Wednesday, 2 April 2014

Can a garbage strike in nerve cells cause Parkinson's disease?

Image design: Serial/Trash

New research challenges common beliefs about the origin of the disease and draws attention to the nerve cells’ ability to tidy up.

Parkinson’s disease is a devastating neurological disorder where nerve cells in the brain slowly degenerate and die. The disease especially affects a certain type of nerve cell, the dopaminergic nerve cells, which are located in a small area of the brain called the substantia nigra. The dopaminergic nerve cells here are very important for motor function and as the number of nerve cells decrease, the patients are affected by debilitating tremors and mobility problems. Actor and Parkinson’s patient Michael J. Fox describes it “like having a 4-year-old child climbing around on your lap all the time, pulling on your arms and legs.”1

Despite many years of research the exact cause of Parkinson’s disease is still unknown. One thing we know for certain is that the dopaminergic nerve cells build-up clumps of protein and leftover material, called Lewy bodies. The major component of Lewy bodies is a-synuclein, a protein therefore thought to be a primary causative factor for Parkinson’s disease. The fact that mutations in the a-synuclein gene increase the risk of developing Parkinson’s disease supports this theory.

Garbage disposal and power plants
Another suspect thought to play a role in Parkinson’s disease is the proteasome; a big protein complex, which is part of the cells “garbage disposal” system and can degrade non-functional proteins.

If unusable proteins are not disposed of, they clutter up the nerve cell and can form so-called pale bodies. These are small precursors of Lewy bodies.

Pale bodies and Lewy bodies are actually thought to protect the nerve cell by gathering the non-functional proteins in areas where they cannot disturb important processes in the nerve cell – akin to hiding your mess in the closet to prevent it from cluttering up your room. It is, however, only a temporary solution and eventually the nerve cells die.

A third culprit is the mitochondria; the cell’s power plants, which have numerous functions including production of energy from glucose. Extensive research points to dysfunctional mitochondria as a major contributor to Parkinson’s disease. For one thing, worn-out mitochondria are a large component of pale bodies.

Image Source: Shutterstock Copyright: Mopic

Modified mice
To investigate the interaction between a-synuclein, proteasomes and mitochondria researchers from the University of Nottingham used genetically modified mice. The DNA of the mice was changed so that certain genes were not expressed. This allowed the researchers to evaluate the exact effect of the proteins that the genes encoded. The research group had previously developed mice, which could not produce the most commonly used form of proteasomes, the 26S proteasomes, in their dopaminergic nerve cells. The garbage disposal system in these mice therefore did not work properly and they quickly developed extensive nerve cell death and pale bodies comparable to the ones seen in Parkinson’s patients.

The research group then set out to explore the importance of a-synuclein in this process. They did this by modifying the mice further, to obtain mice that in addition could not produce a-synuclein. This made it possible for them to compare the mice that lacked both 26S proteasomes and a-synuclein with the mice that only lacked 26S proteasomes. Surprisingly they found no differences: both type of mice showed equal amounts of nerve cell death and pale bodies. Since a-synuclein is thought to be essential to this process, the predicted outcome would be that the mice lacking a-synuclein are less affected and have lower amounts of pale bodies. This however is not the case.

In addition to looking at the amount of pale bodies, they also examined the content of the pale bodies and found it to be the same with or without a-synuclein. As expected they found the main component of the pale bodies to be the third suspected contributor to Parkinson’s disease: mitochondria. This points to a link between inefficient proteasomes and lacking disposal of worn-out mitochondria.

The role of a-synuclein
The surprising conclusion of this study is that a-synuclein is not essential for the development of pale bodies and that lack of functional proteasomes alone can lead to neurodegeneration in mice. More research is needed to tell if the pale bodies seen in the mice will develop into Lewy bodies and especially, if the results can be transferred to human nerve cells. If they can, it means that researchers studying Parkinson’s disease might have to re-evaluate their whole idea of how the disease originates. Instead of seeing a-synuclein as a primary causative factor, it might just be one of the major contributors along with others like proteasome and mitochondria dysfunction. This is of great importance for understanding the cause of Parkinson’s disease and development of new effective treatments in the future.


This summary by Helle Bogetofte was shortlisted for Access to Understanding 2014 and was commended by the competition judges. It describes research published in the following article, selected for inclusion in the competition by Parkinson’s UK:

PMCID: PMC3559752
S. M. L. Paine, G. Anderson, K. Bedford, K. Lawler, R. J. Mayer, J. Lowe and L. Bedford.
PLoS One (2013) 8(1), e54711

Access to Understanding entrants are asked to write a plain English summary of a research article. For Access to Understanding 2014 there were 10 articles to choose from, selected by the Europe PMC fundersThe articles are all available from Europe PMC, are free to read and download, and were supported by one or more of the Europe PMC funders.

Look out here and on Twitter @EuropePMC_news for further competition news and other Europe PMC announcements.

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