α-Synuclein elevation in human neurodegenerative diseases: experimental, pathogenetic, and therapeutic implications

Mol Neurobiol. 2013 Apr;47(2):484-94. doi: 10.1007/s12035-012-8329-y. Epub 2012 Sep 4.

Abstract

The discovery of α-synuclein has had profound implications concerning our understanding of Parkinson's disease (PD) and other neurodegenerative disorders characterized by α-synuclein accumulation. In fact, as compared with pre-α-synuclein times, a "new" PD can now be described as a whole-body disease in which a progressive spreading of α-synuclein pathology underlies a wide spectrum of motor as well as nonmotor clinical manifestations. Not only is α-synuclein accumulation a pathological hallmark of human α-synucleinopathies but increased protein levels are sufficient to trigger neurodegenerative processes. α-Synuclein elevations could also be a mechanism by which disease risk factors (e.g., aging) increase neuronal vulnerability to degeneration. An important corollary to the role of enhanced α-synuclein in PD pathogenesis is the possibility of developing α-synuclein-based biomarkers and new therapeutics aimed at suppressing α-synuclein expression. The use of in vitro and in vivo experimental models, including transgenic mice overexpressing α-synuclein and animals with viral vector-mediated α-synuclein transduction, has helped clarify pathogenetic mechanisms and therapeutic strategies involving α-synuclein. These models are not devoid of significant limitations, however. Therefore, further pursuit of new clues on the cause and treatment of PD in this post-α-synuclein era would benefit substantially from the development of improved research paradigms of α-synuclein elevation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Animals, Genetically Modified
  • Biomarkers / metabolism
  • Disease Models, Animal*
  • Gene Expression Regulation
  • Genetic Vectors / administration & dosage
  • Haplorhini
  • Humans
  • Lentivirus / genetics
  • Mice
  • Neurodegenerative Diseases / etiology*
  • Neurodegenerative Diseases / genetics
  • Neurodegenerative Diseases / metabolism*
  • Rats
  • Treatment Outcome
  • alpha-Synuclein / administration & dosage
  • alpha-Synuclein / biosynthesis*
  • alpha-Synuclein / genetics

Substances

  • Biomarkers
  • alpha-Synuclein