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RT-QuIC using C-terminally truncated a-synuclein forms detects differences in seeding propensity of different brain regions from synucleinopathies

Lookup NU author(s): Dr Daniel ErskineORCiD, Dr Christopher Morris



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Aggregated α-synuclein (αSyn) protein is a core pathological feature of Parkinson’s disease (PD) and dementia with Lewy bodies (DLB). Both PD and DLB demonstrate the presence of diverse intracellular α-synuclein (αSyn) species, including C-terminally truncated αSyn (C-αSyn), although it is unknown how C-αSyn species contribute to disease progression. Using recombinant C-αSyn and PD and DLB brain lysates as seeds in the real-time quaking-induced conversion (RT-QuIC) assay, we explored how C-αSyn may be involved in disease stratification. Comparing the seeding activity of aqueous-soluble fractions to detergent-soluble fractions, and using αSyn 1-130 as substrate for the RT-QuIC assay, the temporal cortex seeds differentiated PD and DLB from healthy controls. In contrast to the temporal cortex, where PD and DLB could not be distinguished, αSyn 1-130 seeded by the detergent-soluble fractions from the PD frontal cortex demonstrated greater seeding efficiency compared to the DLB frontal cortex. Moreover, proteinase K-resistant (PKres) fragments from the RT-QuIC end products using C-αSyn 1-130 or C-αSyn 1-115 were more obvious in the frontal cortex compared to the temporal cortex. Morphological examinations of RT-QuIC end products showed differences in the size of the fibrils between C-αSyn 1-130 and C-αSyn 1-115, in agreement with the RT-QuIC results. These data show that C-αSyn species can distinguish PD from DLB and suggest diversity in αSyn species across these synucleinopathies, which could play a role in disease progression.

Publication metadata

Author(s): Poggiolini I, Erskine D, Vaikath NN, Ponraj J, Mansour S, Morris CM, El-Agnaf OMA

Publication type: Article

Publication status: Published

Journal: Biomolecules

Year: 2021

Volume: 11

Issue: 6

Online publication date: 31/05/2021

Acceptance date: 25/05/2021

Date deposited: 31/05/2021

ISSN (electronic): 2218-273X

Publisher: MDPI AG


DOI: 10.3390/biom11060820


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Funder referenceFunder name
SF 2017-0007