RT Journal Article SR Electronic T1 PIKfyve inhibition blocks endolysosomal escape of α-synuclein fibrils and spread of α-synuclein aggregation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.01.21.427704 DO 10.1101/2021.01.21.427704 A1 Stephanie K. See A1 Merissa Chen A1 Sophie Bax A1 Ruilin Tian A1 Amanda Woerman A1 Eric Tse A1 Isabel E. Johnson A1 Carlos Nowotny A1 Elise N. Muñoz A1 Janine Sengstack A1 Daniel R. Southworth A1 Jason E. Gestwicki A1 Manuel D. Leonetti A1 Martin Kampmann YR 2021 UL http://biorxiv.org/content/early/2021/01/22/2021.01.21.427704.abstract AB The inter-cellular prion-like propagation of α-synuclein aggregation is emerging as an important mechanism driving the progression of neurodegenerative diseases including Parkinson’s disease and multiple system atrophy (MSA). To discover therapeutic strategies reducing the spread of α-synuclein aggregation, we performed a genome-wide CRISPR interference screen in a human cell-based model. We discovered that inhibiting PIKfyve dramatically reduced α-synuclein aggregation induced with both recombinant α-synuclein fibrils and fibrils isolated from MSA patient brain. While PIKfyve inhibition did not affect fibril uptake or α-synuclein clearance or secretion, it reduced α-synuclein trafficking from the early endosome to the lysosome, thereby limiting fibril escape from the lysosome and reducing the amount of fibrils that reach cytosolic α-synuclein to induce aggregation. These findings point to the endolysosomal transport of fibrils as a critical step in the propagation of α-synuclein aggregation and a potential therapeutic target.Competing Interest StatementThe authors have declared no competing interest.