A novel retromer stabilizer as a potential treatment for Parkinson’s disease
Michele Persico1, Tracy-Shi Zhang Fang1, Carli Tucci1, Darynaisha Crawford1, David Simon1, Simona Eleuteri1
1Neurology, Beth Israel Deaconess Medical Center
Objective:

To test the impact of a novel retromer stabilizer, guanidine hydrazone (2a), on levels of vacuolar protein sorting 35 (VPS35) and on α-synuclein (αS) clearance pathways in human neuroblastoma SH-SY5Y cells. 

Background:

Reducing αS levels in dopaminergic neurons may have neuroprotective potential in Parkinson’s disease (PD). Mutations in the VPS35 gene are a rare cause of familial PD. VPS35 is a key component of the retromer, a heteropentameric complex involved in protein trafficking. VPS35 regulates the trafficking of proteins involved in three αS degradation pathways: macroautophagy (MA), chaperone-mediated autophagy (CMA), and the endosomal-lysosomal system (ELS).

Design/Methods:

We overexpressed exogenous mutant A53T αS by transient transfection in SH-SY5Y cells, co-treated this group with 2a (or vehicle) at 20 uM for 2, 3, 4 or 5 days, and analyzed levels of αS, VPS35, and αS degradation pathway markers by western blot and ELISA. We then looked at the effect of selective MA blockage for 1-day with bafilomycin A1 (BfA1) at 50 nM on the impact of 2a on αS levels.

Results:

2a increased VPS35 protein levels (~75%) and retromer function, with increased levels of the VPS35 cargo Sortilin. This correlated with a reduction of phospho-Ser129 αS (~ 80%), an important pathological form of αS, in the cytosolic and soluble fractions and oligomeric αS in the soluble fraction (~ 50%). Furthermore, we found a 2a-induced increase in CMA and MA markers, highlighting its effect on boosting the main αS clearance pathways. After blocking MA, there was a ~60% reduction of phospho-Ser129 αS in the A53T αS-transfected group treated with 2a. Thus, 2a can decrease aS levels even when MA is blocked, potentially by compensatory upregulation of CMA and ELS.

Conclusions:

These findings link VPS35 to the regulation of multiple aS degradation pathways, and highlight 2a as a promising candidate for neuroprotection in PD.

10.1212/WNL.0000000000201749