Altered lipid levels provide evidence for myelin dysfunction in multiple system atrophy
Open accessAbstract
Multiple system atrophy (MSA) is a rapidly-progressive neurodegenerative disease characterized by parkinsonism, cerebellar ataxia and autonomic failure. A pathological hallmark of MSA is the presence of α-synuclein deposits in oligodendrocytes, the myelin-producing support cells of the brain. Brain pathology and in vitro studies indicate that myelin instability may be an early event in the pathogenesis of MSA. Lipid is a major constituent (78% w/w) of myelin and has been implicated in myelin dysfunction in MSA. However, changes, if any, in lipid level/distribution in MSA brain are unknown. Here, we undertook a comprehensive analysis of MSA myelin. We quantitatively measured three groups of lipids, sphingomyelin, sulfatide and galactosylceramide, which are all important in myelin integrity and function, in affected (under the motor cortex) and unaffected (under the visual cortex) white matter regions. For all three groups of lipids, most of the species were severely decreased (40-69%) in affected but not unaffected MSA white matter. An analysis of the distribution of lipid species showed no significant shift in fatty acid chain length/content with MSA. The decrease in lipid levels was concomitant with increased α-synuclein expression. These data indicate that the absolute levels, and not distribution, of myelin lipids are altered in MSA, and provide evidence for myelin lipid dysfunction in MSA pathology. We propose that dysregulation of myelin lipids in the course of MSA pathogenesis may trigger myelin instability.
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Alterations in lipid composition are restricted to affected regions in human MSA samples.
“Additionally, alterations in lipid composition are restricted to affected regions in human MSA samples [12].”
From Novel oligodendroglial alpha synuclein viral vector models of multiple system atrophy: studies in rodents and nonhuman primates (2017) · cites this paper as [12]
The Results sections on galactosylceramide and sphingomyelin (page not provided) report reduced lipid levels in MSA-affected motor-cortex white matter but not in the unaffected visual-cortex region examined. The paper distinguishes those changes in absolute levels from lipid-species distribution, which did not significantly change; it also did not test every brain region. Thus the regional finding is supported, but a change in lipid composition or restriction to all affected regions is broader than the findings establish. (LLM, conf=0.84)
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Self-citation
- Authors
- Don, A. S., Hsiao, J.-H. T., Bleasel, J. M., Couttas, T. A., Halliday, G. M., & Kim, W. S.
- Affiliations
- UNSW Sydney (AU)
- Neuroscience Research Australia (AU)
- Corresponding author
- Kim, Woojin Scott
- ORCID
- Venue
- Acta Neuropathologica Communications
- Published
- 2014-10-29
- Volume
- 2
- Issue
- 1
- Pages
- 150-150
- ISSN
- 2051-5960 (ISSN-L)
- PMC
- PMC4228091
- OpenAlex
- W2165915481
- Cited by
- 88
- References
- 55
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 12 · 2023: 4 · 2022: 6 · 2021: 10 · 2020: 13 · 2019: 7 · 2018: 4 · 2017: 10 · 2016: 7 · 2015: 4
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Acta Neuropathologica Communications (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Neuroscience Research Australia
- University of New South Wales
- University of Sydney
- National Institutes of Health
- Medical Research Council
- National Health and Medical Research Council (1022325, 630434)
- National Institute on Alcohol Abuse and Alcoholism (R24AA012725, NIH (NIAAA) R24AA012725, R28AA012725)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Keywords
- multiple system atrophy, myelin lipids, sphingomyelin, sulfatide, galactosylceramide, alpha-synuclein, oligodendrocytes, white matter, neurodegeneration, fatty acid chain length
- MeSH terms
- Aged, Aged, 80 and over, Brain Chemistry, Female, Galactosylceramides, Glycolipids, Humans, Male, Middle Aged, Myelin Sheath, Sphingomyelins, Sulfoglycosphingolipids, Multiple System Atrophy, alpha-Synuclein, White Matter
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