The presynaptic protein alpha-synuclein is a prime suspect for contributing
to Lewy pathology and clinical aspects of diseases, including Parkinson's
disease, dementia with Lewy bodies, and a Lewy body variant of Alzheimer's
disease. alpha-Synuclein accumulates in Lewy bodies and Lewy neurites, and
two missense mutations (A53T and A30P) in the alpha-synuclein gene are gene
tically linked to rare familial forms of Parkinson's disease. Under control
of mouse Thy1 regulatory sequences, expression of A53T mutant human alpha-
synuclein in the nervous system of transgenic mice generated animals with n
euronal alpha-synucleinopathy, features strikingly similar to those observe
d in human brains with Lewy pathology, neuronal degeneration, and motor def
ects, despite a lack of transgene expression in dopaminergic neurons of the
substantia nigra pars compacta. Neurons in brainstem and motor neurons app
eared particularly vulnerable. Motor neuron pathology included axonal damag
e and denervation of neuromuscular junctions in several muscles examined, s
uggesting that alpha-synuclein interfered with a universal mechanism of syn
apse maintenance. Thy1 transgene expression of wild-type human alpha-synucl
ein resulted in similar pathological changes, thus supporting a central rol
e for mutant and wild-type alpha-synuclein in familial and idiotypic forms
of diseases with neuronal alpha-synucleinopathy and Lewy pathology. These m
ouse models provide a means to address fundamental aspects of alpha-synucle
inopathy and test therapeutic strategies.