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Neuroinflammation and α-Synuclein Dysfunction Potentiate Each Other, Driving Chronic Progression of Neurodegeneration in a Mouse Model of Parkinson’s Disease
Open accessAbstract
Background: Mechanisms whereby gene–environment interactions mediate chronic, progressive neurodegenerative processes in Parkinson’s disease (PD)—the second most common neurodegenerative disease—remain elusive. Objective: We created a two-hit [neuroinflammation and mutant α-synuclein (α-syn) overexpression] animal model to investigate mechanisms through which mutant α-syn and inflammation work in concert to mediate chronic PD neurodegeneration. Methods: We used an intraperitoneal injection of the inflammogen lipopolysaccharide (LPS; 3 × 106 EU/kg) to initiate systemic and brain inflammation in wild-type (WT) mice and transgenic (Tg) mice overexpressing human A53T mutant α-syn. We then evaluated nigral dopaminergic neurodegeneration, α-syn pathology, and neuroinflammation. Results: After LPS injection, both WT and Tg mice initially displayed indistinguishable acute neuroinflammation; however, only Tg mice developed persistent neuroinflammation, chronic progressive degeneration of the nigrostriatal dopamine pathway, accumulation of aggregated, nitrated α-syn, and formation of Lewy body-like inclusions in nigral neurons. Further mechanistic studies indicated that 4-week infusion of two inhibitors of inducible nitric oxide synthase and NADPH oxidase, major free radical–generating enzymes in activated microglia, blocked nigral α-syn pathology and neurodegeneration in LPS-injected Tg mice. Conclusions: Microglia-derived oxidative stress bridged neuroinflammation and α-syn pathogenic alteration in mediating chronic PD progression. Our two-hit animal model involving both a genetic lesion and an environmental trigger reproduced key features of PD and demonstrated synergistic effects of genetic predisposition and environmental exposures in the development of PD. The chronic progressive nature of dopaminergic neurodegeneration, which is absent in most existing PD models, makes this new model invaluable for the study of mechanisms of PD progression.
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“Not only has chronic neuroinflammation been shown to increase α-synuclein deposition in various synucleinopathy animal models (51–56), but when these animals were treated with drugs to reduce neuroinflammation, α-synuclein neuropathology also decreased (57, 58).”
From LRRK2 mediates microglial neurotoxicity via NFATc2 in rodent models of synucleinopathies (2020) · cites this paper as [53]
In the citing paper
“This supports a dual-hit hypothesis for PD: elevated endotoxin plus aggregable α-synuclein results in neurodegeneration.”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [101]
In the citing paper
“A single injection of peripheral endotoxin into wild-type mice and transgenic mice (expressing human A53T mutant α-synuclein) resulted in indistinguishable acute neuroinflammation, but only the transgenic mice treated with endotoxin developed persistent neuroinflammation, aggregated α-synuclein, progressive degeneration of dopamine neurons and Lewy body-like inclusions in nigral neurons [101].”
From The endotoxin hypothesis of neurodegeneration (2019) · cites this paper as [101]
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Do Bacterial Outer Membrane Vesicles Contribute to Chronic Inflammation in Parkinson’s Disease?
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“Additionally, an inflammatory environment is known to enhance α-Syn aggregation, which can further activate microglia and promote a feed-forward cascade that leads to additional α-Syn aggregation and propagation (Gao et al., 2011).”
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“α-Syn is known to aggregate in an inflammatory environment, which activates microglia [49].”
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Promising molecular targets for pharmacological therapy of neurodegenerative pathologies
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“However, others reported a sustained neuroinflammation in the α -syn expressing mice five months after a single LPS-injection, an effect which was not observed in wild type mice (Gao et al., 2011).”
BackgroundImmune Response Modifications in the Genetic Forms of Parkinson’s Disease: What Do We Know?
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“The increased aggregation and propagation of α-synuclein induces the neurodegeneration of DA neurons in the SN, leading to PD motor dysfunction [34,35].”
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“…microglial neuroinflammation may be triggered by multiple stimuli in the brain, activation of systemic inflammation also could induce neuroinflammation, thereby inducing abnormal accumulation of α -syn in the brain (Gao et al., 2011; Ifuku et al., 2012; Kahn et al., 2012; Tansey et al., 2022).”
Synuclein and Parkinson’s Disease: An Update
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“Furthermore, it is important to investigate the effects of AIMP1 on the pathological roles of amyloid-β, α-synuclein, and tau, which are the well-known causative factors of neuroinflammation and neuronal diseases (Gao et al., 2011; Ismail et al., 2020).”
BackgroundBérard, M., Martínez-Drudis, L., Sheta, R., El‐Agnaf, O. M. A., & Oueslati, A. (2023) · Molecular Neurodegeneration · doi:10.1186/s13024-023-00683-8 · Cited by 8
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Alpha-synuclein pathology enhances peripheral and CNS immune responses to bacterial endotoxins
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“…that alterations in aSyn expression may occur after the neuroinflammatory response has subsided, as reported in previous studies (Deng et al., 2021; Gao et al., 2011; He et al., 2013), we determined whether LPS-induced neuroinflammation altered aSyn expression by quantifying aSyn protein…”
Centner, A., Priore, I. D., Chambers, N., Cohen, S. R., Terry, M. L., Coyle, M., Glinski, J., Stoll, A. C., Patterson, J. R., Kemp, C. J., et al. (2024) · European Journal of Neuroscience · doi:10.1111/ejn.16275 · Cited by 7
“Transgenic overexpression models of human wild type or mutated α -syn produce abundant α -syn aggregation (Gao et al., 2011; Gomez-Isla et al., 2003) but do not recapitulate the severe loss of nigral dopaminergic neurons.”
BackgroundSahoo, T. A., Chand, J., Kandy, A. T., Shanish Antony, A., & Subramanian, G. (2025) · Neurochemical Research · doi:10.1007/s11064-025-04399-7 · Cited by 9
“Abnormal calcium levels may increase α-Syn aggregation by failing to maintain calcium-dependent chaperones or enzymes [32, 33].”
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Nutraceuticals in neurodegenerative diseases
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Motor deficits and brain pathology in the Parkinson’s disease mouse model hA53Ttg
Breznik, L., Daurer, M., Rabl, R., Loeffler, T., Etxeberria-Rekalde, E., Neddens, J., Flunkert, S., & Prokesch, M. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1462041 · Cited by 6
Enhancing sleep quality in synucleinopathies through physical exercise
Canonichesi, J., Bellingacci, L., Rivelli, F., & Tozzi, A. (2025) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2025.1515922 · Cited by 6
Current and Emerging MR Methods and Outcome in Rodent Models of Parkinson’s Disease: A Review
Petiet, A. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.583678 · Cited by 6
“Interestingly, transgenic mice overexpressing α-synuclein and injected with LPS show increased protein aggregation, chronic nigral DA neuronal loss, and nigral inflammation compared to wild-type mice, suggesting a potentiation role of inflammation on α-synuclein dysfunction (Gao et al., 2011).”
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“However, dis-appointedly, most of the α-synuclein transgenic mice did not successfully replicate the degeneration of DAergic neurons [9, 13, 14].”
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“Previous studies reported that direct nigral or intraperitoneal administration of LPS results in a dramatic loss of DA neurons in human A53T mutant α-syn transgenic mice compared to WT mice [24,25].”
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A Forgotten Principle in Immunocytochemistry: Optimal Dilution
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“In a mouse model of Parkinson's disease, endotoxin induces α-synuclein production/ aggregation and leads to loss of dopaminergic neurons in the substantia nigra (Gao et al. 2011).”
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Inflammasome-Mediated Inflammation in Neurodegenerative Diseases
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“It is reported that inhibition of NADPH oxidase and iNOS reduce pathologic alterations of α-synuclein which causes chronic neurodegeneration in PD (Gao et al. 2011)”
Neuroinflammation and Parkinson’s Disease
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Neuronal vulnerability in Parkinson’s disease: insights from murine α-synuclein pathology models
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“The spread of alpha‐synuclein pathology throughout the brain occurs in a prion‐like manner, where misfolded proteins induce neighboring neurons to misfold as well [95–97].”
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Alpha-Synuclein and the Immune Response in Parkinson’s Disease
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“In the second study, the authors evaluated dopaminergic neurodegeneration, Syn pathology and neuroinflammation in Wt and transgenic A53T Syn-overexpressing mice (Gao et al., 2011).”
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Role of the Gut Microbiome and Bacterial Amyloids in the Development of Synucleinopathies
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Chen, S., Oyarzabal, E. A., Santos, J. H., Wang, Q., Jiang, L., & Hong, J. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-800228-5.00018-2 · Cited by 2
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Immunotherapy for Neurodegenerative Movement Disorders
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Metadata
- Authors
- Gao, H.-M., Zhang, F., Zhou, H., Kam, W., Wilson, B., & Hong, J.-S.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Gao, Hui-Ming
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2011-01-18
- Volume
- 119
- Issue
- 6
- Pages
- 807-814
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- PMC
- PMC3114815
- OpenAlex
- W1971599063
- Cited by
- 355
- References
- 46
- Citations by year
- 2026: 16 · 2025: 13 · 2024: 36 · 2023: 23 · 2022: 28 · 2021: 37 · 2020: 39 · 2019: 17 · 2018: 28 · 2017: 20 · 2016: 18 · 2015: 16 · 2014: 19 · 2013: 18 · 2012: 19
- FWCI
- 13.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/licenses/by/4.0/ (vor, 2537 d)
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Environmental Health Sciences
- Topics
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nuclear Receptors and Signaling
- Keywords
- Parkinson's disease, neuroinflammation, alpha-synuclein, lipopolysaccharide, two-hit model, gene-environment interaction, microglia, oxidative stress, inducible nitric oxide synthase, NADPH oxidase, dopaminergic neuron loss, nigrostriatal pathway, Lewy bodies, chronic neurodegeneration
- MeSH terms
- Amidines, Animals, Benzylamines, Disease Models, Animal, Injections, Intraperitoneal, Lipopolysaccharides, Nerve Degeneration, Onium Compounds, Parkinson Disease, Substantia Nigra, Lewy Bodies, Oxidative Stress, NADPH Oxidases, Neurodegenerative Diseases, Animals, Genetically Modified, Mice, alpha-Synuclein, Nitric Oxide Synthase Type II
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