PMID- 37150314 OWN - NLM STAT- MEDLINE DCOM- 20230612 LR - 20231116 IS - 1873-5118 (Electronic) IS - 0301-0082 (Linking) VI - 226 DP - 2023 Jul TI - Islet amyloid polypeptide triggers alpha-synuclein pathology in Parkinson's disease. PG - 102462 LID - S0301-0082(23)00062-X [pii] LID - 10.1016/j.pneurobio.2023.102462 [doi] AB - Pathologic aggregation and prion-like propagation of alpha-synuclein (alpha-syn) are the hallmarks of Parkinson's disease (PD). Emerging evidence shows that type 2 diabetes mellitus (T2DM) is a risk factor for PD. Interestingly, T2DM is characterized by the amyloid deposition of islet amyloid polypeptide (IAPP) in the pancreas. Although T2DM and PD share pathological similarities, the underlying molecular mechanisms bridging these two diseases remain unknown. Here, we report that IAPP co-deposits with alpha-syn in the brains of PD patients. IAPP interacts with alpha-syn and accelerates its aggregation. In addition, the IAPP-seeded alpha-syn fibrils show enhanced seeding activity and neurotoxicity compared with pure alpha-syn fibrils in vitro and in vivo. Strikingly, intravenous injection of IAPP fibrils into alpha-syn A53T transgenic mice or human SNCA transgenic mice accelerated the aggregation of alpha-syn and PD-like motor deficits. Taken together, these findings support that IAPP acts as a trigger of alpha-syn pathology in PD, and provide a mechanistic explanation for the increased risk and faster progression of PD in patients with T2DM. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Meng, Lanxia AU - Meng L AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Li, Yiming AU - Li Y AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Liu, Congcong AU - Liu C AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Zhang, Guoxin AU - Zhang G AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Chen, Jiehui AU - Chen J AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Xiong, Min AU - Xiong M AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Pan, Lina AU - Pan L AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Zhang, Xingyu AU - Zhang X AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Chen, Guiqin AU - Chen G AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China; Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Xiong, Jing AU - Xiong J AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China; Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Liu, Chaoyang AU - Liu C AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China; Research Center for Environment and Health, Zhongnan University of Economics and Law, Wuhan 430073, China. FAU - Xu, Ximing AU - Xu X AD - Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Bu, Lihong AU - Bu L AD - PET-CT/MRI Center, Faculty of Radiology and Nuclear Medicine, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Zhang, Zhaohui AU - Zhang Z AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. FAU - Zhang, Zhentao AU - Zhang Z AD - Department of Neurology, Renmin Hospital of Wuhan University, Wuhan 430060, China. Electronic address: Zhentaozhang@whu.edu.cn. LA - eng PT - Journal Article DEP - 20230505 PL - England TA - Prog Neurobiol JT - Progress in neurobiology JID - 0370121 RN - 0 (alpha-Synuclein) RN - 0 (Islet Amyloid Polypeptide) RN - 0 (Amyloid) SB - IM MH - Mice MH - Animals MH - Humans MH - *Parkinson Disease/pathology MH - alpha-Synuclein MH - Islet Amyloid Polypeptide MH - *Diabetes Mellitus, Type 2 MH - Mice, Transgenic MH - Amyloid/chemistry OTO - NOTNLM OT - Aggregation OT - Cross-seeding OT - Neurodegeneration OT - Synucleinopathy OT - Type 2 diabetes mellitus (T2DM) COIS- Declaration of Competing Interest The authors report no competing interests. EDAT- 2023/05/08 00:41 MHDA- 2023/06/12 06:42 CRDT- 2023/05/07 19:25 PHST- 2022/12/06 00:00 [received] PHST- 2023/03/28 00:00 [revised] PHST- 2023/05/01 00:00 [accepted] PHST- 2023/06/12 06:42 [medline] PHST- 2023/05/08 00:41 [pubmed] PHST- 2023/05/07 19:25 [entrez] AID - S0301-0082(23)00062-X [pii] AID - 10.1016/j.pneurobio.2023.102462 [doi] PST - ppublish SO - Prog Neurobiol. 2023 Jul;226:102462. doi: 10.1016/j.pneurobio.2023.102462. Epub 2023 May 5.