble of AD, and furthermore describe in detail the current knowledge of αSyn structure and inferred function.

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author
and
publishing date
type
Contribution to journal
publication status
published
keywords
Alzheimer Disease/metabolism, Brain/metabolism, Cognitive Dysfunction/metabolism, Humans, Plaque, Amyloid/metabolism, alpha-Synuclein/metabolism, tau Proteins/metabolism
in
Molecular Neurodegeneration
volume
14
issue
1
article number
23
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85067174182
  • pmid:31186026
ISSN
1750-1326
DOI
10.1186/s13024-019-0320-x
language
English
LU publication?
no
id
ee1923cd-82ad-478d-b103-9d2a2ae79ab9
date added to LUP
2024-05-08 13:57:30
date last changed
2024-06-06 06:49:23
@article{ee1923cd-82ad-478d-b103-9d2a2ae79ab9,
  abstract     = {{<p>The Alzheimer's disease (AD) afflicted brain is neuropathologically defined by extracellular amyloid-β (Aβ) plaques and intraneuronal neurofibrillary tangles composed of hyperphosphorylated tau protein. However, accumulating evidence suggests that the presynaptic protein α-synuclein (αSyn), mainly associated with synucleinopathies like Parkinson's disease (PD), dementia with Lewy bodies (DLB) and multiple system atrophy (MSA), is involved in the pathophysiology of AD. Lewy-related pathology (LRP), primarily comprised of αSyn, is present in a majority of autopsied AD brains, and higher levels of αSyn in the cerebrospinal fluid (CSF) of patients with mild cognitive impairment (MCI) and AD have been linked to cognitive decline. Recent studies also suggest that the asymptomatic accumulation of Aβ plaques is associated with higher CSF αSyn levels in subjects at risk of sporadic AD and in individuals carrying autosomal dominant AD mutations. Experimental evidence has further linked αSyn mainly to tau hyperphosphorylation, but also to the pathological actions of Aβ and the APOEε4 allele, the latter being a major genetic risk factor for both AD and DLB. In this review, we provide a summary of the current evidence proposing an involvement of αSyn either as an active or passive player in the pathophysiological ensemble of AD, and furthermore describe in detail the current knowledge of αSyn structure and inferred function.</p>}},
  author       = {{Twohig, Daniel and Nielsen, Henrietta M}},
  issn         = {{1750-1326}},
  keywords     = {{Alzheimer Disease/metabolism; Brain/metabolism; Cognitive Dysfunction/metabolism; Humans; Plaque, Amyloid/metabolism; alpha-Synuclein/metabolism; tau Proteins/metabolism}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Molecular Neurodegeneration}},
  title        = {{α-synuclein in the pathophysiology of Alzheimer's disease}},
  url          = {{http://dx.doi.org/10.1186/s13024-019-0320-x}},
  doi          = {{10.1186/s13024-019-0320-x}},
  volume       = {{14}},
  year         = {{2019}},
}