Abstract Details

Title Understanding how GBA mutations influence Parkinson’s disease progression

Topic Movement Disorders

Presentation(s) S42 - Movement Disorders: Genetics and Risk Modifiers (3:54 PM-4:06 PM)

Poster/Presentation
Number 003

Objective To investigate mechanisms underlying the clinical observation that GBA mutations are associated with increased risk of developing PD, along with faster progression of motor and cognitive symptoms.

Background Mutations in the gene glucosidase, beta acid 1 (GBA) are the strongest genetic risk factor for Parkinson's Disease (PD) and accelerate disease progression. Our work using a Drosophila GBA deficient model revealed altered exosomes may act as vehicles to accelerate protein aggregate spread. We are further investigating how GBA affects neuronal endolysosomal trafficking and exosome biogenesis.

Design/Methods We developed a Drosophila model of GBA deficiency (GBA^del) by deleting the Drosophila homolog of GBA. Human induced pluripotent stem cells (iPSCs) were generated from an individual with PD carrying the IVS2+1G>A GBA mutation (GBA^IVS PD). Neurons were differentiated from GBA^IVS PD, isogenic GBA^WT PD, and age- and sex-matched healthy control iPSCs using StemCell Technologies reagents and protocols. Confirmation for differentiation was performed by IHC. Neuronal EVs are isolated by size exclusion chromatography from conditioned media.

Results Exosomes isolated from GBA^del mutant flies have altered protein cargo, including increased levels of exosome-intrinsic proteins Rab11 and Rab7, and increased oligomerized Ref(2)p, the Drosophila ortholog for p62. Expression of wildtype dGBA1b in flight muscle or glia of GBA^del mutant flies rescued protein aggregation in the brain, and also rescued levels of exosomal Rab11, Rab 7 and Ref(2)p.

Conclusions Our Drosophila model supports the hypothesis that GBA deficiency alters exosomes, which may act as a vehicle to accelerate the spread of Lewy pathology. We are now examining how GBA alters endolysosomal trafficking leading to exosome biogenesis in our iPSC model, and how altered exosomes can be a vehicle for Lewy pathology propagation. This could elucidate mechanisms to halt or slow down the spread of pathogenic protein aggregation in PD.

Authors/Disclosures
Arnav Khera PRESENTER	Mr. Khera has nothing to disclose.
Sarah Fish (SIBCR)	Sarah Fish has nothing to disclose.
Raja E. Estes, BS (VA Puget Sound Health Care System)	Ms. Estes has nothing to disclose.
Selina Yu	Selina Yu has nothing to disclose.
Leo Pallanck	No disclosure on file
Jessica Young (University of Washington)	Jessica Young has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Fondation Alzheimer. The institution of Jessica Young has received research support from NIH. Jessica Young has received personal compensation in the range of $500-$4,999 for serving as a Instructor with Aging Alliance.
Marie Y. Davis, MD, PhD (VA Puget Sound)	Dr. Davis has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Biogen. The institution of Dr. Davis has received research support from NIH NINDS. The institution of Dr. Davis has received research support from University of Washington Institute for Stem Cell and Regenerative Medicine. The institution of Dr. Davis has received research support from VA BLRD. Dr. Davis has received personal compensation in the range of $500-$4,999 for serving as a study section grant reviewer with NIH. Dr. Davis has received personal compensation in the range of $500-$4,999 for serving as a Grant reviewer with Parkinson's Foundation.

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