Somatic copy number gains of α-synuclein (SNCA) in Parkinson's disease and multiple system atrophy brains
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Accepted version
Author(s)
Type
Journal Article
Abstract
The α-synuclein protein, encoded by SNCA, has a key role in the pathogenesis of Parkinson's disease and other synucleinopathies. Although usually sporadic, Parkinson's disease can result from inherited copy number variants in SNCA and other genes. We have hypothesized a role of somatic SNCA mutations, leading to mosaicism, in sporadic synucleinopathies. The evidence for mosaicism in healthy and diseased brain is increasing rapidly, with somatic copy number gains of APP reported in Alzheimer's brain. Here we demonstrate somatic SNCA copy number gains in synucleinopathies (Parkinson's disease and multiple system atrophy), focusing on substantia nigra. We selected sporadic cases with relatively young onset or short disease duration, and first excluded high level copy number variant mosaicism by DNA analysis using digital PCR for SNCA, and/or customized array comparative genomic hybridization. To detect low level SNCA copy number variant mosaicism, we used fluorescent in situ hybridization with oligonucleotide custom-designed probes for SNCA, validated on brain and fibroblasts with known copy number variants. We determined SNCA copy number in nigral dopaminergic neurons and other cells in frozen nigra sections from 40 cases with Parkinson's disease and five with multiple system atrophy, and 25 controls, in a blinded fashion. Parkinson's disease cases were significantly more likely than controls to have any SNCA gains in dopaminergic neurons (P = 0.0036), and overall (P = 0.0052). The average proportion of dopaminergic neurons with gains in each nigra was significantly higher in Parkinson's disease than controls (0.78% versus 0.45%; P = 0.017). There was a negative correlation between the proportion of dopaminergic neurons with gains and onset age in Parkinson's disease (P = 0.013), but not with disease duration, or age of death in cases or controls. Cases with tremor at onset were less likely to have gains (P = 0.035). All multiple system atrophy cases had gains, and the highest levels in dopaminergic neurons were in two of these cases (2.76%, 2.48%). We performed selective validation with different probes after dye swapping. All three control probes used showed minimal or no gains (≤0.1% in dopaminergic neurons). We also found occasional SNCA gains in frontal neurons of cases with Parkinson's disease, and the putamen of one multiple system atrophy case. We present evidence of somatic SNCA gains in brain, more commonly in nigral dopaminergic neurons of Parkinson's disease than controls, negatively correlated with onset age, and possibly commonest in some multiple system atrophy cases. Somatic SNCA gains may be a risk factor for sporadic synucleinopathies, or a result of the disease process.
Date Issued
2018-08-01
Date Acceptance
2018-04-16
Citation
Brain, 2018, 141 (8), pp.2419-2431
ISSN
1460-2156
Publisher
Oxford University Press (OUP)
Start Page
2419
End Page
2431
Journal / Book Title
Brain
Volume
141
Issue
8
Copyright Statement
© The Author(s) (2018). Published by Oxford University Press on behalf of the Guarantors of Brain. All rights reserved. This is a pre-copy-editing, author-produced version of an article accepted for publication in Brain following peer review. The definitive publisher-authenticated version is available online at: https://academic.oup.com/brain/article/141/8/2419/5039696
Sponsor
Multiple Sclerosis Society
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29917054
PII: 5039696
Grant Number
007/14
Subjects
Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences
Neurosciences & Neurology
alpha-synuclein
Parkinson's disease
multiple system atrophy
somatic mutation
mosaicism
NEURAL STEM/PROGENITOR CELLS
DNA-CONTENT VARIATION
SUREFISH DAKO OMNIS
ALZHEIMERS-DISEASE
SINGLE-CELL
GENETIC-VARIATION
HUMAN NEURONS
HUMAN GENOME
MUTATIONS
ANEUPLOIDY
Aged
Brain
Comparative Genomic Hybridization
DNA Copy Number Variations
Dopaminergic Neurons
Female
Gene Expression
Humans
In Situ Hybridization, Fluorescence
Male
Multiple System Atrophy
Parkinson Disease
Substantia Nigra
alpha-Synuclein
Brain
Substantia Nigra
Humans
Multiple System Atrophy
Parkinson Disease
In Situ Hybridization, Fluorescence
Gene Expression
Aged
Female
Male
alpha-Synuclein
Comparative Genomic Hybridization
DNA Copy Number Variations
Dopaminergic Neurons
Neurology & Neurosurgery
11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2018-06-15