Evidence map›Paper›PMID 27845893›Full record

ArticleOncotarget2017

KLK6 proteolysis is implicated in the turnover and uptake of extracellular alpha-synuclein species.

Georgios Pampalakis, Vasia-Samantha Sykioti, Methodios Ximerakis, Ioanna Stefanakou-Kalakou, Ronald Melki, Kostas Vekrellis, Georgia Sotiropoulou

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Plasma alpha-synuclein levels in patients with Parkinson's disease: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  2. Fragment-Based Discovery of KLK6 and KLK7 Inhibitors.Journal of chemical information and modeling · 2026
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  13. Therapeutic functions of astrocytes to treat α-synuclein pathology in Parkinson's disease.Proceedings of the National Academy of Sciences of the United States of America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Georgios PampalakisDepartment of Pharmacy, School of Health Sciences, University of Patras, Rion-Patras, Athens, Greece.
Vasia-Samantha SykiotiCenter for Neurosciences, Biomedical Research Foundation, Academy of Athens, Athens, Greece.
Methodios XimerakisCenter for Neurosciences, Biomedical Research Foundation, Academy of Athens, Athens, Greece.
Ioanna Stefanakou-KalakouDepartment of Pharmacy, School of Health Sciences, University of Patras, Rion-Patras, Athens, Greece.
Ronald MelkiParis-Saclay Institute of Neuroscience, Centre National de la Recherche Scientifique, Gif-Sur-Yvette, France.
Kostas VekrellisCenter for Neurosciences, Biomedical Research Foundation, Academy of Athens, Athens, Greece.
Georgia SotiropoulouDepartment of Pharmacy, School of Health Sciences, University of Patras, Rion-Patras, Athens, Greece.
Academy of Athens · GRUniversity of Patras · GRInstitut des Neurosciences Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

KLK6 is a serine protease highly expressed in the nervous system. In synucleinopathies, including Parkinson disease, the levels of KLK6 inversely correlate with α-synuclein in CSF. Recently, we suggested that recombinant KLK6 mediates the degradation of extracellular α-synuclein directly and via a proteolytic cascade that involves unidentified metalloproteinase(s). Here, we show that recombinant and naturally secreted KLK6 can readily cleave α-synuclein fibrils that have the potential for cell-to-cell propagation in "a prion-like mechanism". Importantly, KLK6-deficient primary cortical neurons have increased ability for α-synuclein fibril uptake. We also demonstrate that KLK6 activates proMMP2, which in turn can cleave α-synuclein. The repertoire of proteases activated by KLK6 in a neuronal environment was analyzed by degradomic profiling, which also identified ADAMTS19 and showed that KLK6 has a limited number of substrates indicating specific biological functions such as the regulation of α-synuclein turnover. We generated adenoviral vectors for KLK6 delivery and demonstrated that the levels of extracellular α-synuclein can be reduced by neuronally secreted KLK6. Our findings open the possibility to exploit KLK6 as a novel therapeutic target for Parkinson disease and other synucleinopathies.

Indexed as

alpha-SynucleinAMP-Activated Protein Kinase KinasesAnimalsCells, CulturedExtracellular SpaceKallikreinsMiceMice, Inbred C57BLMice, KnockoutNeuronsProtein KinasesProteolysisalpha-SynucleinAMP-Activated Protein Kinase KinasesKallikreinsProtein KinasesPrss18 protein, mousedegradomicsin vitro substratesKLK6metalloproteasesα-synuclein

Identifiers

PMID27845893
PMCPMC5362421
OpenAlexW2549204523

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.