{"id":205468,"date":"2025-02-04T04:44:17","date_gmt":"2025-02-04T10:44:17","guid":{"rendered":"https:\/\/lifeboat.com\/blog\/2025\/02\/distinct-subcellular-localization-of-tau-and-alpha-synuclein-in-lewy-body-disease"},"modified":"2025-02-04T04:44:17","modified_gmt":"2025-02-04T10:44:17","slug":"distinct-subcellular-localization-of-tau-and-alpha-synuclein-in-lewy-body-disease","status":"publish","type":"post","link":"https:\/\/lifeboat.com\/blog\/2025\/02\/distinct-subcellular-localization-of-tau-and-alpha-synuclein-in-lewy-body-disease","title":{"rendered":"Distinct subcellular localization of tau and alpha-synuclein in lewy body disease"},"content":{"rendered":"<p><a class=\"aligncenter blog-photo\" href=\"https:\/\/lifeboat.com\/blog.images\/distinct-subcellular-localization-of-tau-and-alpha-synuclein-in-lewy-body-disease.jpg\"><\/a><\/p>\n<p>Dementia with Lewy Bodies (DLB), Parkinson\u2019s disease (PD) and PD dementia (PDD) are neurodegenerative syndromes that are characterized neuropathologically by Lewy body disease (LBD), including Lewy bodies in neuronal somata and Lewy neurites in axons or dendrites. Intraneuronal aggregates of tau called neurofibrillary tangles (NFTs) classically are associated with Alzheimer\u2019s disease (AD), yet NFTs often are observed with LBD as well [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 40\" title=\"Spina S, La Joie R, Petersen C, Nolan AL, Cuevas D, Cosme C, Hepker M, Hwang JH, Miller ZA, Huang EJ al (2021) Comorbid neuropathological diagnoses in early versus late-onset Alzheimer\u2019s disease. Brain 144:2186&ndash;2198. https:\/\/doi.org\/10.1093\/brain\/awab099 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR40\" id=\"ref-link-section-d81012683e552\">40<\/a>]. PDD patients have a higher burden of NFTs in the cortex compared to PD patients without dementia, and cortical tau aggregates correlate with cognitive impairment severity [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 15\" title=\"Coughlin D, Xie SX, Liang M, Williams A, Peterson C, Weintraub D, McMillan CT, Wolk DA, Akhtar RS, Hurtig HIet al et al (2019) Cognitive and Pathological Influences of Tau Pathology in Lewy Body Disorders. Ann Neurol 85:259&ndash;271. https:\/\/doi.org\/10.1002\/ana.25392 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR15\" id=\"ref-link-section-d81012683e555\">15<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Irwin DJ, White MT, Toledo JB, Xie SX, Robinson JL, Van Deerlin V, Lee VM, Leverenz JB, Montine TJ, Duda JEet al et al (2012) Neuropathologic substrates of Parkinson disease dementia. Ann Neurol 72:587&ndash;598. https:\/\/doi.org\/10.1002\/ana.23659 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR21\" id=\"ref-link-section-d81012683e558\">21<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Irwin DJ, Grossman M, Weintraub D, Hurtig HI, Duda JE, Xie SX, Lee EB, Van Deerlin VM, Lopez OL, Kofler JK al (2017) Neuropathological and genetic correlates of survival and dementia onset in synucleinopathies: a retrospective analysis. Lancet Neurol 16:55&ndash;65. https:\/\/doi.org\/10.1016\/S1474-4422(16)30291-5 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR22\" id=\"ref-link-section-d81012683e561\">22<\/a>]. Mouse models of LBD implicate an \u03b1-syn-tau interaction. In mice overexpressing A53T mutant human \u03b1-syn, knocking out tau or using antibodies targeting oligomeric tau reverses memory impairments [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 19\" title=\"Gerson JE, Farmer KM, Henson N, Castillo-Carranza DL, Carretero Murillo M, Sengupta U, Barrett A, Kayed R (2018) Tau oligomers mediate alpha-synuclein toxicity and can be targeted by immunotherapy. Mol neurodegeneration 13:13. https:\/\/doi.org\/10.1186\/s13024-018-0245-9 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR19\" id=\"ref-link-section-d81012683e564\">19<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 39\" title=\"Singh B, Covelo A, Martell-Martinez H, Nanclares C, Sherman MA, Okematti E, Meints J, Teravskis PJ, Gallardo C, Savonenko AV al (2019) Tau is required for progressive synaptic and memory deficits in a transgenic mouse model of alpha-synucleinopathy. Acta Neuropathol 138:551&ndash;574. https:\/\/doi.org\/10.1007\/s00401-019-02032-w \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR39\" id=\"ref-link-section-d81012683e568\">39<\/a>]. Thus, the presence of both Lewy and tau pathology may contribute to cognitive symptoms from LBD.<\/p>\n<p>Endogenous tau and \u03b1-synuclein colocalize and associate in neurons [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 42\" title=\"Stoyka LE, Mahoney CL, Thrasher DR, Russell DL, Cook AK, Harris AT, Narayanan A, Janado TP, Standaert DG, Roberson ED et al (2021) Templated alpha-Synuclein Inclusion Formation Is Independent of Endogenous Tau. eNeuro 8: https:\/\/doi.org\/10.1523\/ENEURO.0458-20.2021 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR42\" id=\"ref-link-section-d81012683e574\">42<\/a>], suggesting that co-pathology may arise from synergistic interactions. Indeed, in vitro experiments show that tau\u2019s microtubule binding domain also binds the C-terminus of \u03b1-syn, resulting in the fibrillization and aggregation of both proteins [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 17\" title=\"Dasari AKR, Kayed R, Wi S, Lim KH (2019) Tau Interacts with the C-Terminal Region of alpha-Synuclein, Promoting Formation of Toxic Aggregates with Distinct Molecular Conformations. Biochemistry 58:2814&ndash;2821. https:\/\/doi.org\/10.1021\/acs.biochem.9b00215 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR17\" id=\"ref-link-section-d81012683e577\">17<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 20\" title=\"Giasson BI, Forman MS, Higuchi M, Golbe LI, Graves CL, Kotzbauer PT, Trojanowski JQ, Lee VM (2003) Initiation and synergistic fibrillization of tau and alpha-synuclein. Science 300:636&ndash;640. https:\/\/doi.org\/10.1126\/science.1082324 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR20\" id=\"ref-link-section-d81012683e580\">20<\/a>]. In addition, human postmortem studies report colocalization between tau and synuclein using various antibody combinations. LBD colocalizes with tau in brainstem Sect. [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 2\" title=\"Arima K, Hirai S, Sunohara N, Aoto K, Izumiyama Y, Ueda K, Ikeda K, Kawai M (1999) Cellular co-localization of phosphorylated tau-and NACP\/alpha-synuclein-epitopes in lewy bodies in sporadic Parkinson\u2019s disease and in dementia with Lewy bodies. Brain Res 843:53&ndash;61. https:\/\/doi.org\/10.1016\/s0006-8993(99)01848-x \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR2\" id=\"ref-link-section-d81012683e583\">2<\/a>], hippocampus [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 3\" title=\"Arima K, Mizutani T, Alim MA, Tonozuka-Uehara H, Izumiyama Y, Hirai S, Ueda K (2000) NACP\/alpha-synuclein and tau constitute two distinctive subsets of filaments in the same neuronal inclusions in brains from a family of parkinsonism and dementia with Lewy bodies: double-immunolabeling fluorescence and electron microscopic studies. Acta Neuropathol 100:115&ndash;121. https:\/\/doi.org\/10.1007\/s004010050002 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR3\" id=\"ref-link-section-d81012683e586\">3<\/a>], entorhinal cortex [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 23\" title=\"Iseki E, Marui W, Kosaka K, Ueda K (1999) Frequent coexistence of Lewy bodies and neurofibrillary tangles in the same neurons of patients with diffuse Lewy body disease. Neurosci Lett 265:9&ndash;12. https:\/\/doi.org\/10.1016\/s0304-3940(99)00178-0 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR23\" id=\"ref-link-section-d81012683e590\">23<\/a>], frontal cortex [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 38\" title=\"Sengupta U, Guerrero-Munoz MJ, Castillo-Carranza DL, Lasagna-Reeves CA, Gerson JE, Paulucci-Holthauzen AA, Krishnamurthy S, Farhed M, Jackson GR, Kayed R (2015) Pathological interface between oligomeric alpha-synuclein and tau in synucleinopathies. Biol Psychiatry 78:672&ndash;683. https:\/\/doi.org\/10.1016\/j.biopsych.2014.12.019 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR38\" id=\"ref-link-section-d81012683e593\">38<\/a>], amygdala [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 37\" title=\"Schmidt ML, Martin JA, Lee VM, Trojanowski JQ (1996) Convergence of Lewy bodies and neurofibrillary tangles in amygdala neurons of Alzheimer\u2019s disease and Lewy body disorders. Acta Neuropathol 91:475&ndash;481. https:\/\/doi.org\/10.1007\/s004010050454 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR37\" id=\"ref-link-section-d81012683e596\">37<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 43\" title=\"Uchikado H, Lin WL, DeLucia MW, Dickson DW (2006) Alzheimer disease with amygdala Lewy bodies: a distinct form of alpha-synucleinopathy. J Neuropathol Exp Neurol 65:685&ndash;697. https:\/\/doi.org\/10.1097\/01.jnen.0000225908.90052.07 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR43\" id=\"ref-link-section-d81012683e599\">43<\/a>], and olfactory bulb [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 18\" title=\"Fujishiro H, Tsuboi Y, Lin WL, Uchikado H, Dickson DW (2008) Co-localization of tau and alpha-synuclein in the olfactory bulb in Alzheimer\u2019s disease with amygdala Lewy bodies. Acta Neuropathol 116:17&ndash;24. https:\/\/doi.org\/10.1007\/s00401-008-0383-1 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR18\" id=\"ref-link-section-d81012683e602\">18<\/a>]. One study quantified the number of double-positive neurons across hippocampal structures and determined the subiculum and pre-CA1 neurons had the highest proportion for double-positivity with a range of 1\u201313% across 5 subjects, as assessed by examining neuronal somata [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 24\" title=\"Iseki E, Takayama N, Marui W, Ueda K, Kosaka K (2002) Relationship in the formation process between neurofibrillary tangles and Lewy bodies in the hippocampus of dementia with Lewy bodies brains. J Neurol Sci 195:85&ndash;91. https:\/\/doi.org\/10.1016\/s0022-510x(01)00689-x \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR24\" id=\"ref-link-section-d81012683e605\">24<\/a>]. In another study that focused on brainstem Lewy bodies, as many as a third of Lewy bodies in the medulla were immunoreactive for phosphorylated tau, but a relationship between tau and \u03b1-syn immunoreactivity within abundant Lewy neurites has not been examined [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Ishizawa T, Mattila P, Davies P, Wang D, Dickson DW (2003) Colocalization of tau and alpha-synuclein epitopes in Lewy bodies. J Neuropathol Exp Neurol 62:389&ndash;397. https:\/\/doi.org\/10.1093\/jnen\/62.4.389 \" href=\"https:\/\/link.springer.com\/article\/10.1186\/s40478-024-01913-w#ref-CR25\" id=\"ref-link-section-d81012683e609\">25<\/a>]. In addition, many of the studies showing overlap of \u03b1-syn and tau pathology are qualitative or relied on counting colocalization by eye in single images rather than quantifying colocalization over a larger area within the tissue.<\/p>\n<p>Investigating overlap of pathologic \u03b1-syn and tau in structures including neurites is important because synaptic and axonal dysfunction are earlier pathophysiologic events in LBD than the formation of Lewy bodies, and cortical and limbic regions affected by \u03b1-synucleinopathy show more abundant Lewy neurites than Lewy bodies. We examined postmortem middle temporal gyrus cortex from human brains with confirmed LBD using immunofluorescence and confocal microscopy. We first quantified the degree of abnormal forms of \u03b1-syn and tau as well as immunologic markers for this region, showing an association of disease markers with the neuropathological diagnosis of LBD, demonstrating these cases recapitulate prior findings from the literature. We then measured colocalization of pathologic \u03b1-syn with phosphorylated tau, and an early pathologic form of tau.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dementia with Lewy Bodies (DLB), Parkinson\u2019s disease (PD) and PD dementia (PDD) are neurodegenerative syndromes that are characterized neuropathologically by Lewy body disease (LBD), including Lewy bodies in neuronal somata and Lewy neurites in axons or dendrites. Intraneuronal aggregates of tau called neurofibrillary tangles (NFTs) classically are associated with Alzheimer\u2019s disease (AD), yet NFTs often [\u2026]<\/p>\n","protected":false},"author":662,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,3818,47],"tags":[],"class_list":["post-205468","post","type-post","status-publish","format-standard","hentry","category-biotech-medical","category-blockchains","category-neuroscience"],"_links":{"self":[{"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/posts\/205468","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/users\/662"}],"replies":[{"embeddable":true,"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/comments?post=205468"}],"version-history":[{"count":0,"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/posts\/205468\/revisions"}],"wp:attachment":[{"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/media?parent=205468"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/categories?post=205468"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lifeboat.com\/blog\/wp-json\/wp\/v2\/tags?post=205468"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}