The accumulation of a specific
protein in aggregated form is a common phenomenon in human
neurodegenerative diseases. In
Parkinson's disease, this
protein is α-
synuclein which is a neuronal
protein of 143
amino acids. With a monomeric conformation in
solution, it also has a natural capacity to aggregate into
amyloid structures (dimers, oligomers, fibrils and Lewy bodies or neurites). It therefore fulfils the characteristics of a
prion protein (different conformations, seeding and spreading). In vitro and in vivo experimental evidence in transgenic and wild animals indicates a
prion-like propagation of
Parkinson's disease. The sequential and predictive distribution of α-
synuclein demonstrated by Braak et al. and its correlation with non-motor signs are consistent with the
prion-like progression. Although the triggering factor causing the misfolding and aggregation of the target
protein is unknown,
Parkinson's disease is a highly relevant model for the study of these mechanisms and also to test specific treatments targeting the assemblies of α-
synuclein and propagation from pre-motor phase of the disease. Despite this
prion-like progression, there is currently no argument indicating a risk of human transmission of
Parkinson's disease.