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REDUCING ALPHA-SYNUCLEIN OLIGOMERISATION RESCUES MITOCHONDRIAL-SPECIFIC PATHOLOGY OF MIDBRAIN NEURONS IN PARKINSON’S DISEASE
Abstract
Aims
Parkinson’s disease (PD) is characterised by a progressive loss of midbrain dopaminergic neurons (mDANs) and protein inclusions mostly consisting of α-synuclein (α-syn) aggregates. α-Syn aggregation is a central PD hallmark, and its oligomers are purportedly the most neurotoxic species representing early PD pathology. This includes cell compartment-specific toxicity to mitochondria, widespread across different forms of PD. Hence, inhibiting α-syn oligomerisation may represent a promising disease-modifying strategy, which we used here to improve mitochondrial-specific pathology in PD mDANs.
Methods
mDANs were differentiated from induced pluripotent stem cells derived from PD patients with α-syn gene locus duplication and control individuals. mDANs were treated with a novel α-syn anti-oligomerisation compound NPT100-18A, DMSO or left untreated, and assessed for several mitochondrial phenotypes, α-syn aggregation, and cell death.
Results
While the levels of cytoplasmic oxidative stress and extracellular nitrogen species were comparable between control- and PD-derived mDANs, PD mDANs exhibited higher mitochondrial pathology presenting as reduced basal ATP levels, increased basal mitochondrial superoxide, as well as increased cell death and enhanced α-syn insolubility. Inhibition of α-syn oligomerisation by NPT100-18A rescued specifically PD mDAN mitochondrial oxidative stress and cell death. Interfering with α-syn oligomerisation is thus a viable strategy for rescuing the cell-compartment specific pathology in the vulnerable mDANs in a human-relevant model.
Conclusions
Our findings confirm and expand on our previous results indicating that pathogenic α-syn contributes to the selective vulnerability of mDANs in PD, and demonstrate the therapeutic potential of reducing α-syn oligomerisation on mitochondrial pathology, one of the key hallmarks of PD.