Potential Transmission of Alpha-Synuclein from the Gastrointestinal Tract to the Substantia Nigra along the Vagal Afferent Pathway
Fan Han1 · Meiqiu Liu1 · Qian Jiao1 · Xixun Du1 · Chunling Yan1 · Xi Chen1 · Hong Jiang1,2
1 Department of Physiology, Shandong Provincial Key Laboratory of Pathogenesis and Prevention of Neurological Disorders and State Key Disciplines: Physiology, School of Basic Medicine, Qingdao University, Qingdao 266071, China
2 Qingdao Key Laboratory of Neurorehabilitation, University of Health and Rehabilitation Sciences, Qingdao 266113, China
Abstract
Parkinson's disease (PD) is characterised by dopaminergic (DA) neuron loss and the formation of Lewy bodies composed of aggregated α-synuclein (α-Syn) in the substantia nigra (SN). Emerging evidence suggests that PD may originate in the gastrointestinal (GI) tract, where α-Syn aggregates in enteroendocrine cells that synapse with vagal afferents, facilitating disease spread to the central nervous system. Using electrophysiological, behavioural, molecular, and immunohistochemical methods, we examined the effects of capsaicin-induced degeneration of vagal afferents on PD progression in models: one was prepared by injecting α-Syn preformed fibrils into the GI tract, and the other was prepared by orally administering rotenone. The results showed that vagal afferents mediate GI sensory signals affecting DA and GABA neurons in the SN. Vagal afferent degeneration reduces α-Syn accumulation in the dorsal motor nucleus of the vagus and SN while improving motor impairments, highlighting their role in α-Syn transmission and PD pathogenesis.
Keywords
Parkinson’s disease; α-Synuclein; Vagal afferents; Dorsal motor nucleus of the vagus; Substantia nigra; Capsaicin