Cited by 897Parkinson's Disease Mechanisms and TreatmentsNuclear Receptors and SignalingAlzheimer's disease research and treatments

α-synuclein toxicity in neurodegeneration: mechanism and therapeutic strategies

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Wong, Yvette C, Krainc, Dimitri·2017·Nature Medicine

Abstract

Alterations in α-synuclein dosage lead to familial Parkinson's disease (PD), and its accumulation results in synucleinopathies that include PD, dementia with Lewy bodies (DLB) and multiple system atrophy (MSA). Furthermore, α-synuclein contributes to the fibrilization of amyloid-b and tau, two key proteins in Alzheimer's disease, which suggests a central role for α-synuclein toxicity in neurodegeneration. Recent studies of factors contributing to α-synuclein toxicity and its disruption of downstream cellular pathways have expanded our understanding of disease pathogenesis in synucleinopathies. In this Review, we discuss these emerging themes, including the contributions of aging, selective vulnerability and non-cell-autonomous factors such as α-synuclein cell-to-cell propagation and neuroinflammation. Finally, we summarize recent efforts toward the development of targeted therapies for PD and related synucleinopathies.

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Authors
Wong, Y. C., & Krainc, D.
Affiliations
Northwestern University (US)
Corresponding author
Krainc, Dimitri
Venue
Nature Medicine
Published
2017-02
Volume
23
Issue
2
Pages
1-13
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2587082207
Cited by
897
References
215
Citations by year
2026: 77 · 2025: 95 · 2024: 89 · 2023: 104 · 2022: 118 · 2021: 109 · 2020: 99 · 2019: 91 · 2018: 80 · 2017: 35
FWCI
11.12
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Neurological Disorders and Stroke (T32NS041234, R01NS076054)
Topics
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nuclear Receptors and Signaling
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
Keywords
alpha-synuclein, Parkinson's disease, synucleinopathies, neurodegeneration, alpha-synuclein toxicity, familial Parkinson's disease, dementia with Lewy bodies, multiple system atrophy, aging, selective neuronal vulnerability, cell-to-cell transmission, neuroinflammation, targeted therapy
MeSH terms
Alzheimer Disease, Autophagy, Axonal Transport, Endoplasmic Reticulum, Golgi Apparatus, Humans, Lysosomes, Mitochondria, Neurons, Parkinson Disease, Synapses, Amyloid beta-Peptides, tau Proteins, Multiple System Atrophy, Lewy Body Disease, alpha-Synuclein, Molecular Targeted Therapy, Protein Aggregation, Pathological, Protein Aggregates

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