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A Feedforward Loop Links Gaucher and Parkinson's Diseases?
Mark R. Cookson Cell Volume 146, Issue 1, Pages 9-11 (July 2011) DOI: /j.cell Copyright © 2011 Elsevier Inc. Terms and Conditions
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Figure 1 A Possible Mechanism Linking Parkinson's Disease to Gaucher Disease (A) Under normal conditions, α-synuclein is imported into the lysosome for degradation. The degradative enzyme glucocerebrosidase (GCase) is also imported into the lysosome after the enzyme matures through the ER-Golgi pathway. In pathogenic situations, accumulation of α-synuclein may block ER-Golgi transport, leading to the loss of GCase in the lysosome. This amplifies the effects by limiting degradation of α-synuclein, causing further accumulation of the protein and possibly other detrimental effects on the lysosome. (B) If this series of positive feedback loops (small circles with arrows) continues over time, then α-synuclein levels will tend to increase with age. Presumably, at a certain point, α-synuclein levels will exceed a pathogenic threshold (arbitrarily indicated by a red line) and be associated with disease. Cell , 9-11DOI: ( /j.cell ) Copyright © 2011 Elsevier Inc. Terms and Conditions
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