Abstract

α-synuclein is an increasingly prominent player in the pathology of a variety of neurodegenerative conditions. Parkinson’s disease (PD) is a neurodegenerative disorder that affects mainly the dopaminergic (DA) neurons in the substantia nigra of the brain. Typical of PD pathology is the finding of protein aggregations termed ‘Lewy bodies’ in the brain regions affected. α-synuclein is implicated in many disease states including dementia with Lewy bodies (DLB) and Alzheimer’s disease. However, PD is the most common synucleinopathy and continues to be a significant focus of PD research in terms of the α-synuclein Lewy body pathology. Mutations in several genes are associated with PD development including SNCA, which encodes α-synuclein. A variety of model systems have been employed to study α-synuclein physiology and pathophysiology in an attempt to relate more closely to PD pathology. These models include cellular and animal system exploring transgenic technologies, viral vector expression and knockdown approaches, and models to study the potential prion protein-like effects of α-synuclein. The current review focuses on human induced pluripotent stem cell (iPSC) models with a specific focus on mutations or multiplications of the SNCA gene. iPSCs are a rapidly evolving technology with huge promise in the study of normal physiology and disease modeling in vitro. The ability to maintain a patient’s genetic background and replicate similar cell phenotypes make iPSCs a powerful tool in the study of neurological diseases. This review focuses on the current knowledge about α-synuclein physiological function as well as its role in PD pathogenesis based on human iPSC models.

Highlights

  • Neurodegenerative diseases are a group of progressive disorders characterized by neuronal cell death, excluding conditions primarily related to ischemia, infection or malignancy [1]

  • Neuropathological examination of Parkinson’s disease (PD) patient brains with SNCA triplication show severe degeneration of the substantia nigra, remarkable neuronal loss and vacuolation in the temporal cortex, as well as widespread Lewy body accumulation [45]. This pathology is mirrored in induced pluripotent stem cell (iPSC)-derived DA neurons with SNCA triplication, which display increased α-synuclein mRNA levels, resulting in abnormal and elevated levels of protein expression [46]

  • Another study showed a decrease in tetramers/monomers ratio in SNCA-A53T iPSC-derived neurons compared with control suggesting that certain conformations such as tetramers may stabilize the protein and prevent the toxic effects observed with some oligomers [59]

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Summary

Introduction

Neurodegenerative diseases are a group of progressive disorders characterized by neuronal cell death, excluding conditions primarily related to ischemia, infection or malignancy [1]. In the last 25 years, many cellular and molecular mechanisms have been identified that are associated with neuronal degeneration, most prominent among these are protein aggregate deposition [2], mitochondrial DNA mutations [3] and oxidative stress [4]. This pathology is mirrored in iPSC-derived DA neurons with SNCA triplication, which display increased α-synuclein mRNA levels, resulting in abnormal and elevated levels of protein expression [46].

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