Synthetic α-synuclein fibrils replicate in mice causing MSA-like pathology
Multiple-system atrophy (MSA) is a rapidly progressive neurodegenerative disease of unknown cause, typically affecting individuals aged 50-60 years and leading to death within a decade<sup>1-3</sup>. It is characterized by glial cytoplasmic inclusions (GCIs) composed of fibrillar α-synuclein (aSyn)<sup>4-8</sup>, the formation of which shows parallels with prion propagation<sup>9,10</sup>. While fibrils extracted from brains of individuals with MSA have been structurally characterized<sup>11</sup>, their ability to replicate in a protein-only manner has been questioned<sup>12</sup>, and their ability to induce GCIs in vivo remains unexplored. By contrast, the synthetic fibril strain 1B<sup>13,14</sup>, assembled from recombinant human aSyn, self-replicates in vitro and induces GCIs in mice<sup>15</sup>-suggesting direct relevance to MSA-but lacks scrutiny at the atomic scale. Here we report high-resolution structural analyses of 1B fibrils and of fibrils extracted from diseased mice injected with 1B that developed GCIs (1B<sup>P</sup>). We show in vivo that conformational templating enables fibril strain replication, resulting in MSA-like inclusion pathology. Notably, the structures of 1B and 1B<sup>P</sup> are highly similar and mimic the fold of aSyn observed in one protofilament of fibrils isolated from patients with MSA<sup>11</sup>. Moreover, reinjection of crude mouse brain homogenates containing 1B<sup>P</sup> into new mice reproduces the same MSA-like pathology induced by the parent synthetic seed 1B. Our findings identify 1B as a synthetic pathogen capable of self-replication in vivo and reveal structural features of 1B and 1B<sup>P</sup> that may underlie MSA pathology, offering insights for therapeutic strategies.
Authors
- Erwan Bézard (ORCID: https://orcid.org/0000-0002-0410-4638)
- Marie-Laure Arotçarena (ORCID: https://orcid.org/0000-0002-1306-3700)
- Amanda J. Lewis
- Antoine Loquet (ORCID: https://orcid.org/0000-0001-7176-7813)
- Henning Stahlberg (ORCID: https://orcid.org/0000-0002-1185-4592)
- Inayathulla Mohammed (ORCID: https://orcid.org/0000-0001-8177-1349)
- Marianna Kashyrina (ORCID: https://orcid.org/0000-0001-7266-6387)
- Domenic Burger (ORCID: https://orcid.org/0000-0002-4181-2588)
- Francesca De Giorgi (ORCID: https://orcid.org/0000-0003-4850-3582)
- Christel Poujol (ORCID: https://orcid.org/0000-0002-5222-9064)
- Cécile Feuillie (ORCID: https://orcid.org/0000-0003-2222-8658)
- Dario Domenico Lofrumento (ORCID: https://orcid.org/0000-0002-0106-3615)
- Mélanie Berbon (ORCID: https://orcid.org/0000-0003-3235-253X)
- Aude Retailleau (ORCID: https://orcid.org/0000-0001-6367-1889)
- Marie‐Hélène Canron (ORCID: https://orcid.org/0000-0003-1032-7632)
- Lukas van den Heuvel (ORCID: https://orcid.org/0000-0001-9168-8450)
- Jérémy Verchère
- François Ichas (ORCID: https://orcid.org/0000-0001-8184-5248)
- Florent Laferrière (ORCID: https://orcid.org/0000-0002-0753-5505)
- Thierry Baron (ORCID: https://orcid.org/0000-0001-5396-7707)
- Francesco De Nuccio (ORCID: https://orcid.org/0000-0003-2041-0149)
- Luc Bousset (ORCID: https://orcid.org/0000-0002-0433-4337)
- Wassilios G. Meissner (ORCID: https://orcid.org/0000-0003-2172-7527)
- Hortense de La Seiglière (ORCID: https://orcid.org/0009-0007-2828-5780)
- Peter Nilsson (ORCID: https://orcid.org/0000-0002-2887-8224)
Institutions
- Université Claude Bernard Lyon 1 (FR)
- Linköping University (SE)
- Centre National de la Recherche Scientifique (FR)
- University of Salento (IT)
- Université de Bordeaux (FR)
- Inserm (FR)
- Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR)
- Université Paris-Saclay (FR)
- Institut des Maladies Neurodégénératives (FR)
- Centre de Recherche en Neurosciences de Lyon (FR)
- CEA Paris-Saclay - Etablissement de Fontenay-aux-roses (FR)
- Bordeaux Population Health (FR)
- CEA Paris-Saclay (FR)
- Centre d'Imagerie BioMedicale (CH)
- Chimie et Biologie des Membranes et des Nanoobjects (FR)
- Institut Polytechnique de Bordeaux (FR)
- École Polytechnique Fédérale de Lausanne (CH)
- University of Lausanne (CH)
Publication Details
- Journal
- Nature
- Published
- 2025-11-05
- DOI
- https://doi.org/10.1038/s41586-025-09698-1
- Citations
- 6
- Primary Topic
- Parkinson's Disease Mechanisms and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 8.34