PT - JOURNAL ARTICLE AU - Alberto Delaidelli AU - Mette Richner AU - Lixiang Jiang AU - Amelia van der Laan AU - Ida Bergholdt Jul Christiansen AU - Nelson Ferreira AU - Jens R. Nyengaard AU - Christian B. Vægter AU - Poul H. Jensen AU - Ian R. Mackenzie AU - Poul H. Sorensen AU - Asad Jan TI - α-Synuclein pathology in Parkinson disease activates homeostatic NRF2 anti-oxidant response AID - 10.1101/2021.04.15.439988 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.04.15.439988 4099 - http://biorxiv.org/content/early/2021/04/15/2021.04.15.439988.short 4100 - http://biorxiv.org/content/early/2021/04/15/2021.04.15.439988.full AB - Circumstantial evidence points to a pathological role of alpha-synuclein (aSyn; gene symbol SNCA), conferred by aSyn misfolding and aggregation, in Parkinson disease (PD) and related synucleionpathies. Several findings in experimental models implicate perturbations in the tissue homeostatic mechanisms triggered by pathological aSyn accumulation, including impaired redox homeostasis, as significant contributors in the pathogenesis of PD. The nuclear factor erythroid 2-related factor (NRF2) is recognized as ‘the master regulator of cellular anti-oxidant response’, both under physiological as well as in pathological conditions. Using immunohistochemical analyses, we show a robust nuclear NRF2 accumulation in post-mortem PD midbrain, detected by NRF2 phosphorylation on serine residue 40 (nuclear active p-NRF2, S40). Curated gene expression analyses of four independent publicly available microarray datasets revealed considerable alterations in NRF2-responsive genes in the disease affected regions in PD, including substantia nigra, dorsal motor nucleus of vagus, locus coeruleus and globus pallidus. To further examine the putative role of pathological aSyn accumulation on nuclear NRF2 response, we employed a transgenic mouse model of synucleionopathy (M83 line, Prnp-SNCA*Ala53Thr), which manifest widespread aSyn pathology (phosphorylated aSyn; S129) in the nervous system following intramuscular inoculation of exogenous fibrillar aSyn. We observed strong immunodetection of nuclear NRF2 in neuronal populations harboring p-aSyn (S129), and found an aberrant anti-oxidant and inflammatory gene response in the affected neuraxis. Taken together, our data support the notion that pathological aSyn accumulation impairs the redox homeostasis in nervous system, and boosting neuronal anti-oxidant response is potentially a promising approach to mitigate neurodegeneration in PD and related diseases.Competing Interest StatementThe authors have declared no competing interest.