α-Synuclein pathology accumulates in sacral spinal visceral sensory pathways.

Abstract:

:Urinary urgency and frequency are common in α-synucleinopathies such as Parkinson disease, Lewy body dementia, and multiple system atrophy. These symptoms cannot be managed with dopamine therapy, and their underlying pathophysiology is unclear. We show that in individuals with Parkinson disease, Lewy body dementia, or multiple system atrophy, α-synuclein pathology accumulates in the lateral collateral pathway, a region of the sacral spinal dorsal horn important for the relay of pelvic visceral afferents. Deposition of α-synuclein in this region may contribute to impaired micturition and/or constipation in Parkinson disease and other α-synucleinopathies.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

VanderHorst VG,Samardzic T,Saper CB,Anderson MP,Nag S,Schneider JA,Bennett DA,Buchman AS

doi

10.1002/ana.24430

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

142-9

issue

1

eissn

0364-5134

issn

1531-8249

journal_volume

78

pub_type

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