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idiopathic PD post-mortem midbrains, suggesting the potential <strong>neuroprotective</strong> function<br />

<strong>of</strong> this gene. As discussed in Chapter 3, we have shown that while knockdown <strong>of</strong> worm<br />

ATP13A2 enhances α-syn misfolding, overexpression <strong>of</strong> this gene rescues worm DA<br />

neurons from α-syn toxicity, demonstrating a novel genetic interaction between α-syn<br />

and ATP13A2 (Gitler et al., 2009).<br />

PD patho<strong>genes</strong>is: mitochondrial and oxidative stress<br />

While cellular stress induced by misfolded or aggregated proteins may shed light<br />

on the neurodegenerative mechanisms leading to PD, defects in protein degradation<br />

machinery alone cannot explain the selective loss <strong>of</strong> DA neurons. PD patho<strong>genes</strong>is<br />

consists <strong>of</strong> both genetic and environmental causes, which only 5-10% <strong>of</strong> all PD cases<br />

have been linked to genetic components. Studies on environmental PD factors have<br />

provided insights on the pathways involved in the selective DA neurodegeneration.<br />

Langston et al. (1986) studied four patients who exhibited features <strong>of</strong> clinical<br />

Parkinsonism after using a new “synthetic heroin.” Subsequent analysis <strong>of</strong> the drug<br />

components revealed 1-methyl-4-phenyl-1,2,5,6-tetrahydropyridine (MPTP) as a primary<br />

compound, and they proposed that MPTP might induce the selective loss <strong>of</strong> DA neurons.<br />

While MPTP was later found harmless, after crossing the blood-brain barrier, the<br />

compound is readily metabolized into toxic 1-methyl-4-phenylpyridinium (MPP+), which<br />

disrupts complex I <strong>of</strong> mitochondrial respiratory chain. Inhibition <strong>of</strong> complex I generates<br />

10

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