Gastrointestinal (GI) dysfunction emerges years before motor symptoms in Parkinson's disease (PD), implicating the enteric nervous system (ENS) in early disease progression. However, the mechanisms linking the PD hallmark protein, α-synuclein (α-syn), to ENS dysfunction - and whether these mechanisms are influenced by inflammation - remains elusive. Using iPSC-derived enteric neural lineages from patients with α-syn triplications, we reveal that TNF-α increases mitochondrial-α-syn interactions, disrupts the malate-aspartate shuttle, and forces a metabolic shift toward glutamine oxidation. These alterations drive mitochondrial dysfunction, characterizing metabolic impairment under cytokine stress. Interestingly, targeting glutamate metabolism with Chicago Sky Blue 6B restores mitochondrial function, reversing TNF-α-driven metabolic disruption. Our findings position the ENS as a central player in PD pathogenesis, establishing a direct link between cytokines, α-syn accumulation, metabolic stress and mitochondrial dysfunction. By uncovering a previously unrecognized metabolic vulnerability in the ENS, we highlight its potential as a therapeutic target for early PD intervention.
TNF-α disrupts the malate-aspartate shuttle, driving metabolic rewiring in iPSC-derived enteric neural lineages from Parkinson's Disease patients.
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作者:Ghirotto Bruno, Gonçalves LuÃs Eduardo, Ruder Vivien, James Christina, Gerasimova Elizaveta, Rizo Tania, Wend Holger, Farrell Michaela, Gerez Juan Atilio, Prymaczok Natalia Cecilia, Kuijs Merel, Shulman Maiia, Hartebrodt Anne, Prots Iryna, Gessner Arne, Zunke Friederike, Winkler Jürgen, Blumenthal David B, Theis Fabian J, Riek Roland, Günther Claudia, Neurath Markus, Gupta Pooja, Winner Beate
期刊: | bioRxiv | 影响因子: | |
时间: | 2025 | 起止号: | 2025 Mar 26 |
doi: | 10.1101/2025.03.25.644826 |
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