Cholesterol enhances lysosome-autophagosome fusion for better α-synuclein clearance in GBA L444P mutated Parkinson’s disease
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ABSTRACT: Mutations in the glucocerebrosidase (GBA) gene, the most common genetic risk factor for Parkinson’s disease (PD), exacerbate α-synuclein pathology through unclear mechanisms. We found that GBA-mutated PD patients show reduced serum cholesterol. Introducing the most common GBA variant in our cohort, L444P, into mice with human α-synuclein knock-in background exhibits behavioral and molecular pathological PD features by 12 months. Lysosomal proteomics identifies loss of lysosome-cytoplasmic vesicle interactions and loss of cholesterol-containing lipid microdomains in patients and mice. Autophagic flux monitoring reveals impaired autophagosome-lysosome fusion in Gba L444P mouse neurons. Gain- and loss-of-function experiments uncover cholesterol synthesis impairment via glycosphingolipid-reduced SREBP2 levels in neurons. Cholesterol supplementation enhances autophagic flux and mitigates α-synuclein accumulation in vitro, whereas AAV-Srebp2 delivery increases α-synuclein clearance in Gba L444P mice. Our study provides novel animal models and mechanistic insights into the GBA-associated PD and offers a new therapeutic paradigm by facilitating cholesterol-associated α-synuclein autophagic clearance.
ORGANISM(S): Homo Sapiens
SUBMITTER:
Yunlong Yang
PROVIDER: PXD077686 | iProX | Mon Apr 27 00:00:00 BST 2026
REPOSITORIES: iProX
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