- Wrasidlo, Wolfgang;
- Tsigelny, Igor F;
- Price, Diana L;
- Dutta, Garima;
- Rockenstein, Edward;
- Schwarz, Thomas C;
- Ledolter, Karin;
- Bonhaus, Douglas;
- Paulino, Amy;
- Eleuteri, Simona;
- Skjevik, Åge A;
- Kouznetsova, Valentina L;
- Spencer, Brian;
- Desplats, Paula;
- Gonzalez-Ruelas, Tania;
- Trejo-Morales, Margarita;
- Overk, Cassia R;
- Winter, Stefan;
- Zhu, Chunni;
- Chesselet, Marie-Francoise;
- Meier, Dieter;
- Moessler, Herbert;
- Konrat, Robert;
- Masliah, Eliezer
Abnormal accumulation and propagation of the neuronal protein α-synuclein has been hypothesized to underlie the pathogenesis of Parkinson's disease, dementia with Lewy bodies and multiple system atrophy. Here we report a de novo-developed compound (NPT100-18A) that reduces α-synuclein toxicity through a novel mechanism that involves displacing α-synuclein from the membrane. This compound interacts with a domain in the C-terminus of α-synuclein. The E83R mutation reduces the compound interaction with the 80-90 amino acid region of α-synuclein and prevents the effects of NPT100-18A. In vitro studies showed that NPT100-18A reduced the formation of wild-type α-synuclein oligomers in membranes, reduced the neuronal accumulation of α-synuclein, and decreased markers of cell toxicity. In vivo studies were conducted in three different α-synuclein transgenic rodent models. Treatment with NPT100-18A ameliorated motor deficits in mThy1 wild-type α-synuclein transgenic mice in a dose-dependent manner at two independent institutions. Neuropathological examination showed that NPT100-18A decreased the accumulation of proteinase K-resistant α-synuclein aggregates in the CNS and was accompanied by the normalization of neuronal and inflammatory markers. These results were confirmed in a mutant line of α-synuclein transgenic mice that is prone to generate oligomers. In vivo imaging studies of α-synuclein-GFP transgenic mice using two-photon microscopy showed that NPT100-18A reduced the cortical synaptic accumulation of α-synuclein within 1 h post-administration. Taken together, these studies support the notion that altering the interaction of α-synuclein with the membrane might be a feasible therapeutic approach for developing new disease-modifying treatments of Parkinson's disease and other synucleinopathies.