2017
DOI: 10.1172/jci.insight.92295
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α-Synuclein in gut endocrine cells and its implications for Parkinson’s disease

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Cited by 193 publications
(213 citation statements)
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“…Recent data show that synucleinopathies actually begin in the periphery and then spread into the central nervous system. Pathogenic alpha-synuclein appears to travel along vagus nerve afferents [140142], which terminate in the nucleus of the solitary tract and dorsal motor nucleus of the vagus, which sits in close apposition to REM sleep circuitry (i.e., the SLD and vM). Therefore, synucleinopathies may initially impact the cells that control REM sleep atonia before spreading rostrally into the brain structures (e.g., substantia nigra and cortex) that cause the classic cognitive and motor impairments associated with synucleinopathies.…”
Section: Pathobiology Of Rem Sleepmentioning
confidence: 99%
“…Recent data show that synucleinopathies actually begin in the periphery and then spread into the central nervous system. Pathogenic alpha-synuclein appears to travel along vagus nerve afferents [140142], which terminate in the nucleus of the solitary tract and dorsal motor nucleus of the vagus, which sits in close apposition to REM sleep circuitry (i.e., the SLD and vM). Therefore, synucleinopathies may initially impact the cells that control REM sleep atonia before spreading rostrally into the brain structures (e.g., substantia nigra and cortex) that cause the classic cognitive and motor impairments associated with synucleinopathies.…”
Section: Pathobiology Of Rem Sleepmentioning
confidence: 99%
“…( F ) Immunofluorescence demonstrating α‐synuclein–positive cells (green) in the gut mucosa, in close association with enteric nerves (red), and demonstrating colocalisation of α‐synuclein in the enteric nerves (yellow), with permission from Chandra et al . , though the presence of α‐synuclein in the gut is not completely specific for synucleinopathy, as it is also seen in controls. Together these images illustrate how both nose and gut access points are implicated in neuropathology in PD, AD and MS.…”
Section: Nasal Cavitymentioning
confidence: 90%
“…Constipation occurs in 60–80% of PD patients and is often one of the earliest symptoms , occurring up to 20 years before clinical onset . Remarkably, α‐synuclein deposits are observed in the enteric nervous system from the earliest disease stages (Figure F ), often before the onset of motor pathology . Together, these findings have led to the suspicion that PD pathology may initiate in the gut, before spreading to the brain.…”
Section: Gutmentioning
confidence: 99%
“…The accumulation of infections throughout life combined with increased expression of α-synuclein during the aging process may increase susceptibility to PD (Bu et al, 2015). Both mouse and human enteroendocrine cells, which border the gut lumen and synapse with enteric nerves, express α-synuclein (Chandra et al, 2017). This provides an intriguing potential direct link between events within the gut, such as microbial dysbiosis, and changes in α-synuclein expression and higher order structure.…”
Section: Mechanisms: Inflammationmentioning
confidence: 99%