In:
PLOS Pathogens, Public Library of Science (PLoS), Vol. 19, No. 6 ( 2023-6-30), p. e1011456-
Abstract:
Abnormal deposition of α-synuclein is a key feature and biomarker of Parkinson’s disease. α-Synuclein aggregates can propagate themselves by a prion-like seeding-based mechanism within and between tissues and are hypothesized to move between the intestine and brain. α-Synuclein RT-QuIC seed amplification assays have detected Parkinson’s-associated α-synuclein in multiple biospecimens including post-mortem colon samples. Here we show intra vitam detection of seeds in duodenum biopsies from 22/23 Parkinson’s patients, but not in 6 healthy controls by RT-QuICR. In contrast, no tau seeding activity was detected in any of the biopsies. Our seed amplifications provide evidence that the upper intestine contains a form(s) of α-synuclein with self-propagating activity. The diagnostic sensitivity and specificity for PD in this biopsy panel were 95.7% and 100% respectively. End-point dilution analysis indicated up to 10 6 SD 50 seeding units per mg of tissue with positivity in two contemporaneous biopsies from individual patients suggesting widespread distribution within the superior and descending parts of duodenum. Our detection of α-synuclein seeding activity in duodenum biopsies of Parkinson’s disease patients suggests not only that such analyses may be useful in ante-mortem diagnosis, but also that the duodenum may be a source or a destination for pathological, self-propagating α-synuclein assemblies.
Type of Medium:
Online Resource
ISSN:
1553-7374
DOI:
10.1371/journal.ppat.1011456
DOI:
10.1371/journal.ppat.1011456.g001
DOI:
10.1371/journal.ppat.1011456.g002
DOI:
10.1371/journal.ppat.1011456.g003
DOI:
10.1371/journal.ppat.1011456.g004
DOI:
10.1371/journal.ppat.1011456.g005
DOI:
10.1371/journal.ppat.1011456.g006
DOI:
10.1371/journal.ppat.1011456.g007
DOI:
10.1371/journal.ppat.1011456.t001
DOI:
10.1371/journal.ppat.1011456.t002
DOI:
10.1371/journal.ppat.1011456.s001
DOI:
10.1371/journal.ppat.1011456.s002
DOI:
10.1371/journal.ppat.1011456.s003
DOI:
10.1371/journal.ppat.1011456.s004
DOI:
10.1371/journal.ppat.1011456.s005
DOI:
10.1371/journal.ppat.1011456.r001
DOI:
10.1371/journal.ppat.1011456.r002
DOI:
10.1371/journal.ppat.1011456.r003
DOI:
10.1371/journal.ppat.1011456.r004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2205412-1
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