PLASMA EXOSOMES IN INHERITED FORMS OF PARKINSON′S DISEASE
Parkinson’s disease (PD) is the second most frequent neurodegenerative disorder. Alpha-synuclein misfolding and aggregation resulting in neurototoxicity is a hallmark of PD. The prion properties of alpha-synuclein are discussed. Exosomes (extrcellular vesicles 40–100 nm in size) can play a key role in the transport of pathogenic forms of alpha-synuclein. The most frequent inherited forms of the disease are PD, associated with mutation in the leucine-rich repeat kinase 2 (LRRK2-PD) and glucocerebrosidase (GBA-PD) genes. The aim of our work is to evaluate concentration and size of exosomes derived from blood plasma of patients with GBA-PD, asymptomatic <i>GBA</i> mutation carriers and an effect of <i>GBA</i> and <i>LRRK2</i> mutations on alpha-synuclein level in exosomes derived from peripheral blood plasma. Plasma extracellular vesicles were isolated via chemical precipitation and sequential ultracentrifugation and characterized by transmission electron microscopy, nanoparticle tracking analysis (NTA) and flow cytometry. Total alpha-synuclein level in plasma exosomes was estimated by enzyme-linked immunosorbent assay. Patients with sporadic PD, PD with dementia, patients with inherited PD (GBA-PD, LRRK2-PD) as well as asymptomatic <i>GBA</i> mutation carriers were included into the study. The concentration on plasma exosomes was higher in GBA-PD patients compared to sporadic PD, asymptomatic carriers of mutations on <i>GBA</i> gene and control (<i>p</i> = 0.004, 0.019 and 0.0001 respectively). The size of plasma exosomes was higher in GBA-PD patients compared to asymptomatic carriers of <i>GBA</i> mutations and control (<i>p</i> = 0.009 and 0.0001, respectively). No significant difference was found for exosomal alpha-synuclein levels in the studied groups. Our results allowed us to suggest that a decrease in GBA activity may affect the pool of plasma exosomes and mutations in the <i>LRRK2</i> and <i>GBA</i> gene do not influence on plasma exosomal alpha-synuclein level.