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Review
. 2024 Jul;47(7):538-550.
doi: 10.1016/j.tins.2024.05.004. Epub 2024 May 27.

Effect of host and strain factors on α-synuclein prion pathogenesis

Affiliations
Review

Effect of host and strain factors on α-synuclein prion pathogenesis

Amanda L Woerman et al. Trends Neurosci. 2024 Jul.

Abstract

Prion diseases are a group of neurodegenerative disorders caused by misfolding of proteins into pathogenic conformations that self-template to spread disease. Although this mechanism is largely associated with the prion protein (PrP) in classical prion diseases, a growing literature indicates that other proteins, including α-synuclein, rely on a similar disease mechanism. Notably, α-synuclein misfolds into distinct conformations, or strains, that cause discrete clinical disorders including multiple system atrophy (MSA) and Parkinson's disease (PD). Because the recognized similarities between PrP and α-synuclein are increasing, this review article draws from research on PrP to identify the host and strain factors that impact disease pathogenesis, predominantly in rodent models, and focuses on key considerations for future research on α-synuclein prions.

Keywords: Parkinson's disease; multiple system atrophy; neurodegenerative diseases; prion titer; strain biology; strain interactions.

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Conflict of interest statement

Declaration of interests A.L.W. is a coinventor on US patent application PCT/US2023/072173 which is related to some of the research discussed, and is a cofounder of Allagus Therapeutics. J.C.B. declares no competing interests in relation to this work.

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