[HTML][HTML] α-Synuclein in gut endocrine cells and its implications for Parkinson's disease

R Chandra, A Hiniker, YM Kuo, RL Nussbaum… - JCI insight, 2017 - ncbi.nlm.nih.gov
R Chandra, A Hiniker, YM Kuo, RL Nussbaum, RA Liddle
JCI insight, 2017ncbi.nlm.nih.gov
Parkinson's disease (PD) is a progressive neurodegenerative disease with devastating
clinical manifestations. In PD, neuronal death is associated with intracellular aggregates of
the neuronal protein α-synuclein known as Lewy bodies. Although the cause of sporadic PD
is not well understood, abundant clinical and pathological evidence show that misfolded α-
synuclein is found in enteric nerves before it appears in the brain. This suggests a model in
which PD pathology originates in the gut and spreads to the central nervous system via cell …
Abstract
Parkinson’s disease (PD) is a progressive neurodegenerative disease with devastating clinical manifestations. In PD, neuronal death is associated with intracellular aggregates of the neuronal protein α-synuclein known as Lewy bodies. Although the cause of sporadic PD is not well understood, abundant clinical and pathological evidence show that misfolded α-synuclein is found in enteric nerves before it appears in the brain. This suggests a model in which PD pathology originates in the gut and spreads to the central nervous system via cell-to-cell prion-like propagation, such that transfer of misfolded α-synuclein initiates misfolding of native α-synuclein in recipient cells. We recently discovered that enteroendocrine cells (EECs), which are part of the gut epithelium and directly face the gut lumen, also possess many neuron-like properties and connect to enteric nerves. In this report, we demonstrate that α-synuclein is expressed in the EEC line, STC-1, and native EECs of mouse and human intestine. Furthermore, α-synuclein–containing EECs directly connect to α-synuclein–containing nerves, forming a neural circuit between the gut and the nervous system in which toxins or other environmental influences in the gut lumen could affect α-synuclein folding in the EECs, thereby beginning a process by which misfolded α-synuclein could propagate from the gut epithelium to the brain.
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