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-Synuclein Is Not Required for Formation of Pathological Inclusions in
-Synucleinopathies

From the Center for Neurodegenerative Disease Research, Department of Pathology and Laboratory Medicine,* and the Institute on Aging,
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
-Synucleinopathies, including Parkinsons disease, dementia with Lewy bodies, and multiple system atrophy, are neurodegenerative disorders in which abnormal inclusions containing
-synuclein accumulate in selectively vulnerable neurons and glia. In this report, immunohistochemistry demonstrates ubiquitin in subsets of
-synuclein inclusions in dementia with Lewy bodies and multiple system atrophy. Biochemistry demonstrates that
-synuclein in the sodium dodecyl sulfate-soluble fractions of diseased brains is ubiquitinated, with mono- and di-ubiquitinated species predominating over polyubiquitinated forms. Similar immunohistochemical and biochemical characteristics were observed in an A53T mutant human
-synuclein transgenic mouse model of neurodegenerative
-synucleinopathies. Furthermore, in vitro ubiquitination of
-synuclein fibrils recapitulated the pattern of
-synuclein ubiquitination observed in human disease and the A53T
-synuclein mouse model. These results suggest that ubiquitination of
-synuclein is not required for inclusion formation and follows the fibrillization of
-synuclein.
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