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(American Journal of Pathology. 1998;153:1365-1370.)
© 1998 American Society for Investigative Pathology


Short Communications

Lewy Bodies Contain Altered {alpha}-Synuclein in Brains of Many Familial Alzheimer's Disease Patients with Mutations in Presenilin and Amyloid Precursor Protein Genes

Carol F. Lippa* , Hideo Fujiwara{dagger} , David M.A. Mann{ddagger} , Benoit Giasson§ , Minami Baba{dagger} , Marie L. Schmidt§ , Linda E. Nee¶ , Brendan O'Connell* , Dan A. Pollen|| , Peter St. George-Hyslop** , Bernardino Ghetti{dagger}{dagger} , David Nochlin{ddagger}{ddagger} , Thomas D. Bird§§ , Nigel J. Cairns¶¶ , Virginia M.-Y. Lee§ , Takeshi Iwatsubo{dagger} and John Q. Trojanowski§

From the Department of Neurology,* Allegheny University of the Health Sciences MCP Division, Philadelphia, Pennsylvania; the Department of Neuropathology and Neuroscience,{dagger} University of Tokyo, Tokyo, Japan; the Department of Pathologic Sciences,{ddagger} Manchester University, Manchester, United Kingdom; the Center for Neurodegenerative Disease Research,§ Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; the Family Studies Unit, National Institute of Neurological Disorders and Stroke, Clinical Center, Bethesda, Maryland; the Department of Neurology,|| University of Massachusetts Medical Center, Worcester, Massachusetts; the Departments of Medicine (Neurology) and Medical Biophysics,** University of Toronto, Toronto, Ontario, Canada; the Department of Pathology,{dagger}{dagger} Indiana University Medical Center, Indianapolis, Indiana; the Department of Pathology,{ddagger}{ddagger} University of Washington School of Medicine, Seattle, Washington; the Department of Neurology,§§ VA Medical Center and University of Washington School of Medicine, Seattle, Washington; and the Department of Neuropathology,¶¶ Institute of Psychiatry, London, United Kingdom

Missense mutations in the {alpha}-synuclein gene cause familial Parkinson's disease (PD), and {alpha}-synuclein is a major component of Lewy bodies (LBs) in sporadic PD, dementia with LBs (DLB), and the LB variant of Alzheimer's disease (AD). To determine whether {alpha}-synuclein is a component of LBs in familial AD (FAD) patients with known mutations in presenilin (n = 65) or amyloid precursor protein (n = 9) genes, studies were conducted with antibodies to {alpha}-, ß-, and {gamma}-synuclein. LBs were detected with {alpha}- but not ß- or {gamma}-synuclein antibodies in 22% of FAD brains, and {alpha}-synuclein-positive LBs were most numerous in amygdala where some LBs co-localized with tau-positive neurofibrillary tangles. As 12 (63%) of 19 FAD amygdala samples contained {alpha}-synuclein-positive LBs, these inclusions may be more common in FAD brains than previously reported. Furthermore, {alpha}-synuclein antibodies decorated LB filaments by immunoelectron microscopy, and Western blots revealed that the solubility of {alpha}-synuclein was reduced compared with control brains. The presence of {alpha}-synuclein-positive LBs was not associated with any specific FAD mutation. These studies suggest that insoluble {alpha}-synuclein aggregates into filaments that form LBs in many FAD patients, and we speculate that these inclusions may compromise the function and/or viability of affected neurons in the FAD brain.





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