The olfactory bulb as the entry site for prion-like propagation in neurodegenerative diseases
Open accessAbstract
Olfactory deficits are present in numerous neurodegenerative disorders and are accompanied by pathology in related brain regions. In several of these disorders, olfactory disturbances appear early and are considered as prodromal symptoms of the disease. In addition, pathological protein aggregates affect olfactory regions prior to other regions, suggesting that the olfactory system might be particularly vulnerable to neurodegenerative diseases. Exposed to the external environment, the olfactory epithelium and olfactory bulb allow pathogen and toxin penetration into the brain, a process that has been proposed to play a role in neurodegenerative diseases. Determining whether the olfactory bulb could be a starting point of pathology and of pathology spread is crucial to understanding how neurodegenerative diseases evolve. We argue that pathological changes following environmental insults contribute to the initiation of protein aggregation in the olfactory bulb, which then triggers the spread of the pathology within the brain by a templating mechanism in a prion-like manner. We review the evidence for the early involvement of olfactory structures in neurodegenerative diseases and the relationship between neuropathology and olfactory function. We discuss the vulnerability and putative underlying mechanisms by which pathology could be initiated in the olfactory bulb, from the entry of pathogens (promoted by increased permeability of the olfactory epithelium with aging or inflammation) to the sensitivity of the olfactory system to oxidative stress and inflammation. Finally, we review changes in protein expression and neural excitability triggered by pathogenic proteins that can promote pathogenesis in the olfactory bulb and beyond.
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Olfactory impairment is an early predictor of Parkinson's disease development due to α-synuclein aggregation in the olfactory bulb.
“It is worthwhile noting that olfactory impairment is an early predictor of Parkinson’s disease development due to α-synuclein aggregation in the olfactory bulb [142].”
From Hyperactivation of P2X7 receptors as a culprit of COVID-19 neuropathology (2021) · cites this paper as [142]
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Patiño, J., Karagas, N. E., Chandra, S., Thakur, N., & Furr-Stimming, E. E. (2021) · Journal of Huntington s Disease · doi:10.3233/jhd-210497 · Cited by 28 · see citing works
Tremblay, C., Mei, J., & Frasnelli, J. (2020) · NeuroImage Clinical · doi:10.1016/j.nicl.2020.102457 · Cited by 28 · see citing works
Olfactory Dysfunction in Parkinson’s Disease, Its Functional and Neuroanatomical Correlates
Torres-Pasillas, G., Chi-Castañeda, D., Castilla, P. C., Marín, G., Hernández‐Aguilar, M. E., Aranda-Abreu, G. E., Manzo, J. G., & García, L. I. (2023) · NeuroSci · doi:10.3390/neurosci4020013 · Cited by 27 · see citing works
The anterior olfactory nucleus revisited – An emerging role for neuropathological conditions?
Brunert, D., Quintela, R. M., & Rothermel, M. (2023) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2023.102486 · Cited by 27 · see citing works
New Insights into Immune-Mediated Mechanisms in Parkinson’s Disease
Tan, J. S. Y., Chao, Y., Rötzschke, O., & Tan, E. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21239302 · Cited by 27 · see citing works
SNAP25 is a potential target for early stage Alzheimer’s disease and Parkinson’s disease
Wang, Q., Tao, S., Xing, L., Liu, J., Xu, C., Xu, X., Ding, H., Shen, Q., Yu, X., & Zheng, Y. (2023) · European journal of medical research · doi:10.1186/s40001-023-01360-8 · Cited by 26 · see citing works
Seo, J. H., Kang, S., Kim, K., Wi, S., Lee, J. W., & Cho, S. (2020) · Antioxidants · doi:10.3390/antiox9100928 · Cited by 26 · see citing works
- Authors
- Rey, N. L., Wesson, D. W., & Brundin, P.
- Affiliations
- Van Andel Institute (US)
- University of Florida (US)
- Corresponding author
- Rey, Nolwen L.
- Venue
- Neurobiology of Disease
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 109
- Issue
- Pt B
- Pages
- 226-248
- ISSN
- 0969-9961 (ISSN-L)
- PMC
- PMC5972535
- OpenAlex
- W2563994157
- Cited by
- 257
- References
- 519
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 14 · 2023: 31 · 2022: 21 · 2021: 44 · 2020: 50 · 2019: 24 · 2018: 18 · 2017: 15
- FWCI
- 11.86
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Neurobiology of Disease (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (acceptedVersion, cc-by-nc-nd)
- HAL (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Michael J. Fox Foundation for Parkinson's Research
- Van Andel Research Institute
- Teva Pharmaceutical Industries
- Tennessee Foundation
- National Institutes of Health
- National Institute on Deafness and Other Communication Disorders (R01DC014443, R01DC016519)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- olfactory bulb, prion-like propagation, neurodegenerative diseases, olfactory dysfunction, olfactory epithelium, protein aggregation, oxidative stress, neuroinflammation, neuronal excitability, prodromal symptoms
- MeSH terms
- Animals, Olfaction Disorders, Humans, Olfactory Bulb, Olfactory Mucosa, Neurodegenerative Diseases
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