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Boni, Laura de ORCID logoORCID: https://orcid.org/0000-0001-7785-482X; Wallis, Amber; Hays Watson, Aurelia; Ruiz-Riquelme, Alejandro ORCID logoORCID: https://orcid.org/0000-0001-6581-7132; Leyland, Louise-Ann; Bourinaris, Thomas; Hannaway, Naomi; Wüllner, Ullrich; Peters, Oliver; Priller, Josef ORCID logoORCID: https://orcid.org/0000-0001-7596-0979; Falkenburger, Björn H; Wiltfang, Jens ORCID logoORCID: https://orcid.org/0000-0003-1492-5330; Bähr, Mathias; Zerr, Inga; Bürger, Katharina; Perneczky, Robert ORCID logoORCID: https://orcid.org/0000-0003-1981-7435; Teipel, Stefan; Löhle, Matthias; Hermann, Wiebke; Schott, Björn-Hendrik ORCID logoORCID: https://orcid.org/0000-0002-8237-4481; Brockmann, Kathrin; Spottke, Annika; Haustein, Katrin; Breuer, Peter; Houlden, Henry; Weil, Rimona S ORCID logoORCID: https://orcid.org/0000-0002-5092-6325 und Bartels, Tim ORCID logoORCID: https://orcid.org/0000-0002-4071-5612 (2024): Aggregation-resistant alpha-synuclein tetramers are reduced in the blood of Parkinson’s patients. In: EMBO Molecular Medicine, Bd. 16, Nr. 7: S. 1657-1674 [PDF, 3MB]

Abstract

Synucleinopathies such as Parkinson’s disease (PD) are defined by the accumulation and aggregation of the α-synuclein protein in neurons, glia and other tissues. We have previously shown that destabilization of α-synuclein tetramers is associated with familial PD due to SNCA mutations and demonstrated brain-region specific alterations of α-synuclein multimers in sporadic PD patients following the classical Braak spreading theory. In this study, we assessed relative levels of disordered and higher-ordered multimeric forms of cytosolic α-synuclein in blood from familial PD with G51D mutations and sporadic PD patients. We used an adapted in vitro-cross-linking protocol for human EDTA-whole blood. The relative levels of higher-ordered α-synuclein tetramers were diminished in blood from familial PD and sporadic PD patients compared to controls. Interestingly, the relative amount of α-synuclein tetramers was already decreased in asymptomatic G51D carriers, supporting the hypothesis that α-synuclein multimer destabilization precedes the development of clinical PD. Our data, therefore suggest that measuring α-synuclein tetramers in blood may have potential as a facile biomarker assay for early detection and quantitative tracking of PD progression.

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