Neuronal FAM171A2 mediates α-synuclein fibril uptake and drives Parkinson’s disease.

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Title: Neuronal FAM171A2 mediates α-synuclein fibril uptake and drives Parkinson’s disease.
Authors: Kai-Min Wu, Qian-Hui Xu, Yi-Qi Liu, Yi-Wei Feng, Si-Da Han, Ya-Ru Zhang, Shi-Dong Chen, Yu Guo, Bang-Sheng Wu, Ling-Zhi Ma, Yi Zhang, Yi-Lin Chen, Liu Yang, Zhao-Fei Yang, Yu-Jie Xiao, Ting-Ting Wang, Jue Zhao, Shu-Fen Chen, Mei Cui, Bo-Xun Lu
Source: Science (pre-March 2025). 2/21/2025, Vol. 387 Issue 6736, p892-900. 9p. 5 Color Photographs.
Subjects: Parkinson's disease, Binding site assay, Dopamine receptors
Abstract: Neuronal accumulation and spread of pathological α-synuclein (α-syn) fibrils are key events in Parkinson's disease (PD) pathophysiology. However, the neuronal mechanisms underlying the uptake of α-syn fibrils remain unclear. In this work, we identified FAM171A2 as a PD risk gene that affects α-syn aggregation. Overexpressing FAM171A2 promotes α-syn fibril endocytosis and exacerbates the spread and neurotoxicity of α-syn pathology. Neuronal-specific knockdown of FAM171A2 expression shows protective effects. Mechanistically, the FAM171A2 extracellular domain 1 interacts with the α-syn C terminus through electrostatic forces, with >1000 times more selective for fibrils. Furthermore, we identified bemcentinib as an effective blocker of FAM171A2–α-syn fibril interaction with an in vitro binding assay, in cellular models, and in mice. Our findings identified FAM171A2 as a potential receptor for the neuronal uptake of α-syn fibrils and, thus, as a therapeutic target against PD. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Neuronal accumulation and spread of pathological α-synuclein (α-syn) fibrils are key events in Parkinson's disease (PD) pathophysiology. However, the neuronal mechanisms underlying the uptake of α-syn fibrils remain unclear. In this work, we identified FAM171A2 as a PD risk gene that affects α-syn aggregation. Overexpressing FAM171A2 promotes α-syn fibril endocytosis and exacerbates the spread and neurotoxicity of α-syn pathology. Neuronal-specific knockdown of FAM171A2 expression shows protective effects. Mechanistically, the FAM171A2 extracellular domain 1 interacts with the α-syn C terminus through electrostatic forces, with >1000 times more selective for fibrils. Furthermore, we identified bemcentinib as an effective blocker of FAM171A2–α-syn fibril interaction with an in vitro binding assay, in cellular models, and in mice. Our findings identified FAM171A2 as a potential receptor for the neuronal uptake of α-syn fibrils and, thus, as a therapeutic target against PD. [ABSTRACT FROM AUTHOR]
ISSN:00368075
DOI:10.1126/science.adp3645