Evidence map›Paper›PMID 40523906›Full record

ArticleCommunications biology2025

Lewy-MSA hybrid fold drives distinct neuronal α-synuclein pathology.

Masahiro Enomoto, Ivan Martinez-Valbuena, Shelley L Forrest, Xiaoxiao Xu, Renato P Munhoz, Jun Li, Ekaterina Rogaeva, Anthony E Lang, Gabor G Kovacs

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Masahiro Enomoto *Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. Masahiro.Enomoto@uhn.ca.ORCID http://orcid.org/0000-0002-9411-2999
Ivan Martinez-Valbuena *Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-6463-6321
Shelley L ForrestTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada.
Xiaoxiao XuDepartment of Medical Biophysics, University of Toronto, Toronto, ON, Canada.
Renato P MunhozEdmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, Toronto, ON, Canada.
Jun LiTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada.
Ekaterina RogaevaTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-2852-0329
Anthony E LangTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada.
Gabor G KovacsTanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, ON, Canada. gabor.kovacs@uhn.ca.ORCID http://orcid.org/0000-0003-3841-5511

Funding

Identification of novel four repeat tauopathies through analysis of network vulnerability, tau structure and propagation.R01AG080001 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI BERNARDINO Francesco GHETTI, RUBEN VIDAL · 2023 to 2026
$2.7M
Edmond J. Safra Philanthropic Foundation (Fondation Philanthropique Edmond J. Safra) NoneNIA NIH HHS R01 AG080001U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG080001
6 · The paper itself

Abstract

The ordered assembly of α-synuclein protein encoded by SNCA into filaments characterizes neurodegenerative synucleinopathies. Lewy body disease (LBD) shows predominantly neuronal and multiple system atrophy (MSA), predominantly oligodendrocytic α-synuclein pathology affecting subcortical brain structures. Based on cryo-electron microscopy, it was reported that the structures of α-synuclein filaments from LBD differ from MSA and juvenile-onset synucleinopathy (JOS). The rare atypical MSA subtype shows abundant neuronal argyrophilic α-synuclein inclusions in the limbic system. Current concepts indicate that disease entities are characterized by unique protofilament folds. Here we demonstrate that α-synuclein can form a Lewy-MSA hybrid fold, leading to the atypical histopathological form of MSA. Distinct biochemical characteristics of α-synuclein, as demonstrated by protease-sensitivity digestion assay, seed amplification assays (SAAs), and conformational stability assays (CSA), are also linked to cytopathological differences. We expand the current structure-based classification of α-synucleinopathies and propose that cell-specific protein pathologies can be associated with distinct filament folds.

Indexed as

alpha-SynucleinLewy BodiesLewy Body DiseaseMultiple System AtrophyNeuronsHumansProtein FoldingSynucleinopathiesalpha-SynucleinSNCA protein, human

Identifiers

PMID40523906
PMCPMC12170825

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.