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MIT researchers led by Susan Lindquist, a biology professor and member of the 
Whitehead Institute for Biomedical Research, have developed a way to protect 
neurons from degeneration and death in animal studies of Parkinson's disease. 
The research, which focused on a protein called alpha-synuclein, could lead 
to therapies for human Parkinson's.
The disease's characteristic tremors and muscle rigidity are caused by damage 
to and the death of neurons that use the neurotransmitter dopamine to 
communicate with neighboring neurons. Alpha-synuclein was known to be one of 
the main causes of that damage; large clumps of it, in a misfolded form, are 
found in the brains of Parkinson's patients. But researchers did not know 
what alpha-synuclein's normal role is, why Parkinson's neurons accumulate too 
much of it, or how it causes disease. Lindquist's team used a yeast model of 
Parkinson's to study these questions.
Their research suggests that alpha-synuclein plays a role in the process cells 
use to shuttle proteins between two internal compartments in which critical 
refinements to proteins are made. Before being shipped off to different parts 
of the cell, protein strings often need to be cut or folded into 
three-dimensional shapes, and sometimes groups such as carbohydrates must be 
added to them. During these processes, the young proteins are sheltered 
within protective lipid bubbles. The bubbles also protect the neurons that 
produce dopamine from damage that can occur if too much dopamine leaks out.
"Dopamine must be packaged in these membranes and sequestered from [the 
insides of the cell], where it can cause oxidative damage," says Aaron 
Gitler, a postdoc in Lindquist's lab. 
The researchers aren't sure exactly how buildup of misfolded alpha-­synuclein 
disrupts protein trafficking but suspect it disturbs these lipid ­bubbles. 
Gitler and Lindquist suggest that as a result, neurons in Parkinson's 
patients are unprotected from their own dopamine, which thus becomes toxic.
The scientists searched for a way to interfere with this effect. Gene 
screening showed that activating the gene ypt1, which makes a protein that 
helps shepherd other, freshly made proteins from one part of the cell to 
another, did the job: the Parkinson's yeast lived. Rab1, the equivalent 
shepherding protein in nematode, fly, and rat neurons, also countered 
alpha-synuclein's toxicity. Rab1 did not completely eliminate neuron death in 
some of these higher organisms, but it was protective.
Much remains to be done, validation in tests on mice being the most important 
step. But the Whitehead results have left researchers optimistic about 
getting at the molecular details of Parkinson's. A complex disease with few 
treatment options, Parkinson's affects about a million people in the United 
States. This research represents an important step toward understanding and 
curing it. 

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