Distinct profiles of LRRK2 activation and Rab GTPase phosphorylation in clinical samples from different PD cohorts

Lilian Petropoulou-Vathi1, Athina Simitsi2, Politymi-Eleni Valkimadi1

  • 1Center for Clinical, Experimental Surgery, and Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.

Insights

Measuring LRRK2 kinase activity in Parkinson's disease (PD) is crucial. This study found Rab10 phosphorylation elevated in G2019S and idiopathic PD, while Rab29 phosphorylation decreased in A53T and idiopathic PD urinary exosomes.

Area of Science:

  • Neuroscience
  • Genetics
  • Biochemistry

Background:

  • Pharmacodynamic outcome measures for LRRK2 kinase activity in biofluids are needed for Parkinson's disease (PD) research.
  • Previous work showed elevated LRRK2 kinase activity in G2019S carriers, irrespective of disease status.

Purpose of the Study:

  • To investigate LRRK2 substrate phosphorylation in clinical biofluids as potential PD biomarkers.
  • To assess Rab10 and Rab29 phosphorylation in relation to LRRK2 mutations (G2019S, A53T) and idiopathic PD.

Main Methods:

  • Analysis of Rab10 and Rab29 phosphorylation levels in peripheral blood mononuclear cells (PBMCs) and urinary exosomes.
  • Comparison of phosphorylation patterns across different patient cohorts: G2019S carriers (with and without PD), idiopathic PD patients, and A53T carriers.

Main Results:

  • Rab10 phosphorylation was elevated in G2019S carriers with PD and in idiopathic PD cohorts.
  • Rab10 phosphorylation was not elevated in A53T mutation carriers.
  • Rab29 phosphorylation was reduced in urinary exosomes from A53T and idiopathic PD patients.

Conclusions:

  • Rab10 phosphorylation serves as a potential pharmacodynamic marker for LRRK2 activity in G2019S and idiopathic PD.
  • Rab29 phosphorylation changes in urinary exosomes may indicate distinct pathological mechanisms in A53T and idiopathic PD.
  • Assessing multiple targets, including Rab10 and Rab29, provides a more comprehensive understanding of LRRK2 pathway involvement in PD.