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Mitochondrial response precedes intracellular accumulation of α-synuclein in Parkinson’s disease

I. Milenkovic, E. Dassler, M. Weber, G.G. Kovacs (Vienna, Austria)

Meeting: 2016 International Congress

Abstract Number: 786

Keywords: Alpha-synuclein, Mitochondria, Parkinsonism, Substantia nigra pars compacta(SNpc)

Session Information

Date: Tuesday, June 21, 2016

Session Title: Parkinson's disease: Pathophysiology

Session Time: 12:30pm-2:00pm

Location: Exhibit Hall located in Hall B, Level 2

Objective: To investigate the expression of mitochondrial COX-IV during the progression of Parkinson’s disease.

Background: Parkinson’s disease (PD) is a neurodegenerative disease characterized by the deposition of disease-associated α-synuclein, which appears in the brain following a hierarchical manner. α-Synuclein pathology affects substantial nigra only in stage 3 out of 6, and earlier stages represent non-motor phases. Moreover, intracellular accumulation of α-synuclein follows a maturation from non-ubiquitinated (p62 negative) to ubiquitinated (p62 positive) forms (Lewy bodies). Mitochondrial dysfunction is thought to be a central player in the pathogenesis of PD. It is not clear whether the nigral neurons already show cytopathological alterations preceding the deposition of α-synuclein and whether mitochondrial alterations of nigral neurons differ when so called pre-aggregates or ubiquitinated mature inclusions are present in the cell.

Methods: Using cell-based morphometric immunohistochemistry we evaluated the volume density of mitochondrial cytochrome c oxidase (complex IV of the electron transport chain, COX-IV) immunoreacivity in neurons in the substatia nigra (SN) lacking or showing α-synuclein deposits in individuals without and with PD. In PD cases we examined samples from cases with Braak stage 2 lacking SN α-synuclein pathology and Braak stage 6 with prominent SN α-synuclein deposition.

Results: Increased volume density of mitochondrial COX-IV immunoreacitvity appears before pathological α-synuclein is detected in nigral neurons. The volume density decreases significantly as pathological pre-aggregates of α-synuclein accumulates in the neurons and further remains in neurons with p62 positive Lewy bodies.

Conclusions: COX-IV expression shows a dynamic change before and during accumulation of α-synuclein in the substantia nigra underpinning the role of early mitochondrioprotective therapeutical strategies in PD.

Annual meeting of Austrian Parkinson Society.

To cite this abstract in AMA style:

I. Milenkovic, E. Dassler, M. Weber, G.G. Kovacs. Mitochondrial response precedes intracellular accumulation of α-synuclein in Parkinson’s disease [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/mitochondrial-response-precedes-intracellular-accumulation-of-synuclein-in-parkinsons-disease/. Accessed June 14, 2025.
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