Imaging α-synuclein pathologies in animal models and patients with Parkinson's and related diseases

  • Neuron. 2024 Aug 7;112(15):2540-2557.e8. doi: 10.1016/j.neuron.2024.05.006.
Hironobu Endo  1 ,  Maiko Ono  2 ,  Yuhei Takado  2 ,  Kiwamu Matsuoka  3 ,  Manami Takahashi  4 ,  Kenji Tagai  5 ,  Yuko Kataoka  6 ,  Kosei Hirata  7 ,  Keisuke Takahata  8 ,  Chie Seki  6 ,  Naomi Kokubo  6 ,  Masayuki Fujinaga  9 ,  Wakana Mori  9 ,  Yuji Nagai  6 ,  Koki Mimura  10 ,  Katsushi Kumata  9 ,  Tatsuya Kikuchi  9 ,  Aki Shimozawa  11 ,  Sushil K Mishra  12 ,  Yoshiki Yamaguchi  13 ,  Hiroshi Shimizu  14 ,  Akiyoshi Kakita  14 ,  Hiroyuki Takuwa  15 ,  Hitoshi Shinotoh  16 ,  Hitoshi Shimada  17 ,  Yasuyuki Kimura  18 ,  Masanori Ichise  6 ,  Tetsuya Suhara  19 ,  Takafumi Minamimoto  6 ,  Naruhiko Sahara  6 ,  Kazunori Kawamura  9 ,  Ming-Rong Zhang  9 ,  Masato Hasegawa  11 ,  Makoto Higuchi  20
Affiliations
  • 1. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan. Electronic address: [email protected].
  • 2. Institute for Quantum Life Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 3. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Psychiatry, Nara Medical University, Nara 634-8522, Japan.
  • 4. Quantum Neuromapping and Neuromodulation Team, Institute for Quantum Life Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 5. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Psychiatry, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
  • 6. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 7. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Neurology and Neurological Science, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
  • 8. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Psychiatry, Keio University School of Medicine, Tokyo 160-0016, Japan.
  • 9. Department of Advanced Nuclear Medicine Sciences, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 10. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Research Center for Medical and Health Data Science, The Institute of Statistical Mathematics, Tokyo 190-8562, Japan.
  • 11. Department of Dementia and Higher Brain Function, Tokyo Metropolitan Institute of Medical Science, Tokyo 156-8506, Japan.
  • 12. Department of BioMolecular Sciences, The University of Mississippi, Oxford, MS 38677, USA.
  • 13. Division of Structural Glycobiology, Institute of Molecular Biomembrane and Glycobiology, Tohoku Medical and Pharmaceutical University, Sendai 981-8558, Miyagi Japan.
  • 14. Department of Pathology, Brain Research Institute, Niigata University, Niigata 951-8585, Japan.
  • 15. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Quantum Neuromapping and Neuromodulation Team, Institute for Quantum Life Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 16. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Neurology Clinic, Chiba 260-0045, Chiba Japan.
  • 17. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Functional Neurology & Neurosurgery, Center for Integrated Human Brain Science, Brain Research Institute, Niigata University, Niigata 951-8585, Japan.
  • 18. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Clinical and Experimental Neuroimaging, Center for Development of Advanced Medicine for Dementia, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan.
  • 19. National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan.
  • 20. Advanced Neuroimaging Center, Institute for Quantum Medical Science, National Institutes for Quantum Science and Technology, Chiba 263-8555, Japan; Department of Neuroetiology and Diagnostic Science, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, Japan.
Abstract

Deposition of α-synuclein fibrils is implicated in Parkinson's Disease (PD) and dementia with Lewy bodies (DLB), while in vivo detection of α-synuclein pathologies in these illnesses has been challenging. Here, we have developed a small-molecule ligand, C05-05, for visualizing α-synuclein deposits in the Brains of living subjects. In vivo optical and positron emission tomography (PET) imaging of mouse and marmoset models demonstrated that C05-05 captured a dynamic propagation of fibrillogenesis along neural pathways, followed by disruptions of these structures. High-affinity binding of 18F-C05-05 to α-synuclein aggregates in human brain tissues was also proven by in vitro assays. Notably, PET-detectable 18F-C05-05 signals were intensified in the midbrains of PD and DLB patients as compared with healthy controls, providing the first demonstration of visualizing α-synuclein pathologies in these illnesses. Collectively, we propose a new imaging technology offering neuropathology-based translational assessments of PD and allied disorders toward diagnostic and therapeutic research and development.

Keywords
PET; Parkinson’s disease; dementia with Lewy bodies; intravital two-photon microscopy; in vivo; marmoset model; mouse model; multiple system atrophy; propagation; α-synuclein.
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