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Gut mucosal cells transfer α-synuclein to the vagus nerve
Rashmi Chandra, … , Andrew B. West, Rodger A. Liddle
Rashmi Chandra, … , Andrew B. West, Rodger A. Liddle
Published December 8, 2023
Citation Information: JCI Insight. 2023;8(23):e172192. https://doi.org/10.1172/jci.insight.172192.
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Research Article Gastroenterology Neuroscience

Gut mucosal cells transfer α-synuclein to the vagus nerve

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Abstract

Epidemiological and histopathological findings have raised the possibility that misfolded α-synuclein protein might spread from the gut to the brain and increase the risk of Parkinson’s disease. Although past experimental studies in mouse models have relied on gut injections of exogenous recombinant α-synuclein fibrils to study gut-to-brain α-synuclein transfer, the possible origins of misfolded α-synuclein within the gut have remained elusive. We recently demonstrated that sensory cells of intestinal mucosa express α-synuclein. Here, we employed mouse intestinal organoids expressing human α-synuclein to observe the transfer of α-synuclein protein from epithelial cells in organoids to cocultured nodose neurons devoid of α-synuclein. In mice expressing human α-synuclein, but no mouse α-synuclein, α-synuclein fibril-templating activity emerged in α-synuclein–seeded fibril aggregation assays in intestine, vagus nerve, and dorsal motor nucleus. In newly engineered transgenic mice that restrict pathological human α-synuclein expression to intestinal epithelial cells, α-synuclein fibril-templating activity transfered to the vagus nerve and dorsal motor nucleus. Subdiaphragmatic vagotomy prior to induction of α-synuclein expression in intestinal epithelial cells effectively protected the hindbrain from emergence of α-synuclein fibril-templating activity. Overall, these findings highlight a potential non-neuronal source of fibrillar α-synuclein protein that might arise in gut mucosal cells.

Authors

Rashmi Chandra, Arpine Sokratian, Katherine R. Chavez, Stephanie King, Sandip M. Swain, Joshua C. Snyder, Andrew B. West, Rodger A. Liddle

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Figure 3

Conditional human α-synuclein expression induces α-synuclein seeding activity in gut organoids.

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Conditional human α-synuclein expression induces α-synuclein seeding act...
(A) The SNCAbow expression construct contains 4 tandem cassettes downstream of a chicken β-actin promoter (not shown). The first cassette (not shown) expresses a chemically inducible near-infrared fluorogen-activating peptide (FAP-Mars1). The next 3 cassettes encode a unique fluorescent protein (TagBFP: blue, mTFP1: cyan, or mKO: orange) and a corresponding human synuclein protein SNCAWT, SNCAA30P, and SNCAA53T. When Tg mice are mated to the Villin-Cre (Vil-Cre) strain, Cre-mediated recombination by 3 pairs of orthogonal lox sites (LoxN, Lox2272, LoxP) results in the expression of a single fluorescent protein marker and the corresponding human α-synuclein in any given mucosal cell. (B) Photomicrograph of a small intestine organoid illustrates 3 fluorescent proteins in the mucosa of an SNCAbow mouse indicating the expression of SNCAWT TagBFP (blue), SNCAA30P mTFP1 (turquoise), and SNCAA53T mKO (orange). Scale bar = 30 μm. (C and D) RT-QuIC endpoint ThT fluorescence analysis of nodose ganglia from Snca–/–, SNCAA53T, and SNCAbow mice at 6 months of age. (C) A representative ThT fluorescence profile for these genotypes is provided. (D) Endpoint values were collected after 100 hours of RT-QuIC relative to negative controls. Data were collected and combined from 3 mice for each strain in triplicate. All the group analyses are shown as mean ± SEM. All RT-QuIC curves shown are representative of the mean from all the groups analyzed. Significance was determined by 1-way ANOVA with a Dunnett’s post hoc analysis relative to Snca–/–; *P < 0.05, **P < 0.01, n = 3.

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