Young-onset Parkinson's disease (YOPD), defined by onset at <50 years, accounts for approximately 10% of all Parkinson's disease cases and, while some cases are associated with known genetic mutations, most are not. Here induced pluripotent stem cells were generated from control individuals and from patients with YOPD with no known mutations. Following differentiation into cultures containing dopamine neurons, induced pluripotent stem cells from patients with YOPD showed increased accumulation of soluble α-synuclein protein and phosphorylated protein kinase Cα, as well as reduced abundance of lysosomal membrane proteins such as LAMP1. Testing activators of lysosomal function showed that specific phorbol esters, such as PEP005, reduced α-synuclein and phosphorylated protein kinase Cα levels while increasing LAMP1 abundance. Interestingly, the reduction in α-synuclein occurred through proteasomal degradation. PEP005 delivery to mouse striatum also decreased α-synuclein production in vivo. Induced pluripotent stem cell-derived dopaminergic cultures reveal a signature in patients with YOPD who have no known Parkinson's disease-related mutations, suggesting that there might be other genetic contributions to this disorder. This signature was normalized by specific phorbol esters, making them promising therapeutic candidates.

译文

年轻发作的帕金森氏病 (YOPD) 定义为 <50岁的发作,约占所有帕金森氏病病例的10%,尽管某些病例与已知的基因突变有关,但大多数病例并非如此。在这里,诱导的多能干细胞是从对照组和没有已知突变的YOPD患者中产生的。分化为含有多巴胺神经元的培养物后,来自YOPD患者的诱导多能干细胞显示出可溶性 α-突触核蛋白蛋白和磷酸化蛋白激酶c α 的积累增加,以及溶酶体膜蛋白 (如lamp1) 的丰度降低。溶酶体功能的测试激活剂表明,特定的佛波酯 (例如PEP005) 降低了 α-突触核蛋白和磷酸化蛋白激酶c α 的水平,同时增加了LAMP1的丰度。有趣的是,α-突触核蛋白的减少是通过蛋白酶体降解发生的。向小鼠纹状体递送PEP005也降低了体内 α-突触核蛋白的产生。诱导多能干细胞衍生的多巴胺能培养物在没有已知帕金森氏病相关突变的YOPD患者中显示出一个特征,这表明该疾病可能还有其他遗传贡献。此签名通过特定的佛波酯进行标准化,使其成为有希望的治疗候选者。

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