How can common 'sporadic' forms of neurodegenerative disorders, such as Parkinson's disease (PD) and Alzheimer's disease, mimic very rare genetic mutations to cause a similar phenotype? We show here that abnormal protein accumulation and impaired protein degradation can result from environmental factors causing oxidative and nitrosative stress. On the occasion of this special issue dedicated to the 'discovery of ubiquitin-mediated protein degradation,' we review aberrant protein accumulation via dysfunction of ubiquitination because of nitrosative stress and the resulting clinical significance of this recent discovery to human neurodegenerative disorders, using PD as a model disease.
Pathology of PDPD is a usually a late-onset, progressive movement disorder characterized by resting tremor, rigidity, and bradykinesia. The pathological features of PD include (1) the selective degeneration of dopaminergic neurons mainly in the substantia nigra pars compacta and (2) the presence of neuronal inclusions named Lewy bodies (LBs), which are widely distributed in the substantia nigra, neocortex, hippocampus, and basal forebrain nuclei, and are especially prevalent in PD cases associated with dementia. 1,2 LBs contain a number of aggregated proteins including a-synuclein, a highly abundant protein found in presynaptic terminals, and synphilin-1, an asynuclein-interacting protein. 3 Recent studies in mice demonstrate that overexpression of human a-synuclein results in progressive accumulation of a-synuclein-and ubiquitinimmunoreactive inclusions in neurons similar to affected regions in PD brains. 4 Ultrastructural analysis reveals both electron-dense intranuclear deposits and cytoplasmic inclusions. These alterations are associated with loss of dopaminergic terminals in the basal ganglia and motor impairment.
Genetic Mutations Link Dysfunction of Ubiquitination to PDAlthough the pathogenic significance of inclusion bodies remains unclear, they are often used as hallmarks of the diagnosis of neurodegenerative diseases. Evidence has emerged suggesting that dysfunction in protein degradation via the ubiquitin-proteasome system (UPS) may contribute to aberrant protein accumulation and pathogenesis in PD as well as other neurodegenerative disorders. The UPS functions primarily to label proteins for subsequent degradation by adding multiple ubiquitin moieties at lysine residues. These proteins are then degraded to their constituent amino acids by the 26S proteasome complex. Other than lysosomes, the UPS represents the major route of intracellular protein degradation in eucaryotes, and it is delicately and specifically regulated, probably at multiple levels. Recent genetic studies have identified various genes that directly link UPS to the pathogenesis of PD.For example, an important molecule in the pathogenesis of PD is parkin. Parkin is an E3 ubiquitin ligase, the third in a series of enzymes that adds ubiquitin to specific substrates, usually earmarking them for degradation by the proteasome. Mutations in the parkin gene are a...