eprintid: 10144197 rev_number: 14 eprint_status: archive userid: 699 dir: disk0/10/14/41/97 datestamp: 2022-02-24 11:14:19 lastmod: 2022-04-20 17:02:36 status_changed: 2022-02-24 11:14:19 type: article metadata_visibility: show sword_depositor: 699 creators_name: Yang, Shi Yu creators_name: Taanman, Jan-Willem creators_name: Gegg, Matthew creators_name: Schapira, Anthony HV title: Ambroxol reverses tau and α-synuclein accumulation in a cholinergic N370S GBA1 mutation model ispublished: inpress divisions: C07 divisions: F84 divisions: B02 divisions: UCL divisions: D07 note: © The Author(s) 2022. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). abstract: Cognitive impairment is a common non-motor complication of Parkinson disease (PD). Glucocerebrosidase gene (GBA1) variants are found in 10–15% of PD cases and are numerically the most important risk factor for PD and dementia with Lewy bodies. Accumulation of α-synuclein and tau pathology is thought to underlie cognitive impairment in PD, and likely involves cholinergic as well as dopaminergic neurons. Neural crest stem cells were isolated from both PD patients with the common heterozygous N370S GBA1 mutation and normal subjects without GBA1 mutations. The stem cells were used to generate a cholinergic neuronal cell model. The effects of the GBA1 variant on glucocerebrosidase (GCase) protein and activity, and cathepsin D, tau and α-synuclein protein levels in cholinergic neurons were examined. Ambroxol, a GCase chaperone, was used to investigate whether GCase enhancement was able to reverse the effects of the GBA1 variant on cholinergic neurons. Significant reductions in GCase protein and activity, as well as in Cathepsin D levels were found in GBA1 mutant (N370S/WT) cholinergic neurons. Both tau and α-synuclein levels were significantly increased in GBA1 mutant (N370S/WT) cholinergic neurons. Ambroxol significantly enhanced GCase activity and decreased both tau and α-synuclein levels in cholinergic neurons. GBA1 mutations interfere with the metabolism of α-synuclein and tau proteins and induce higher levels of α-synuclein and tau proteins in cholinergic neurons. The GCase pathway provides a potential therapeutic target for neurodegenerative disorders related to pathological α-synuclein or tau accumulation. date: 2022-02-18 date_type: published publisher: Oxford University Press (OUP) official_url: https://doi.org/10.1093/hmg/ddac038 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1940443 doi: 10.1093/hmg/ddac038 medium: Print-Electronic pii: 6530531 lyricists_name: Gegg, Matthew lyricists_id: MEGEG36 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: Human Molecular Genetics event_location: England citation: Yang, Shi Yu; Taanman, Jan-Willem; Gegg, Matthew; Schapira, Anthony HV; (2022) Ambroxol reverses tau and α-synuclein accumulation in a cholinergic N370S GBA1 mutation model. Human Molecular Genetics 10.1093/hmg/ddac038 <https://doi.org/10.1093/hmg%2Fddac038>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10144197/1/ddac038%20VoR.pdf