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SNCA DUPLICATION IS SUFFICIENT TO INDUCE NEURITIC AND NEURONAL DEGENERATION IN HUMAN-INDUCED PLURIPOTENT STEM CELL-DERIVED DOPAMINERGIC NEURONS FROM PATIENTS OF PARKINSON’S DISEASE
Abstract
Aims
Parkinson’s disease (PD) is neuropathologically characterized by the deposition of aggregated alpha-synuclein (aSyn) and the loss of midbrain dopaminergic neurons (mDANs), preceded by neuritic degeneration. Point mutations and multiplications of aSyn gene (SNCA) have been associated with the familial forms of PD (fPD), indicating a crucial role of aSyn in the pathogenesis of PD. In contrast to age-related sporadic PD (sPD), fPDs are frequently linked to an early onset, a rapid progression and a severe aSyn pathology. In this study, we aimed to prove the hypothesis that SNCA dosage increase is the primary trigger of aSyn pathology and mDAN degeneration in fPD with SNCA multiplication.
Methods
We generated mDANs from human-induced pluripotent stem cells (hiPSC) derived from fPD patients carrying a SNCA duplication (SNCADupl) and compared their phenotypes to those of mDANs from sPD patients and healthy controls.
Results
We observed a significant increase of aSyn levels and aggregation in SNCADupl-mDANs, accompanied by neurite impairments. Biochemical analyses further revealed SNCADupl-mediated perturbations in microtubule organization. Moreover, an increased basal apoptotic rate was specifically detected in SNCADupl-mDANs. By contrast, mDANs from sPD patients did not exhibit marked changes in aSyn homeostasis, neuronal morphology, and neuritic activity. sPD-mDANs showed deficits in neurite outgrowth only, when exposed to exogenous stress, such as autophagy inhibition.
Conclusions
Our studies using the identical human mDAN model system indicate that mDANs from SNCADupl PD patients are severely impaired even under steady-state conditions. Moreover, SNCADupl-induced aSyn overload is sufficient to cause PD-related aSyn pathology and neurodegeneration.