Abstract

The identification of biomarkers for early diagnosis of Parkinson’s disease (PD) is of pivotal importance for improving approaches for clinical intervention. The use of translatable animal models of pre-motor PD therefore offers optimal opportunities for novel biomarker discovery in vivo. Peptidylarginine deiminases (PADs) are a family of calcium-activated enzymes that contribute to protein misfolding through post-translational deimination of arginine to citrulline. Furthermore, PADs are an active regulator of extracellular vesicle (EV) release. Both protein deimination and extracellular vesicles (EVs) are gaining increased attention in relation to neurodegenerative diseases, including in PD, while roles in pre-motor PD have yet to be investigated. The current study aimed at identifying protein candidates of deimination in plasma and plasma-EVs in a rat model of pre-motor PD, to assess putative contributions of such post-translational changes in the early stages of disease. EV-cargo was further assessed for deiminated proteins as well as three key micro-RNAs known to contribute to inflammation and hypoxia (miR21, miR155, and miR210) and also associated with PD. Overall, there was a significant increase in circulating plasma EVs in the PD model compared with sham animals and inflammatory and hypoxia related microRNAs were significantly increased in plasma-EVs of the pre-motor PD model. A significantly higher number of protein candidates were deiminated in the pre-motor PD model plasma and plasma-EVs, compared with those in the sham animals. KEGG (Kyoto encyclopedia of genes and genomes) pathways identified for deiminated proteins in the pre-motor PD model were linked to “Alzheimer’s disease”, “PD”, “Huntington’s disease”, “prion diseases”, as well as for “oxidative phosphorylation”, “thermogenesis”, “metabolic pathways”, “Staphylococcus aureus infection”, gap junction, “platelet activation”, “apelin signalling”, “retrograde endocannabinoid signalling”, “systemic lupus erythematosus”, and “non-alcoholic fatty liver disease”. Furthermore, PD brains showed significantly increased staining for total deiminated proteins in the brain vasculature in cortex and hippocampus, as well as increased immunodetection of deiminated histone H3 in dentate gyrus and cortex. Our findings identify EVs and post-translational protein deimination as novel biomarkers in early pre-motor stages of PD.

Highlights

  • Identification of biomarkers for early diagnosis of Parkinson’s disease (PD) is essential for developing early clinical intervention strategies

  • Circulating Plasma Extracellular Vesicles (EVs) are Significantly Increased in the Pre-Motor Parkinson’s Disease (PD) Model Compared with Sham-Treated Rats

  • Significant changes were observed in the number of circulating plasma-extracellular vesicle (EV) in the pre-motor PD, compared with sham-treated rats, with a 2-fold increase in plasma-EVs (p = 0.031; Figure 1A)

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Summary

Introduction

Identification of biomarkers for early diagnosis of Parkinson’s disease (PD) is essential for developing early clinical intervention strategies. PADs are an active regulator of extracellular vesicle (EVs) release [3,4,5,6,7]. Both protein deimination and EVs are gaining increasing attention in relation to neurodegenerative diseases [8,9], including in PD, while their roles in pre-motor PD have yet to be investigated. In PD iPSC neuronal models, derived from fibroblasts of patients carrying α-synuclein triplication [15], an increase and change in deiminated protein patterns has been reported [9]

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