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Age-dependent peripheral dissemination of α-synuclein seeds: mechanistic basis for blood-based early detection of Parkinson's disease - PubMed

3 days ago
  • #Parkinson's Disease
  • #Early Detection
  • #α-Synuclein
  • The study explores how misfolded α-synuclein (α-Syn) seeds spread from the brain to peripheral tissues in Parkinson's disease (PD) models, worsening with age and microglia involvement.
  • Using α-Syn preformed fibril (PFF) mouse models, researchers found peripheral α-Syn dissemination occurs before motor symptoms, exacerbated in middle-aged mice, linked to neuroinflammation.
  • Microglia depletion reduced central α-Syn accumulation and peripheral spread, highlighting activated microglia's role in disease progression and peripheral dissemination.
  • A proof-of-concept human study applied serum α-Syn seed amplification assay (SAA) to isolated REM sleep behavior disorder (iRBD) patients, showing 64% sensitivity and 100% specificity when combined with BBB marker S100B.
  • The findings suggest a mechanistic link between microglia-driven neuroinflammation, blood-brain barrier disruption, and peripheral α-Syn spread, supporting serum-based SAA as a potential early PD detection strategy.