Evidence map›Paper›PMID 38063197›Full record

ArticleJCI insight2023

Gut mucosal cells transfer α-synuclein to the vagus nerve.

Rashmi Chandra, Arpine Sokratian, Katherine R Chavez, Stephanie King, Sandip M Swain, Joshua C Snyder, Andrew B West, Rodger A Liddle

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
9.3field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
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  8. Mechanisms and clinical implications of gut-brain interactions.The Journal of clinical investigation · 2026
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  15. Article
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  18. Gut neuropeptide involvement in Parkinson's disease.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Rashmi ChandraDepartment of Medicine.
Arpine SokratianDepartment of Pharmacology and Cancer Biology.
Katherine R ChavezDepartment of Medicine.
Stephanie KingDepartment of Medicine.
Sandip M SwainDepartment of Medicine.
Joshua C SnyderDepartment of Surgery, and.
Andrew B WestDepartment of Pharmacology and Cancer Biology.
Rodger A LiddleDepartment of Medicine.
Duke Institute for Health Innovation · USDuke University · US

Funding

Project 3: LRRK2 mediated macrophage responses in PDP50NS108675 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WEST, ANDREW B · 2018 to 2022
$9.9M
Mechanisms of LRRK2 Mediated NeurotoxicityR01NS064934 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WEST, ANDREW B · 2010 to 2025
$6.3M
Mechanisms of mechanically-induced acute pancreatitisR01DK120555 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2019 to 2023
$1.8M
The role of gut endocrine cells in Parkinson's DiseaseR01DK109368 · NIDDK · DUKE UNIVERSITY · PI LIDDLE, RODGER A. · 2016 to 2019
$1.4M
Supplemental Funds for K22 Establishing the molecular and cellular mechanisms of Lgr5 signaling for controlling cancer stem cell behaviorK22CA212058 · NCI · DUKE UNIVERSITY · PI SNYDER, JOSHUA CLAIR · 2017 to 2020
$622k
Gut Neuroendocrine Cell Signaling and ObesityI01BX002230 · VA · DURHAM VA MEDICAL CENTER · PI LIDDLE, RODGER A. · 2014 to 2022
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BLRD VA I01 BX002230NCI NIH HHS K22 CA212058NIDDK NIH HHS R01 DK109368NIDDK NIH HHS R01 DK120555NINDS NIH HHS P50 NS108675NINDS NIH HHS R01 NS064934
6 · The paper itself

Abstract

Epidemiological and histopathological findings have raised the possibility that misfolded α-synuclein protein might spread from the gut to the brain and increase the risk of Parkinson's disease. Although past experimental studies in mouse models have relied on gut injections of exogenous recombinant α-synuclein fibrils to study gut-to-brain α-synuclein transfer, the possible origins of misfolded α-synuclein within the gut have remained elusive. We recently demonstrated that sensory cells of intestinal mucosa express α-synuclein. Here, we employed mouse intestinal organoids expressing human α-synuclein to observe the transfer of α-synuclein protein from epithelial cells in organoids to cocultured nodose neurons devoid of α-synuclein. In mice expressing human α-synuclein, but no mouse α-synuclein, α-synuclein fibril-templating activity emerged in α-synuclein-seeded fibril aggregation assays in intestine, vagus nerve, and dorsal motor nucleus. In newly engineered transgenic mice that restrict pathological human α-synuclein expression to intestinal epithelial cells, α-synuclein fibril-templating activity transfered to the vagus nerve and dorsal motor nucleus. Subdiaphragmatic vagotomy prior to induction of α-synuclein expression in intestinal epithelial cells effectively protected the hindbrain from emergence of α-synuclein fibril-templating activity. Overall, these findings highlight a potential non-neuronal source of fibrillar α-synuclein protein that might arise in gut mucosal cells.

Indexed as

alpha-SynucleinParkinson DiseaseVagus NerveAnimalsBrainGastric MucosaHumansMiceNeuronsalpha-SynucleinGastroenterologyNeuroscienceParkinson disease

Identifiers

PMID38063197
PMCPMC10795834
OpenAlexW4389429458

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.