The Parkinson's disease
substantia nigra is characterized by the loss of dopaminergic neuronsand the presence of cytoplasmic fibrillar Lewy bodies in surviving neurons. The major fibrillar protein ofLewy bodies is
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-synuclein. Two point mutations in the
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-synuclein gene are associated with autosomal-dominant Parkinson's disease (FPD). Studies of the in vitro fibrillization behavior of the mutant proteinssuggest that fibril precursors, or
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-synuclein protofibrils, rather than the fibrils, may be pathogenic. Atomicforce microscopy (AFM) revealed two distinct forms of protofibrillar
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-synuclein: rapidly formed sphericalprotofibrils and annular protofibrils, which were produced on prolonged incubation of spheres. The sphericalprotofibrils bound to brain-derived membrane fractions much more tightly than did monomeric or fibrillar
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-synuclein, and membrane-associated annular protofibrils were observed. The structural features of
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-synuclein annular protofibrils are reminiscent of bacterial pore-forming toxins and are consistent withtheir porelike activity in vitro. Thus, abnormal membrane permeabilization may be a pathogenic mechanismin PD.