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Reduction of RPT6/S8 (a Proteasome Component) and Proteasome Activity in the Cortex is Associated with Cognitive Impairment in Lewy Body Dementia.

Abstract
Lewy body dementia is the second most common neurodegenerative dementia and is pathologically characterized by α-synuclein positive cytoplasmic inclusions, with varying amounts of amyloid-β (Aβ) and hyperphosphorylated tau (tau) aggregates in addition to synaptic loss. A dysfunctional ubiquitin proteasome system (UPS), the major proteolytic pathway responsible for the clearance of short lived proteins, may be a mediating factor of disease progression and of the development of α-synuclein aggregates. In the present study, protein expression of a key component of the UPS, the RPT6 subunit of the 19S regulatory complex was determined. Furthermore, the main proteolytic-like (chymotrypsin- and PGPH-) activities have also been analyzed. The middle frontal (Brodmann, BA9), inferior parietal (BA40), and anterior cingulate (BA24) gyrus' cortex were selected as regions of interest from Parkinson's disease dementia (PDD, n = 31), dementia with Lewy bodies (DLB, n = 44), Alzheimer's disease (AD, n = 16), and control (n = 24) brains. Clinical and pathological data available included the MMSE score. DLB, PDD, and AD were characterized by significant reductions of RPT6 (one-way ANOVA, p < 0.001; Bonferroni post hoc test) in prefrontal cortex and parietal cortex compared with controls. Strong associations were observed between RPT6 levels in prefrontal, parietal cortex, and anterior cingulate gyrus and cognitive impairment (p = 0.001, p = 0.001, and p = 0.008, respectively). These findings highlight the involvement of the UPS in Lewy body dementia and indicate that targeting the UPS may have the potential to slow down or reduce the progression of cognitive impairment in DLB and PDD.
AuthorsAmani Alghamdi, Julie Vallortigara, David R Howlett, Martin Broadstock, Tibor Hortobágyi, Clive Ballard, Alan J Thomas, John T O'Brien, Dag Aarsland, Johannes Attems, Paul T Francis, David R Whitfield
JournalJournal of Alzheimer's disease : JAD (J Alzheimers Dis) Vol. 57 Issue 2 Pg. 373-386 ( 2017) ISSN: 1875-8908 [Electronic] Netherlands
PMID28269775 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • PSMC5 protein, human
  • Proteasome Endopeptidase Complex
  • ATPases Associated with Diverse Cellular Activities
Topics
  • ATPases Associated with Diverse Cellular Activities (metabolism)
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Cerebral Cortex (metabolism, pathology)
  • Cognitive Dysfunction (metabolism, pathology)
  • Cohort Studies
  • Female
  • Humans
  • Lewy Body Disease (metabolism, pathology)
  • Male
  • Mental Status and Dementia Tests
  • Proteasome Endopeptidase Complex (metabolism)

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