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Nature Neuroscience 11, 301–308 (1 March 2008) | doi:10.1038/nn2058

A molecular pathway of neurodegeneration linking |[alpha]|-synuclein to ApoE and A|[beta]| peptides

Gilbert Gallardo , Oliver M Schl|[uuml]|ter & Thomas C S|[uuml]|dhof

Pathogenic aggregates of α-synuclein are thought to contribute to the development of Parkinson's disease. Inclusion bodies containing α-synuclein are present in Parkinson's disease and other neurodegenerative diseases, including Alzheimer's disease. Moreover, α-synuclein mutations are found in cases of familial Parkinson's disease, and transgenic overexpression of α-synuclein causes neurodegeneration in mice. The molecular mechanisms involved, however, remain incompletely understood. Here we show that, in transgenic mice, α-synuclein induced neurodegeneration involves activation of the ubiquitin/proteasome system, a massive increase in apolipoprotein E (ApoE) levels and accumulation of insoluble mouse Aβ. ApoE was not protective, but was injurious, as deletion of ApoE delayed the neurodegeneration caused by α-synuclein and suppressed the accumulation of Aβ. Our data reveal a molecular link between central pathogenic mechanisms implicated in Parkinson's disease and Alzheimer's disease and suggest that intracellular α-synuclein is pathogenic, at least in part, by activation of extracellular signaling pathways involving ApoE.