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J Biol Chem, Vol. 273, Issue 41, 26292-26294, October 9, 1998

COMMUNICATION
Binding of alpha -Synuclein to Brain Vesicles Is Abolished by Familial Parkinson's Disease Mutation*

Poul H. JensenDagger §, Morten S. NielsenDagger , Ross Jakesparallel , Carlos G. Dotti§, and Michel Goedertparallel

From the Dagger  Department of Medical Biochemistry, Building 170, University of Aarhus, DK-8000 Aarhus C, Denmark, the § European Molecular Biology Laboratory, Meyerhofstrasse 1, 69012 Heidelberg, Federal Republic of Germany, and the parallel  Medical Research Council Laboratory of Molecular Biology, Hills Road, Cambridge CB2 2QH, United Kingdom

    ABSTRACT
Top
Abstract
Introduction
Procedures
Results
Discussion
References

The presynaptic protein alpha -synuclein has been implicated in the pathogenesis of Parkinson's disease. First, two missense mutations A30P and A53T cause inheritable early onset Parkinson's disease in some families. Secondly, alpha -synuclein is present in Lewy bodies of affected nerve cells in the predominant sporadic type of Parkinson's disease as well as in dementia with Lewy bodies. We demonstrate in the rat optic system that a portion of alpha -synuclein is carried by the vesicle-moving fast component of axonal transport and that it binds to rat brain vesicles through its amino-terminal repeat region. We find alpha -synuclein with the A30P mutation of familial Parkinson's disease devoid of vesicle-binding activity and propose that mutant alpha -synuclein may accumulate, leading to assembly into Lewy body filaments.

    INTRODUCTION
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Abstract
Introduction
Procedures
Results
Discussion
References

Parkinson's disease is a common neurodegenerative disorder that affects approximately 0.2% of the population. Neuropathologically, it is characterized by filamentous Lewy bodies and Lewy neurites, in dopaminergic nerve cells of the substantia nigra and other nerve cell populations (1). Their presence may cause neurodegeneration, but the mechanisms underlying their formation are unknown. Two separate missense mutations (A30P and A53T) in alpha -synuclein have been identified in some families with early-onset Parkinson's disease (2, 3). alpha -Synuclein is an abundant 140-amino acid neuronal phosphoprotein that is localized in the presynaptic terminals (for a review, see Ref. 4). This normal localization is perturbed in idiopathic Parkinson's disease and in dementia with Lewy bodies (5-7), a common late-life dementia that is clinically similar to Alzheimer's disease (8). In these diseases, alpha -synuclein accumulates in the cell bodies and neurites of degenerating neurons as a major component of Lewy bodies and Lewy neurites. Here we report that in rat optic nerve a portion of alpha -synuclein is carried in the vesicle-moving fast component of axonal transport. Fast axonal transport represents the movement of tubulovesicular structures along microtubules driven by motor proteins (9). Accordingly, we show that alpha -synuclein binds to vesicles from rat brain through its amino-terminal repeat region. alpha -Synuclein with the A30P mutation of familial Parkinson's disease is devoid of significant vesicle-binding activity. As a result, it may accumulate, leading to its assembly into Lewy body filaments.

    EXPERIMENTAL PROCEDURES
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Abstract
Introduction
Procedures
Results
Discussion
References

Axonal Transport-- Adult female rats received a bilateral intraocular injection of 0.5 mCi of [35S]methionine (DuPont) (10). The animals were killed by cervical dislocation after 4 h, and their optic nerves, optic chiasmata, optic tracts, and lateral geniculate bodies were dissected. The proximal 3 mm were removed from the samples, to avoid labeled material moving in slow component b of axonal transport (SCb).1 Tissues were homogenized in 8 M urea, 0.5% SDS, 2% mercaptoethanol, and insoluble material was removed by centrifugation. For immunoprecipitation, supernatants were diluted 25-fold in phosphate-buffered saline (PBS), in the presence of a mixture of protease inhibitors (Complete, Boehringer Mannheim, Mannheim, Federal Republic of Germany), cleared of endogenous IgG by incubation with 60 µl of protein A-Sepharose slurry for 1 h, and incubated with 20 µg of affinity-purified rabbit anti-alpha -synuclein IgG or 2 µl of mouse monoclonal anti-SNAP25 (Affinity Inc.) for 16 h at 4 °C. IgG was collected by the addition of 40 µl of protein A-Sepharose slurry for 1 h, followed by 7 × 10 ml washes in PBS, 0.1% Triton X-100. The synuclein/IgG/protein A-Sepharose was heated to 95 °C for 5 min in 1% SDS, 20 mM dithiothreitol (DTT), 20 mM Tris-HCl, pH 6.8, and eluted synuclein was recovered by centrifugation in a spin column (Bio-Rad Laboratories). The eluate was brought to 20% glycerol and loaded directly on a 10-20% gradient SDS-polyacrylamide gel that was further processed for fluorography at -80 °C. Control experiments showed that the ratio of anti-alpha -synuclein IgG/optic nerve resulted in the quantitative precipitation of alpha -synuclein. The alpha -synuclein antibody was raised in a rabbit using recombinant human alpha -synuclein as the immunogen. By immunoblotting of rat brain extract, it recognized alpha -synuclein and the related beta -synuclein. It similarly recognized recombinant human alpha -synuclein and beta -synuclein.

Vesicle Binding-- A modification of the flotation assay of Brown and Rose (11) was used. All procedures were carried out at 4 °C. One adult rat cerebral hemisphere was Dounce-homogenized in 2.5 ml of 5 mM dithiothreitol, 2 mM EDTA, 9% sucrose, 25 mM MES, pH 7.0, in the presence of a mixture of protease inhibitors (Complete, Boehringer Mannheim). Nuclei and debris were removed by a 5-min centrifugation at 2,500 rpm, and a crude vesicle fraction was isolated by ultracentrifugation of the supernatant at 100,000 × g for 1 h. The resulting pellet was resuspended by Dounce homogenization in the above buffer. Vesicle binding was performed by incubating 100 µl of resuspended vesicles (approximately 7 mg of protein/ml) with 1 µM biotinylated probe for 2 h. The solution was brought to 55% sucrose in a volume of 0.35 ml, placed into a 4-ml ultracentrifuge tube, and overlaid with 3 ml of a 48-20% sucrose gradient. Flotation was carried out for 16 h at 100,000 × g in a SW60 swinging rotor. Following ultracentrifugation, the gradient was divided into 9 fractions, which were collected from the top. A sample of each fraction was used for determining the sucrose concentration by refractometry and the protein concentration (Bio-Rad Protein Assay, Bio-Rad Laboratories). For localizing alpha -synuclein in the gradient, an aliquot of each fraction (200 µl) was precipitated with 20% trichloroacetic acid, run on 10-20% SDS-polyacrylamide gel electrophoresis, and transferred to nitrocellulose. Endogenous rat alpha -synuclein was identified with affinity-purified rabbit anti-synuclein IgG, followed by HRP-conjugated donkey anti-rabbit IgG (Amersham). Biotinylated human alpha -synuclein proteins were identified with HRP-conjugated streptavidin (Boehringer Mannheim). HRP was visualized by enhanced chemiluminescence (Amersham Pharmacia Biotech).

alpha -Synuclein Constructs-- Human alpha -synuclein was expressed and purified as described (12). Site-directed mutagenesis was used to produce the A30P and A53T mutants of alpha -synuclein. Human alpha -synuclein-(30-140) and alpha -synuclein-(55-140) were produced by polymerase chain reaction. All constructs were verified by DNA sequencing and subcloned into expression plasmid pRK172. Expression and purification of the recombinant proteins were done as described (12). The molecular masses of A30P alpha -synuclein and A53T alpha -synuclein were determined by mass spectrometry and corresponded to the expected values. Biotinylation of alpha -synuclein proteins was performed by incubating 50 µM recombinant protein with 0.75 mM sulfosuccinimidobiotin (Pierce) for 1 h at 22 °C in 100 mM sodium carbonate buffer, pH 8.0. The reaction was terminated by quenching with 50 mM Tris-HCl, pH 6.8, and the proteins were extensively dialyzed against PBS. Aliquots were brought to 50% glycerol and stored at -20 °C. Dot-blotting showed that the degree of biotinylation of individual proteins varied by less than 50%.

    RESULTS
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Abstract
Introduction
Procedures
Results
Discussion
References

Axonal transport of alpha -synuclein was investigated in the rat visual system (10). Retinal ganglion cells were pulse-labeled by an intraocular injection of [35S]methionine, and movement of radiolabeled alpha -synuclein through ganglion cell axons was monitored by quantitative immunoprecipitation. Animals were sacrificed 4 h after the injection, the first 3 mm of the optic nerve were discarded, and alpha -synuclein was immunoprecipitated from the remainder of the visual system. Proteins labeled at 4 h are transported by fast axonal transport (100-400 mm/day) (10). As shown in Fig. 1, two immunoprecipitated labeled bands were detected at 4 h; they co-migrated with recombinant human alpha -synuclein and the related beta -synuclein (12, 13), indicating that both synucleins move in the fast component of axonal transport. Comparison of the amounts of immunoprecipitated labeled synucleins at 4, 30, and 96 h showed that approximately 15% of the total pool of alpha -synuclein and beta -synuclein moves by fast axonal transport, with the remainder moving in SCb.2


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Fig. 1.   Fast axonal transport of alpha -synuclein. Rat retinal neurones were labeled by intraocular injection of 0.5 mCi of [35S]methionine. Axonally transported synucleins were immunoprecipitated from extracts of optic nerve, optic chiasm, optic tract, and lateral geniculate body 4 h later, resolved by SDS-polyacrylamide gel electrophoresis, and processed for fluorography. Based on co-migration with the recombinant human proteins, the labeled bands were identified as alpha -synuclein and beta -synuclein. Molecular markers are shown to the left (Mr × 10-3).

Fast axonal transport of a portion of optic nerve alpha -synuclein suggested that it may be associated with the vesicles and motor proteins that are transported at this speed. We therefore used a flotation assay to study the association of wild-type and mutated alpha -synuclein with vesicles. Upon ultracentrifugation, vesicles and their associated proteins float in the sucrose gradient until they reach their density, whereas non-bound material stays in the denser bottom fraction. Using this assay, some of the alpha -synuclein from a postnuclear supernatant of rat brain was found in the densest fraction, and some floated to a density of 1.0995-1.1259 g/ml (Fig. 2, panel 1). The postnuclear supernatant was then divided into cytosolic and vesicle fractions by ultracentrifugation, prior to flotation analysis (Fig. 2, panels 2 and 3). Cytosolic alpha -synuclein stayed in the dense fraction, whereas all the vesicle-associated alpha -synuclein floated to 1.0995-1.1259 g/ml. The distribution of vesicle-associated alpha -synuclein in the gradient was identical with that of synaptic vesicle-associated protein SNAP25 (Fig. 2, panel 4). To exclude that endogenous cytosolic alpha -synuclein didn't just become trapped in inside-out vesicles, we incubated rat brain vesicles with biotinylated recombinant human alpha -synuclein (Fig. 3) prior to flotation. Like endogenous rat alpha -synuclein, the majority of biotinylated human alpha -synuclein was associated with vesicle fractions, with some remaining in the denser fractions (Fig. 2, panel 5). Control experiments showed that biotinylation did not interfere with the vesicle binding activity of human alpha -synuclein (not shown).


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Fig. 2.   Binding of alpha -synuclein proteins to rat brain vesicles. Adult rat brain extract was fractionated into postnuclear supernatant, cytosol, and vesicles. Binding of alpha -synuclein to vesicles was measured in a flotation assay. The gradient was divided into 9 separate fractions (ranging in density from 1.0690 to 1.1634 g/ml), and alpha -synuclein was visualized in each fraction. Endogenous rat alpha -synuclein was measured in the postnuclear fraction (panel 1), the cytosol (panel 2), and the crude vesicle fraction (panel 3). Endogenous rat SNAP25 was measured in the crude vesicle fraction (panel 4). Binding of biotinylated human alpha -synuclein proteins to crude vesicles was measured in panels 5-9: wild-type alpha -synuclein, panel 5; alpha -synuclein-(30-140), panel 6; alpha -synuclein-(55-140), panel 7; A30P alpha -synuclein, panel 8; A53T alpha -synuclein, panel 9. Similar results were obtained in four separate experiments. Molecular weight markers are shown to the left (Mr × 10-3)


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Fig. 3.   Biotinylated recombinant human alpha -synuclein proteins. Top panel, schematic diagram of the 140-amino acid human alpha -synuclein, with the seven core repeats shown as black boxes. The borders of alpha -synuclein-(30-140) and alpha -synuclein-(55-140) are indicated, as are the positions of the familial Parkinson's disease mutations A30P and A53T. Bottom panel, recombinant wild-type biotinylated human alpha -synuclein, lane 1; biotinylated A53T alpha -synuclein, lane 2; biotinylated A30P alpha -synuclein, lane 3; biotinylated alpha -synuclein-(30-140), lane 4; biotinylated alpha -synuclein-(55-140), lane 5. The weaker band in lane 3 corresponds to dimerized A30P alpha -synuclein. Molecular weight markers are shown to the left (Mr × 10-3).

Over half the sequence of the 140-amino acid alpha -synuclein is taken up by seven imperfect repeats of 11 amino acids each, with the core consensus sequence KTKEGV (12, 14-16; Fig. 3). To localize the vesicle-binding domain of alpha -synuclein, we expressed and biotinylated human alpha -synuclein-(30-140), which lacks the first two repeats, and alpha -synuclein-(55-140), which lacks the first four repeats (Fig. 3). In the vesicle-binding assay, the concentration of alpha -synuclein-(30-140) was highest in the cytosolic bottom fraction (Fig. 2, panel 6). In particular, the peak of material in the vesicle fraction at 1.1108 g/ml that is characteristic of full-length alpha -synuclein was missing, indicating a significant reduction in vesicle-binding activity. alpha -Synuclein-(55-140) was devoid of vesicle-binding activity, as indicated by the finding that it remained in the denser bottom fractions (Fig. 2, panel 7). These results demonstrate that the vesicle-binding activity of human alpha -synuclein resides in the first four amino-terminal repeats.

We next investigated the ability of recombinant human A30P alpha -synuclein and A53T alpha -synuclein to bind to vesicles. Both mutations, which are located in the repeat region of alpha -synuclein, lead to early-onset Parkinson's disease, by as yet unknown mechanisms. Purified recombinant A30P and A53T alpha -synuclein were biotinylated (Fig. 3) and used in the vesicle-binding assay. As shown in Fig. 2, panel 8, A30P alpha -synuclein was devoid of significant vesicle-binding activity. By contrast, A53T alpha -synuclein bound as well to vesicles as wild-type alpha -synuclein (Fig. 2, panel 9).

    DISCUSSION
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Abstract
Introduction
Procedures
Results
Discussion
References

Axonal transport studies are useful for identifying specific associations of proteins with intracellular structures. Thus, proteins associated with tubulovesicular structures move within the fast component, whereas proteins interacting with non-tubulovesicular structures, such as cytoskeletal elements, move within slow component a and/or SCb (10). Proteins with multiple associations move at multiple rates. alpha -Synuclein belongs to the latter class, as it moves within both the fast component and SCb. Movement of alpha -synuclein in the fast component suggested that it might bind to vesicles. This was investigated directly using a flotation assay of vesicles from rat brain. A portion of alpha -synuclein was associated with vesicles, to which it bound through its amino-terminal four repeats. These findings demonstrate a function for the repeat region of alpha -synuclein. It is unclear whether alpha -synuclein binds to lipids or to vesicle proteins. Previous work has shown an affinity of endogenous alpha -synuclein for synaptosomes, and similarities between the repeats in alpha -synuclein and in apolipoproteins have been described, suggesting an interaction between vesicle lipids and the hydrophobic repeats of alpha -synuclein (14, 15, 17). Moreover, a recent study has shown the binding of alpha -synuclein through its repeats to small synthetic unilamellar liposomes that are rich in phospholipids (18). Biophysical studies have shown that recombinant human alpha -synuclein is a natively unfolded molecule, with only little secondary structure (19). However, like other natively unfolded molecules, it is likely that it becomes structured upon binding to vesicles (18, 19).

The mutations in alpha -synuclein that lead to familial Parkinson's disease are located in the amino-terminal repeats, the same region that binds to vesicles. We therefore investigated their influence on the binding of human alpha -synuclein to rat brain vesicles. Recombinant human A53T alpha -synuclein bound in a similar manner to recombinant wild-type human or endogenous rat alpha -synuclein. Rat alpha -synuclein has a threonine at position 53, like the mutated human protein (14, 15). Except for this difference, human and rat alpha -synucleins are identical in sequence in their vesicle-binding repeats but differ in another six amino acids downstream of the amino-terminal four repeats. This renders interpretation of binding of human A53T alpha -synuclein to rat brain vesicles difficult. Understanding the effects of this mutation may require studies on primate or human brain. Similar complications do not arise with the second mutation in alpha -synuclein, which changes alanine residue 30 to proline. This residue is alanine in all known alpha -synuclein sequences (12, 14-17). In the vesicle-binding assay, recombinant human A30P alpha -synuclein was devoid of significant binding activity. In nerve cells A30P alpha -synuclein may thus not move in the fast component of axonal transport, but only in SCb. The redistribution of A30P alpha -synuclein resulting from a loss in vesicle-binding activity may be a major deleterious effect of the mutation. Over time, it will lead to a slow build-up of protein and, upon reaching a critical concentration, A30P alpha -synuclein may assemble into Lewy body filaments. In addition, A30P alpha -synuclein may also have a higher tendency to assemble into filaments than the wild-type protein. alpha -Synuclein is an abundant presynaptic protein (20, 21), whereas Lewy bodies and Lewy neurites are found in nerve cell bodies and abnormal neurites (1, 5-7), indicative of an abnormal localization of the assembled protein. In familial Parkinson's disease, assembly into filaments may result from a redistribution of A30P alpha -synuclein, due to a lack in vesicle-binding activity. In idiopathic Parkinson's disease and in dementia with Lewy bodies, unknown post-translational modifications of alpha -synuclein or its putative "receptor" molecules in the axonal transport apparatus may have a similar effect.

    FOOTNOTES

* This work was supported by Danmarks Sundhedsfond, The Danish Medical Associations Research Fund, and Direktør Jacob Madsens & hustru Olga Madsens Fond.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

To whom correspondence should be addressed. Tel.: 45-894-228-56; Fax: 45-861-311-60; E-mail: phj{at}biokemi.au.dk.

The abbreviations used are: SCb, slow component b of axonal transport; PBS, phosphate-buffered saline; HRP, horseradish peroxidase; MES, 4-morpholineethanesulfonic acid.

2 P. H. Jensen and C. G. Dotti, unpublished observation.

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Discussion
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Copyright © 1998 by The American Society for Biochemistry and Molecular Biology, Inc.



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R. Bussell Jr., T. F. Ramlall, and D. Eliezer
Helix periodicity, topology, and dynamics of membrane-associated {alpha}-Synuclein
Protein Sci., April 1, 2005; 14(4): 862 - 872.
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J. Biol. Chem.Home page
T. S. Ulmer, A. Bax, N. B. Cole, and R. L. Nussbaum
Structure and Dynamics of Micelle-bound Human {alpha}-Synuclein
J. Biol. Chem., March 11, 2005; 280(10): 9595 - 9603.
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Proc. Natl. Acad. Sci. USAHome page
J. C. Lee, R. Langen, P. A. Hummel, H. B. Gray, and J. R. Winkler
{alpha}-Synuclein structures from fluorescence energy-transfer kinetics: Implications for the role of the protein in Parkinson's disease
PNAS, November 23, 2004; 101(47): 16466 - 16471.
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J. Biol. Chem.Home page
R. Hodara, E. H. Norris, B. I. Giasson, A. J. Mishizen-Eberz, D. R. Lynch, V. M.-Y. Lee, and H. Ischiropoulos
Functional Consequences of {alpha}-Synuclein Tyrosine Nitration: DIMINISHED BINDING TO LIPID VESICLES AND INCREASED FIBRIL FORMATION
J. Biol. Chem., November 12, 2004; 279(46): 47746 - 47753.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
S. Chandra, F. Fornai, H.-B. Kwon, U. Yazdani, D. Atasoy, X. Liu, R. E. Hammer, G. Battaglia, D. C. German, P. E. Castillo, et al.
Double-knockout mice for {alpha}- and {beta}-synucleins: Effect on synaptic functions
PNAS, October 12, 2004; 101(41): 14966 - 14971.
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J. Neurosci.Home page
D. L. Fortin, M. D. Troyer, K. Nakamura, S.-i. Kubo, M. D. Anthony, and R. H. Edwards
Lipid Rafts Mediate the Synaptic Localization of {alpha}-Synuclein
J. Neurosci., July 28, 2004; 24(30): 6715 - 6723.
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J. Biol. Chem.Home page
E. Lindersson, R. Beedholm, P. Hojrup, T. Moos, W. Gai, K. B. Hendil, and P. H. Jensen
Proteasomal Inhibition by {alpha}-Synuclein Filaments and Oligomers
J. Biol. Chem., March 26, 2004; 279(13): 12924 - 12934.
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J. Cell Sci.Home page
A. R. Saha, J. Hill, M. A. Utton, A. A. Asuni, S. Ackerley, A. J. Grierson, C. C. Miller, A. M. Davies, V. L. Buchman, B. H. Anderton, et al.
Parkinson's disease {alpha}-synuclein mutations exhibit defective axonal transport in cultured neurons
J. Cell Sci., March 1, 2004; 117(7): 1017 - 1024.
[Abstract] [Full Text] [PDF]


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NeuroscientistHome page
M. J. Baptista, M. R. Cookson, and D. W. Miller
Parkin and {alpha}-Synuclein: Opponent Actions in The Pathogenesis of Parkinson'S Disease
Neuroscientist, February 1, 2004; 10(1): 63 - 72.
[Abstract] [PDF]


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J. Biol. Chem.Home page
R. Sharon, I. Bar-Joseph, G. E. Mirick, C. N. Serhan, and D. J. Selkoe
Altered Fatty Acid Composition of Dopaminergic Neurons Expressing {alpha}-Synuclein and Human Brains with {alpha}-Synucleinopathies
J. Biol. Chem., December 12, 2003; 278(50): 49874 - 49881.
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ScienceHome page
S. Willingham, T. F. Outeiro, M. J. DeVit, S. L. Lindquist, and P. J. Muchowski
Yeast Genes That Enhance the Toxicity of a Mutant Huntingtin Fragment or {alpha}-Synuclein
Science, December 5, 2003; 302(5651): 1769 - 1772.
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J. Biol. Chem.Home page
M. Necula, C. N. Chirita, and J. Kuret
Rapid Anionic Micelle-mediated {alpha}-Synuclein Fibrillization in Vitro
J. Biol. Chem., November 21, 2003; 278(47): 46674 - 46680.
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J. Biol. Chem.Home page
S. Chandra, X. Chen, J. Rizo, R. Jahn, and T. C. Sudhof
A Broken alpha -Helix in Folded alpha -Synuclein
J. Biol. Chem., April 18, 2003; 278(17): 15313 - 15318.
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J. Biol. Chem.Home page
J. Lotharius, S. Barg, P. Wiekop, C. Lundberg, H. K. Raymon, and P. Brundin
Effect of Mutant alpha -Synuclein on Dopamine Homeostasis in a New Human Mesencephalic Cell Line
J. Biol. Chem., October 4, 2002; 277(41): 38884 - 38894.
[Abstract] [Full Text] [PDF]


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Hum Mol GenetHome page
J. Lotharius and P. Brundin
Impaired dopamine storage resulting from {alpha}-synuclein mutations may contribute to the pathogenesis of Parkinson's disease
Hum. Mol. Genet., October 1, 2002; 11(20): 2395 - 2407.
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Am. J. Pathol.Home page
J. H. T. Power, J. M. Shannon, P. C. Blumbergs, and W.-P. Gai
Nonselenium Glutathione Peroxidase in Human Brain : Elevated Levels in Parkinson's Disease and Dementia with Lewy Bodies
Am. J. Pathol., September 1, 2002; 161(3): 885 - 894.
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J. Biol. Chem.Home page
C. S. Ribeiro, K. Carneiro, C. A. Ross, J. R. L. Menezes, and S. Engelender
Synphilin-1 Is Developmentally Localized to Synaptic Terminals, and Its Association with Synaptic Vesicles Is Modulated by alpha -Synuclein
J. Biol. Chem., June 21, 2002; 277(26): 23927 - 23933.
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J. Neurol. Neurosurg. PsychiatryHome page
M D Greicius, M D Geschwind, and B L Miller
Presenile dementia syndromes: an update on taxonomy and diagnosis
J. Neurol. Neurosurg. Psychiatry, June 1, 2002; 72(6): 691 - 700.
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J. Neurosci.Home page
R. G. Perez, J. C. Waymire, E. Lin, J. J. Liu, F. Guo, an