“…Based on in vitro and in vivo studies, α-syn seems to play a central role in the pathological changes through a direct interaction with components of cellular pathways essential for cell homeostasis (Figure 2). Thus, pathological α-syn is able to bind and inhibit lysosomal function (Mazzulli et al, 2016;Flavin et al, 2017), proteasomal activity (Stefanis et al, 2001;Tanaka et al, 2001;Petrucelli et al, 2002;Snyder et al, 2003;Lindersson et al, 2004;Emmanouilidou et al, 2010), to impair axonal transport (Volpicelli-Daley, 2017), and to induce Ca 2+ dyshomeostasis (Danzer et al, 2007;Chen Y. et al, 2015;Angelova et al, 2016) and mitochondrial dysfunction (Di Maio et al, 2016;Ganjam et al, 2019;Wang et al, 2019;Park et al, 2020). Latter promotes the generation of reactive oxygen species (ROS), and therefore oxidative stress, which may lead to mitochondrial damage, the release of cytochrome c to the cytoplasm, and cell death (Hsu et al, 2000;Smith et al, 2005;Parihar et al, 2008;Reeve et al, 2015;Tapias et al, 2017;Ludtmann et al, 2018).…”