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Oxidative stress in vagal neurons promotes parkinsonian pathology and intercellular α-synuclein transfer
Ruth E. Musgrove, … , Ayse Ulusoy, Donato A. Di Monte
Ruth E. Musgrove, … , Ayse Ulusoy, Donato A. Di Monte
Published June 13, 2019
Citation Information: J Clin Invest. 2019;129(9):3738-3753. https://doi.org/10.1172/JCI127330.
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Research Article Neuroscience

Oxidative stress in vagal neurons promotes parkinsonian pathology and intercellular α-synuclein transfer

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Abstract

Specific neuronal populations display high vulnerability to pathological processes in Parkinson’s disease (PD). The dorsal motor nucleus of the vagus nerve (DMnX) is a primary site of pathological α-synuclein deposition and may play a key role in the spreading of α-synuclein lesions within and outside the CNS. Using in vivo models, we show that cholinergic neurons forming this nucleus are particularly susceptible to oxidative challenges and accumulation of ROS. Targeted α-synuclein overexpression within these neurons triggered an oxidative stress that became more pronounced after exposure to the ROS-generating agent paraquat. A more severe oxidative stress resulted in enhanced production of oxidatively modified forms of α-synuclein, increased α-synuclein aggregation into oligomeric species, and marked degeneration of DMnX neurons. Enhanced oxidative stress also affected neuron-to-neuron protein transfer, causing an increased spreading of α-synuclein from the DMnX toward more rostral brain regions. In vitro experiments confirmed a greater propensity of α-synuclein to pass from cell to cell under prooxidant conditions and identified nitrated α-synuclein forms as highly transferable protein species. These findings substantiate the relevance of oxidative injury in PD pathogenetic processes, establish a relationship between oxidative stress and vulnerability to α-synuclein pathology, and define a mechanism, enhanced cell-to-cell α-synuclein transmission, by which oxidative stress could promote PD development and progression.

Authors

Ruth E. Musgrove, Michael Helwig, Eun-Jin Bae, Helia Aboutalebi, Seung-Jae Lee, Ayse Ulusoy, Donato A. Di Monte

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Figure 2

hα-Synuclein overexpression causes an oxidative stress that is augmented by paraquat administration.

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hα-Synuclein overexpression causes an oxidative stress that is augmented...
(A) Mice (n = 4) received a unilateral (left) intravagal injection of hα-synuclein–carrying AAVs. They were then treated with 2 i.p. injections of saline and were sacrificed at 2 days after the second saline administration. They also received an injection of DHE 1 hour before the time of sacrifice. Ox-DHE fluorescent signal was compared in the left DMnX between transduced neurons immunoreactive for hα-synuclein (hα-syn IR) and neurons devoid of hα-synuclein immunoreactivity. Approximately 50 neurons/animal were analyzed and averaged. Values were calculated as percentage of the mean value in hα-synuclein–devoid cells. (B and C) hα-Synuclein AAV–injected mice were treated with saline (n = 4) or paraquat (n = 5) and sacrificed at 2 days. They also received a DHE injection. (B) Representative confocal images show hα-synuclein–positive neurons (red) containing fluorescent ox-DHE (blue-green-yellow) in the left DMnX. Scale bar: 5 μm. (C) Integrated density of ox-DHE fluorescence within hα-synuclein–immunoreactive neurons in the left DMnX of mice treated with saline (gray bar) or paraquat (red bar). Approximately 50 neurons/animal were analyzed and averaged. Values were calculated as percentage of the mean value in hα-synuclein AAV/saline–injected animals. (D) hα-Synuclein AAV-injected mice were treated with either saline or paraquat and sacrificed at 2 (n ≥ 5/treatment) or 7 (n = 7/treatment) days after treatment. A group of control animals (n = 8, light blue bar) were only injected with saline. The number of Nissl-stained neurons was counted stereologically in the left DMnX. Box and whisker plots show median, upper and lower quartiles, and maximum and minimum as whiskers. *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001, Mann-Whitney U test (A and C) or Kruskal-Wallis followed by Conover-Iman post hoc test (D).

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