PT - JOURNAL ARTICLE AU - Minee L. Choi AU - Alexandre Chappard AU - Bhanu P. Singh AU - Catherine Maclachlan AU - Margarida Rodrigues AU - Evgenia Fedotova AU - Alexey V. Berezhnov AU - Suman De AU - Chris Peddie AU - Dilan Athauda AU - Gurvir S. Virdi AU - Weijia Zhang AU - James R. Evans AU - Anna Wernick AU - Zeinab Shadman Zanjani AU - Plamena R. Angelova AU - Noemi Esteras AU - Andrey Vinikurov AU - Katie Morris AU - Kiani Jeacock AU - Laura Tosatto AU - Daniel Little AU - Paul Gissen AU - David J. Clarke AU - Tilo Kunath AU - Lucy Collinson AU - David Klenerman AU - Andrey Y. Abramov AU - Mathew H. Horrocks AU - Sonia Gandhi TI - Structural conversion of α-synuclein at the mitochondria induces neuronal toxicity AID - 10.1101/2022.06.07.494932 DP - 2022 Jan 01 TA - bioRxiv PG - 2022.06.07.494932 4099 - http://biorxiv.org/content/early/2022/06/09/2022.06.07.494932.short 4100 - http://biorxiv.org/content/early/2022/06/09/2022.06.07.494932.full AB - Aggregation of α-Synuclein (α-Syn) drives Parkinson’s disease, although the initial stages of self-assembly and structural conversion have not been captured inside neurons. We track the intracellular conformational states of α-Syn utilizing a single-molecule FRET biosensor, and show that α-Syn converts from its monomeric state to form two distinct oligomeric states in neurons in a concentration dependent, and sequence specific manner. 3D FRET-CLEM reveals the structural organization, and location of aggregation hotspots inside the cell. Notably multiple intracellular seeding events occur preferentially on membrane surfaces, especially mitochondrial membranes. The mitochondrial lipid, cardiolipin triggers rapid oligomerization of A53T α-Syn, and cardiolipin is sequestered within aggregating lipid-protein complexes. Mitochondrial aggregates impair complex I activity and increase mitochondrial ROS generation, which accelerates the oligomerization of A53T α-Syn, and ultimately causes permeabilization of mitochondrial membranes, and cell death. Patient iPSC derived neurons harboring A53T mutations exhibit accelerated oligomerization that is dependent on mitochondrial ROS, early mitochondrial permeabilization and neuronal death. Our study highlights a mechanism of de novo oligomerization at the mitochondria and its induction of neuronal toxicity.Competing Interest StatementThe authors have declared no competing interest.