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Ann Neurol. 2019 Feb 25. doi: 10.1002/ana.25446. [Epub ahead of print]

Seeding variability of different alpha synuclein strains in synucleinopathies.

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Department of Neurology, University Medicine Goettingen and the German Center for Neurodegenerative Diseases (DZNE), Göttingen, Germany.
CIBERNED (Network center for biomedical research of neurodegenerative diseases), Institute Carlos III, Ministry of Health, Spain.
Keizo Asami Laboratory (LIKA)Universidade Federal de Pernambuco (UFPE), Recife, Brazil.
Department of Neurogenetics, Max-Planck-Institute of Experimental Medicine, Goettingen, 37075, Germany.
Department of Experimental Neurodegeneration, Center for Biostructural Imaging of Neurodegeneration, Center for Nanoscale Microscopy and Molecular Physiology of the Brain, University Medical Center Göttingen, Waldweg 33. Göttingen, Germany, D-37075.
Max Planck Institute for Experimental Medicine Medicine Head of the Electron Microscopy Core Unit Department of Neurogenetics, Göttingen, Germany.
Institute of Neuroscience, The Medical School, Newcastle University, Framlington Place, Newcastle, Upon Tyne, NE2 4HH, UK.
Departamento de Neuropatología y Banco de Tejidos (BT-CIEN), Fundación CIEN, Instituto de Salud Carlos III Centro Alzheimer Fundación Reina Sofíac/ Valderrebollo n° 5 28031, Madrid.
Institute of Applied Physics, National Research Council, via Madonna del Piano, 10 I-50019, Sesto Fiorentino, Italy.



Currently, the exact reasons why different α-synucleinopathies exhibit variable pathologies and phenotypes are still unknown. A potential explanation may be the existence of distinctive α-synuclein conformers or strains. Here, we intend to analyse the seeding activity of Dementia with Lewy bodies (DLB) and Parkinson's disease (PD) brain derived α-synuclein seeds via real-time quaking-induced conversion (RT-QuIC) and to investigate the structure and morphology of the α-synuclein aggregates generated via RT-QuIC.


A misfolded α-synuclein-enriched brain fraction from frontal cortex and substantia nigra pars compacta tissue, isolated by several filtration and centrifugation steps, was subjected to α-synuclein-RT-QuIC-analysis. Our study included neuropathologically well-characterised cases with DLB, PD and controls (Ctrl). Biochemical and morphological analyses of RT-QuIC products were conducted by western blot, dot blot analysis, Raman spectroscopy, Atomic Force Microscopy and Transmission Electron Microscopy.


Independently from the brain region, we observed different seeding kinetics of α-synuclein in the RT-QuIC in patients with DLB compared to PD and Ctrl. Biochemical characterization of the RT-QuIC product indicated the generation of a PK-resistant and fibrillary α-synuclein species in DLB seeded reactions, while PD and control seeds failed in the conversion of wild type α-synuclein substrate.


Structural variances of α-synuclein seeding kinetics and products in DLB and PD indicated for the first time the existence of different α-synuclein strains in these groups. Therefore, our study contributes to a better understanding of the clinical heterogeneity among α-synucleinopathies, offers an opportunity for a specific diagnosis and opens new avenues for the future development of strain-specific therapies. This article is protected by copyright. All rights reserved.


RT-QuIC; strain typing; α-synuclein; α-synucleinopathies


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