Informace o publikaci

When Proteins Go MAD—Misfolded, Amplified, Detected: Advances in α‑Synuclein Pathophysiology and RT‑QuIC Detection

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LABAJOVÁ Naďa POLÁK Adam CEHLÁR Ondrej KRIŽAN Pavle HRITZ Jozef KOLISEK Martin ŠKORVÁNEK Matej ŠKRABANA Rostislav KOVAČECH Branislav ŽILKA Norbert

Rok publikování 2026
Druh Článek v odborném periodiku
Časopis / Zdroj MOLECULAR NEUROBIOLOGY
Fakulta / Pracoviště MU

Středoevropský technologický institut

Citace
www https://link.springer.com/article/10.1007/s12035-025-05600-2#Fun
Doi https://doi.org/10.1007/s12035-025-05600-2
Klíčová slova ?-Synuclein; RT-QuIC; Parkinson’s disease; Aggregation; Neurodegeneration; Synucleinopathies
Přiložené soubory
Popis ?-Synuclein (?-Syn) aggregation and fibrillation are pathological hallmarks of several neurodegenerative disorders, collectively termed synucleinopathies. The misfolded ?-Syn protein exhibits a prion-like seeding behavior, promoting misfolding, intracellular spread, and progressive neurodegeneration. Recent advances in structural biology have revealed critical insights into the conformational heterogeneity of ?-Syn aggregates and their strain-specific properties across distinct synucleinopathies. In parallel, significant progress has been made in biomarker development, particularly with the arrival of seed amplification assays. Among these, Real-Time Quaking-Induced Conversion (RT-QuIC) has emerged as a highly sensitive, specific, and scalable method for detecting pathogenic ?-Syn species in cerebrospinal fluid and other tissues. This review summarizes the latest findings from structural studies on ?-Syn oligomers and aggregates, their relevance to disease mechanisms, and highlights RT-QuIC as the most clinically advanced and rapidly evolving assay. We discuss its potential for early, biomarker-driven diagnostics, patient stratification, and clinical implementation.
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