Tauopathic Changes in the Striatum of A53T α-Synuclein Mutant Mouse Model of Parkinson's Disease

Tauopathic pathways lead to degenerative changes in Alzheimer's disease and there is evidence that they are also involved in the neurodegenerative pathology of Parkinson's disease [PD]. We have examined tauopathic changes in striatum of the α-synuclein (α-Syn) A53T mutant mouse. Elevated levels of α-Syn were observed in striatum of the adult A53T α-Syn mice. This was accompanied by increases in hyperphosphorylated Tau [p-Tau], phosphorylated at Ser202, Ser262 and Ser396/404, which are the same toxic sites also seen in Alzheimer's disease. There was an increase in active p-GSK-3β, hyperphosphorylated at Tyr216, a major and primary kinase known to phosphorylate Tau at multiple sites. The sites of hyperphosphorylation of Tau in the A53T mutant mice were similar to those seen in post-mortem striata from PD patients, attesting to their pathophysiological relevance. Increases in p-Tau were not due to alterations on protein phosphatases in either A53T mice or in human PD, suggesting lack of involvement of these proteins in tauopathy. Extraction of striata with Triton X-100 showed large increases in oligomeric forms of α-Syn suggesting that α-Syn had formed aggregates the mutant mice. In addition, increased levels of p-GSK-3β and pSer396/404 were also found associated with aggregated α-Syn. Differential solubilization to measure protein binding to cytoskeletal proteins demonstrated that p-Tau in the A53T mutant mouse were unbound to cytoskeletal proteins, consistent with dissociation of p-Tau from the microtubules upon hyperphosphorylation. Interestingly, α-Syn remained tightly bound to the cytoskeleton, while p-GSK-3β was seen in the cytoskeleton-free fractions. Immunohistochemical studies showed that α-Syn, pSer396/404 Tau and p-GSK-3β co-localized with one another and was aggregated and accumulated into large inclusion bodies, leading to cell death of Substantia nigral neurons. Together, these data demonstrate an elevated state of tauopathy in striata of the A53T α-Syn mutant mice, suggesting that tauopathy is a common feature of synucleinopathies.

Introduction a-Synuclein (a-Syn) is expressed in the brain and is highly enriched in presynaptic nigrostriatal nerve terminals, where its chief physiological function may be the regulation of synaptic levels of dopamine and other monoamines through modulation of the monoamine transporters [1]. Overexpression of a-Syn, through its gene duplication and triplication, is linked to idiopathic Parkinson's disease (PD), while its A30P and A53T mutants cause the autosomal dominant forms of familial PD [2][3][4]. In pathological states, a-Syn becomes misfolded, aggregates and accumulates into neuronal inclusion bodies and Lewy bodies (LBs), hallmarks of PD and other synucleinopathies [2,[5][6]. Postmortem immunohistochemical studies show the presence of hyperphosphorylated Tau (p-Tau), a protein normally linked to the genesis of Alzheimer's disease (AD), co-existing with a-Syn aggregates in the same neurons in PD and other synucleinopathies [7][8][9][10][11][12][13][14]. Conversely, in tauopathies such as AD, elevated levels of a-Syn have been found [15][16][17][18][19][20], along with LBs [15,21,22]. More recently, we have shown in human post-mortem PD striata that in addition to elevated levels of insoluble aggregates of a-Syn, p-Tau levels were also increased [23]. Thus, we found increases in p-Tau hyperphosphorylated at Ser202, Ser262 and Ser396/404; these are the same sites that are also primarily hyperphosphorylated in AD, leading to pathological changes. In addition, we also found increases in levels of active GSK-3b [p-GSK-3b, hyperphosphorylated at Tyr216], the kinase known to hyperphosphorylate Tau at the above mentioned sites. Together, these data suggest that synucleinopathies and tauopathies may actually be overlapping or interacting neurodegenerative diseases, rather than distinct entities.
Using the MPTP mouse neurotoxin model of PD, as well as cellular models of PD, we had previously demonstrated that increases in a-Syn can initiate and sustain Tau hyperphosphorylation both in vivo and in vitro [24][25][26][27]. The hyperphosphorylation of Tau in our studies was absolutely dependent on the presence of a-Syn, as indexed by lack of p-Tau formation in either MPTP-treated a-Syn2/2 mice, or in toxin-treated neuronal cells lacking a-Syn [24,27]. The underlying reason for the mandatory requirement for a-Syn in formation of p-Tau is not clear, but our studies suggest that a-Syn can recruit and activate GSK-3b, via autophosphorylation at Tyr216 [26][27], suggesting a tight interaction between a-Syn and p-GSK-3b is necessary for Tau hyperphosphorylation. Moreover, when incubated together in vitro, a-Syn may serve as a seed, accelerating the aggregation of Tau [12].
We undertook the current investigation to analyze the state of tauopathy in a transgenic mouse model of PD, the hemizygous transgenic mice expressing the human a-Syn A53T mutant [28]. Tauopathic changes were observed in the striata of the A53T a-Syn transgenic mice. Moreover, such changes were similar to those found in striata of human PD patients. The A53T a-Syn was aggregated, along with pSer396/404 Tau and p-GSK-3b. a-Syn was found to be bound to the cytoskeleton, while pSer202, pSer262 and pSer396/404 Tau and p-GSK-3b were present in cytoskeletal-free fraction. Immunohistochemical studies showed that a-Syn, p-Tau and p-GSK-3b co-localized with one another and were accumulated into inclusion bodies.
Together, our studies indicate an elevated state of tauopathy in striata of the A53T a-Syn mutant mice, reminiscent of that seen in PD striata, lending further credence to our conclusion that tauopathy is also a common feature of synucleinopathies.

Results
a-Syn, p-Tau and GSK-3b protein expression levels in A53T mutant mouse PIPES/SDS extracts of striatum from A53T a-Syn mutant mice were recombined to obtain total extracts, as described in Methods. and these extracts were examined by Western blots to assess changes in proteins we have previously shown to be involved in the tauopathic pathway in different PD models [24][25][26][27] between the two groups of mice. Together, these data indicate the existence of an elevated state of tauopathy in striata of the A53T a-Syn mutant mice.
To eliminate the possibility that decreases in protein phosphatases [PP] lead to an increase in p-Tau levels, we also examined the levels of the major protein phosphatases found in brain, PP1 and PP2 [ Fig. 1D]. There were no significant [P.0.05] differences in the expression levels of PP1, PP2A or PP2B [M r of 38, 62 and 55 kDa, respectively] between A53T or wild type controls, [n = 6], suggesting that increases in p-Tau were not due to decreases in protein phosphatases.
Increase in p-Tau and p-GSK-3b in striata of postmortem PD brains In order to ascertain whether tauopathic changes in the A53T mice resemble that seen in humans, we examined tauopathy in striata from postmortem brains of PD patients. a-Syn levels were measured in postmortem striata of 6 control subjects [ Fig. 2A] and from 6 patients clinically diagnosed with PD, as previously described in Methods. In the PD patient samples tested, expression levels of a-Syn were increased [208%, P,0.05], as compared to age-matched controls. When we measured changes in p-a-Syn in PD, we found significant [P,0.05] increases in the phosphorylated protein [of 104%, n = 7] in PD striata compared to non-diseased controls.
We next examined p-Tau levels in the striata of controls and PD patients [ Fig. 2B]. There were no significant changes in total Tau levels between control subjects and PD patients. However, significant increases were observed for all p-Tau epitopes measured. We found increases of 161% [P,0.05] in the levels of Tau hyperphosphorylated at pSer202 in PD striata compared to striata from control subjects [ Fig. 2B]. Hyperphosphorylation of Tau at pSer262 was increased by 72% [P,0.05] in striata of PD patients relative to controls. Tau phosphorylation at pSer396/404 was increased by 128% [P,0.05] in PD striata relative to agematched controls [ Fig. 2B]. Thus, significant increases in Tau hyperphosphorylation are present at the same three epitopes in human PD as those detected in A53T mutant mice.
We also analyzed p-GSK-3b levels in control and PD human samples and found an increase of 128% [P,0.05] in PD brains compared to age-matched controls [ Fig. 2C].Thus, while the absolute values of the increases vary between human PD and the A53T mutant mouse, there is nonetheless an analogous pattern of increase in a-Syn, p-Tau proteins, and p-GSK-3b, suggesting that this animal model of PD shows similar tauopathy as human PD.
We next examined changes in PP levels in striatum of PD [ Fig. 2D]. There were no significant changes in levels of either PP1, PP2A or PP2B between PD and control striata, similar to our findings in A53T transgenic and wild type, again suggesting that alterations in protein phosphatases do not contribute to increases in p-Tau levels.

Triton X-100 solubilization of striatal proteins
Previous studies have shown a differential solubility of a-Syn in 1% Triton X-100, whereby aggregates of a-Syn were found to segregate in Triton X-100-insoluble fractions upon centrifugation [30]. To test whether aggregates of a-Syn were present in striata of the A53T mutant mouse, striatal tissues were extracted in Triton X-100, as described under Methods, and this protein was examined in both soluble and insoluble fractions [ Fig. 3A]. Compared to wild type non-transgenic animals [n = 4], a-Syn isolated from the A53T transgenic mice were increased in both Triton X-100 soluble and insoluble extracts. Whereas the majority of the a-Syn in Triton X-100-soluble extracts from wild type animals was present as a 17 kDa band, in the transgenic mice additional bands with M r of ,24 and 35 kDa were present, along with faint bands .38 kDa and a band below 17 kDa, with M r of ,12 kDa. In the Triton X-100-insoluble fraction, a single band corresponding to the monomeric form of the protein was observed in the wild type animal [ Fig. 3A]. In the transgenic A53T mice, multiple bands were seen. Thus, strong bands of M r of 12 and 24 kDa were seen; a 34 kDa band, likely representing a dimeric form of the 17 kDa species was seen; a faint band at ,40 kDa was seen. Finally, a prominent band at ,52 kDa was seen, which may represent a trimeric form of the 17 kDa monomer.
The 14 kDa band is noteworthy in that it is only seen in the When similar studies were conducted with p-GSK-3b [ Fig. 3B], we found no significant differences in the levels of p-GSK-3b in the soluble fraction, whereas the levels of p-GSK-3b present in the Triton X-100-insoluble fractions were increased by 98% [P,0.01, n = 4]. This finding was surprising, since p-GSK-3b is a soluble protein, and its presence in the insoluble fraction suggests that it has become aggregated and/or that a co-interaction of the kinase with a-Syn must exist, causing it to co-segregate with a-Syn in the insoluble fraction. Indeed, in earlier studies, using a MPTP-treated mouse model which develops tauopathy, we have shown that activated p-GSK-3b co-immunoprecipitates with a-Syn and with pSer396/404 Tau [24].
When we examined p-Tau levels in the Triton X-100 soluble and insoluble fractions [ Fig. 3C], we found large significant increases [124%, P,0.05, n = 4] in pSer202 levels in the soluble fraction in the A53T mice; this epitope was not detected in the Triton X-100 insoluble fraction for either the transgenic or wild type mouse. Significant increases were also seen for pSer262 in the Triton X-100 soluble fraction [105%, P,0.05, n = 4] in A53T mice. Although a small increase in pSer262 was seen in Triton X-100-insoluble fractions [ Fig. 3C], this increase was not significant [P.0.05]. In the Triton X-100-soluble fractions of A53T mice, pSer396/404 Tau levels were significantly [P,0.05, n = 4] increased by 93%, whereas in the Triton X-100-insoluble fraction it was increased by 112% [P,0.05, n = 4] compared to wild type animals. The presence of high levels of pSer396/404 in the Triton X-100-insoluble fraction suggests its aggregation and/or interaction with aggregated a-Syn.
Interactions of a-Syn, p-Tau epitopes and p-GSK-3b with the cytoskeleton Both a-Syn and Tau are microtubule binding proteins; in addition, we have shown that a-Syn can also bind to the actin cytoskeleton [31]. Upon hyperphosphorylation, p-Tau is known to dissociate from microtubules. We therefore felt it worthwhile to analyze how a-Syn and p-Tau interact with the cytoskeleton proteins in the striatum of the A53T mutant mice. To conduct these studies, striatal tissue was differentially extracted in PIPES and SDS buffer, as described in Methods, to isolate cytoskeletonfree and cytoskeleton-bound proteins, respectively.
Similar levels of a-Syn were seen in the PIPES-extracted cytoskeleton-free fractions of A53T mice, as compared to wildtype controls [ Fig. 4A]. Interestingly, there was a large [90%] and significant [P,0.05, n = 4] increase in a-Syn levels observed in the SDS-extracted cytoskeleton-bound fraction. In parallel studies conducted with p-GSK-3b [ Fig. 4A], increased levels [42%, P,0.05, n = 4] of this protein were observed in the cytoskeletonfree fraction of A53T mice as compared to insignificant decreases in the cytoskeleton-bound fraction. This finding is entirely consistent with the fact that neither p-GSK-3b nor GSK-3b is known to directly interact with cytoskeleton proteins.
When we examined p-Tau interactions with the cytoskeleton [ Fig. 4B]. pSer202 was exclusively detected only in the PIPESextracted, cytoskeleton-free fractions, and significant increases in pSer202 were seen in these fractions in A53T mice [123%, n = 4, P,0.05]. Similarly, increases in pSer262 were seen in cytoskeleton-free fractions in A53T mice [27%, n = 4, P,0.05]; a small amount of pSer262 remained associated with the cytoskeleton fraction, but there were no significant differences between wild type and mutant mice. Finally for pSer396/404, increases in this protein were seen in only in cytoskeleton-free fractions in extracts from mutant mice [89%, n = 4, P,0.05], while no differences were detected between these mice and wild type mice. These combined data suggest that upon hyperphosphorylation, Tau dissociates from the cytoskeleton fraction.

Immunohistochemical co-localization and distribution in striatum
The aggregation and co-localization of a-Syn with pGSK-3b and p-Tau was analyzed by immunohistochemical [IHC] staining of the striatum of A53T a-Syn mutant mice and compared to agematched wild-type mice [ Fig. 5A-C]. An overall total increase in levels of a-Syn, pGSK-3b, and p-Tau was seen in the striatum of A53T a-Syn mice as compared to wild-type control striatum. Dual staining was performed to analyze the co-localization of the following protein combinations: a-Syn:p-Tau, a-Syn:p-GSK-3b and p-Tau:p-GSK-3b. Each protein combination co-localized together in a single large aggregate formation in the transgenic striatum, as opposed to the multiple small puncta and more diffuse cytoplasmic distribution seen in the WT striatum. This large aggregate seen in the Tg striatum is reminiscent of pathogenic Lewy bodies in shape, size, and cellular location.
Further IHC analysis examined the temporal loss of TH positive cells in the striatum when comparing the striatal region in A53T and wildtype mice [ Fig. 6A]. A definitive loss of TH positive neurons is observed in the striatum of Tg mice when compared to WT. The TH antibody also shows a clear distinction between the abundant TH-positive neuron containing striatum versus the absence of such TH positive neurons in the cortex. To observe a Figure 1. Elevated levels of a-Syn, p-Tau and p-GSK-3b in striata of a-Syn A53T mutant mice. Striata from wild type non-transgenic mice and A53T a-Syn mutant transgenic mice, 8 months of age, were dissected and homogenized in RIPA buffer, and analyzed by Western blots, as described under ''Materials and Methods''. After exposure to initial antibodies, blots were stripped and probed for other proteins. The blots show representative gels while the bar graphs are composites summarized from all animals (n = 4-9). (A) a-Syn and p-a-Syn were expressed relative to bactin used as a loading control. (B). p-Tau was probed using antibodies specific for pSer202, pSer262 and pSer396/404, and expressed relative to total Tau used as loading control. (C). p-GSK-3b levels were probed using antibodies which recognize phosphorylation at Tyr216, and expressed relative to total GSK-3b. (D) PP1, PP2A and PP2B levels were probed using specific antibodies and normalized to b-actin. Asterisks (*) indicate values significantly different from wild-type animals (P,0.05). Student's t-test was performed for all data. doi:10.1371/journal.pone.0017953.g001 conformational aggregation-prone version of Tau, the MC1 antibody was used to stain striatal sections [ Fig. 6B]. In the striatum of Tg mice, large aggregates are present, in a peri-nuclear fashion, with only small infrequent puncta seen in the WT striatum.

Immunohistochemical co-localization and cell loss of Substantia nigra
We also examined the Substania nigra of both A53T transgenic and wild mice, in order to asses the effects of tauopathy on neurons in this region of the brain. Fig. 7A shows representative images of the distribution and co-localization of a-Syn in TH positive neurons of the Substantia nigra of wild type and A53T transgenic mice. White Boxes (Fig. 7A middle panel) highlight single dopaminergic cells in far right panels which show the presence or absence of a-Syn in TH positive cells in A53T transgenic and wild type mice, respectively. A higher number of TH positive cells have increases in the relative amounts of a-Syn detected in A53T transgenic versus WT mice. This increase in the amounts of a-Syn co-localizing with TH positive cells, being greater in A53T transgenic Substantia nigra versus wild type, was quantitatively assessed and verified using intensity correlation analysis [32]. Dopaminergic cell loss was quantified using methods described in legend to Fig. 7 [Fig. 7B]. The A53T transgenic mouse shows a significant [P,0.05, n = 3] decrease of 30.7% in TH positive DA neurons of the Substantia nigra versus wild type. Such partial losses of DA neurons that we see in the Substantia nigra of the A53T transgenic model, have also been previously described in genetic, and toxin based mouse models of PD [33,34].

Discussion
We describe for the first time the tauopathic changes occurring in the striatum of the A53T a-Syn mutant hemizygous mouse model of PD. We have previously demonstrated the hyperphosphorylation of Tau in vivo in the MPTP-induced neurotoxin mouse model of parkinsonism [24,27] and in vitro in MPP + -treated primary mesencephalic neurons [26], in SH-SY5Y neuronal cells [24][25], as well as in postmortem PD brains [23]. Our current studies show that a similar state of tauopathy also exists in a well-studied animal model of PD, the A53T a-Syn mutant mouse. Moreover, we also show that the changes in the tauopathy-associated proteins, a-Syn, p-Tau and p-GSK-3b, in the A53T mutant are similar to those which occur in postmortem PD striata. In the present study we have used the hemizygous A53T mouse, rather than the homozygous mouse, which has reduced severity and delayed onset of the disease. Moreover, we also used the 8 month old animal which is not yet symptomatic and in which the parkinsonism is also known to be less severe than in older animals. We nonetheless detected large and robust increases in p-Tau levels, hyperphosphorylated at Ser202, Ser262 and Ser396/404, which are the same major sites of hyperphosphorylation seen in the pathology of AD [35,36]. In addition, we also observed large increases in p-GSK-3b, the major kinase known to hyperphosphorylate Tau at these epitopes.
Only limited neurochemical studies have been conducted demonstrating and identifying the epitopes of hyperphosphorylated Tau in postmortem tissues in PD brains or in animal models of PD. A recent study found increased levels of Tau hyperphosphorylated at Ser396 in synaptic-enriched fractions isolated from the frontal cortex of PD patients [37]. In animal models of PD, tauopathic changes have been observed in brainstem of symptomatic A30P a-Syn mutant mice at pSer202 and pSer396/404 [38]. Another study using the neurotoxin rotenone to model parkinsonism in rats, found immunoreactive Tau hyperphosphorylated at Ser202/Thr205, Thr212/Ser214 and Ser396/404 [39].
An interesting aspect of our studies is that the overexpressed A53T a-Syn seen in these animals was present as aggregates, forming dimmers and trimers of the monomeric 17 kDa and the 12 kDa polypeptides in the Triton X 100-insoluble fractions, as compared to wild-type animals. In addition, pSer396/404 Tau and p-GSK-3b were also found to be present in the Triton X-100insoluble fractions, suggestive of their co-seggregation with a-Syn aggregates. Indeed, in previous studies [27], we have demonstrated that a-Syn, pSer396/404 Tau and p-GSK-3b interact with each other and are present in a trimeric complex, through stable protein:protein interactions with one another. Although Tau and a-Syn have distinct biological functions, in vitro studies have shown that a-Syn can induce fibrillization of Tau, and vice versa, with the A53T mutation accelerating and enhancing formation of fibrils as compared to wildtype a-Syn [12].
In the present study, we also found enhanced levels of pSer396/404 in cytoskeleton-free fractions, along with increased levels of p-GSK-3b. It is now well established that upon hyperphosphorylation, p-Tau dissociates from the microtubules [35,36], and our results are consistent with this. The dissociation of Tau from microtubules leads to their destabilization and eventual collapse, resulting in neurodegeneration of neurons. Thus, in a mouse model of AD, neurons expressing Tau hyperphosphorylated at Ser202/Thr205 were more prone to undergo degeneration [40]. Hyperphosphorylation at both Ser262 and Ser396/404 has been shown to lead to reduced binding of Tau to microtubules resulting in increased destabilization of the microtubules [41] and, ultimately the collapse of the cytoskeleton. The scenario presented by Tau hyperphosphorylated at Ser202, Ser262 and Ser396/404 in the A53T a-Syn mutant is consistent with the degenerative changes observed in dopaminergic neurons innervating the striatum in PD, which we have shown earlier in a previous study [24]. Indeed, our results show that upon hyperphosphorylation, all three epitopes of p-Tau are exclusively present in the PIPES microtubule-free fraction [see Fig. 4B]. Upon further aging of these mice, or in the homozygous mouse where the disease is more severe, it is likely that microtubule destabilization results.
An additional aspect of our results that is worth mentioning is our findings regarding protein phosphatases. Thus, in neither the A53T mice nor in human PD brains were we able to find changes Figure 2. Postmortem PD brains show increased levels of a-Syn, p-GSK-3b and p-Tau at phosphorylation sites Ser202, Ser262 and Ser396/404 similar to striatum in the 8 month-old A53T mice. Postmortem control and PD brain lysates were prepared and immunoblots probed for (A) a-synuclein and p-a-synuclein, (B) phospho-specific Tau epitopes at Ser202, Ser262 and Ser396/404 and (C) p-GSK-3b. (D) PP1, PP2A and PP2B levels were probed using specific antibodies and normalized to b-actin. Representative immunoblots from postmortem samples are shown. b-actin levels were measured as loading controls. Increases in the level of a-synuclein and are normalized to b-actin and data are expressed as a percent increase relative to amounts present in control, non-diseased brains (100%). Phospho-specific Tau and p-GSK-3b are expressed as a percent increase with respect to non-diseased controls (100%) after normalization to total Tau and GSK-3b, respectively. Values are mean 6 SEM. Asterisks (*) indicate values significantly different from age-matched control postmortem striata (p,0.05). Student's t-test was performed for all data. doi:10.1371/journal.pone.0017953.g002 in PP1, PP2A or PP2B, suggesting that p-Tau formation were not linked to protein phosphtases. These findings are interesting, since decreases in protein phosphatases could have lead to increases in p-Tau levels.
We have also demonstrated here an increase in levels of p-GSK-3b, autophosphorylated at Tyr216, which represents the activated state of the kinase. GSK-3b is a proline-directed kinase which has been shown to hyperphosphorylate Tau at several known sites, including Ser202, Ser262 and Ser396/404 [42][43][44][45]. In neurons, GSK-3b's activity is inhibited by N-terminal phosphorylation at Ser9. Autophosphorylation at Tyr216 in GSK-3b acts in opposition to this by increasing GSK-3b kinase activity. In our study, p-GSK-3b activation mirrors increases in p-Tau levels in the striatum of both animals and humans, suggesting that this enzyme may be important in the genesis and maintenance of PD in humans. Indeed, a recent study demonstrated a strong linkage of two single nucleotide polymorphisms in the GSK-3b gene to sporadic PD [46]. Moreover, in previous studies, we have found that a-Syn can recruit p-GSK-3b through a direct physical protein:protein interaction to mediate the hyperphosphorylation of Tau, and that activation of p-GSK-3b by a-Syn precedes formation of p-Tau in vitro [27]. Our data also shows an increase in GSK-3b-Ser9, which represents the inactive form of the kinase. Interestingly, our findings showing increases in both p-GSK-3b and GSK-3b-Ser9 are similar to that seen reccently in Alzheimer's disease, where GSK3b was found to be phosphorylated to a similar extent at both the regulatory sites, Ser9 and Tyr216 [47].
The current study also demonstrates in vivo co-localization and accumulation of a-Syn, p-Tau and p-GSK-3b into aggregates, as evidenced from immunohistochemical staining of striatal slices from A53T mice. Moreover, we also observed a conformational change in p-Tau, defined by antibody MC1, representing the transition of p-Tau from soluble to aggregated filamentous Tau. The folding of Tau into a paperclip-like structure, recognized by MC1 antibodies, occurs when the amino acids at residues 7-9 interact with residues 312-342, and is one of the earliest pathological alterations of Tau in Alzheimer disease, preceding the formation of neurofibrillary tangles in AD [48]. Interestingly, the MC1 conformation is induced by hyperphosphorylation of Tau at Ser199, Ser202, Thr205 and the PHF-1 sites [Ser396/ 404], causing compaction of the paperclip structure [48].
Moreover, it has been shown that paperclip conformation of p-Tau enhances its ability to aggregate to paired helical filaments [48]. The presence of the aforementioned co-localized proteins invivo and the observation of greater amounts of the aggregated filamentous Tau seen in the A53T striatum also strengthens the conclusion that such interactions or aggregations are indeed pathogenic. The presence of neurotoxic aggregation correlates with the loss of TH positive neurons in the striatum when comparing A53T to wild type mice.
In conclusion, the present findings suggest that changes in Tau metabolism may indeed be a common denominator in neurodegenerative diseases such as PD and AD. Despite differences in their topographic distributions and phenotypic manifestations, these diseases are linked by the progressive accumulation of hyperphosphorylated Tau, activated GSK-3b and elevated levels of a-Syn. Taken together, these findings highlight the potential importance of targeting the tauopathic pathway in the therapeutic management of diverse human neurodegenerative diseases, including PD.

Materials
The antibodies used in this study are: anti-Tau MAB361 from Millipore

Animals
Mice used in accordance with the Georgetown University Animal Care and Use Committee approval were bred and maintained in University-approved animal facilities and handled by trained personnel. Mice were group housed (2-5 animals/cage) in temperature-and humidity-controlled rooms under 12 h light/ dark cycles and fed an ad-libitum diet of standard mouse chow. Mice were originally obtained in breeding pairs from Jackson laboratories (Bar Harbor, MA) to generate a stable breeding colony. A breeding colony of transgenic mice carrying the hA53T mutation driven by the mouse prion promoter was established according to previously characterized mice [28]. Mice hemizygous for the hA53T mutation were bred on a mixed C57BL/6J x C3H/ HeJ background to produce transgenic and non-transgenic litter mates. In all cases, 2, 4 and 8 month-old transgenic mice were directly compared with age-matched non-transgenic (wild-type) litter mates. To identify transgenic mice, PCR amplifications were performed on 1 mL of proteinase K digested (Promega, Madison, WI) tail DNA samples using a sense (59-TGTAGGCTC-CAAAACCAAGG-39) and an anti-sense primer (59-TGTCAG-GATCCACAGGCATA-39). PCR reactions (30 mL) consisted of 10x NH 4 buffer (Bioline, London, UK), 1.5 mM MgCl 2 , 0.05 mM each dNTP, 0.4 pM of each primer, and 0.1 units of Taq DNA polymerase (Bioline). Reactions were denatured at 95uC for 5 minutes and then subjected to 35 cycles of 95uC for 45 seconds, 61uC for 1 minute, 72uC for 1 minute, and 72uC for 2 minutes. A 30 mL aliquot from each reaction was analyzed by gel electrophoresis in a 1.5% agarose gel for the presence of a 248-base pair band.

Postmortem tissue
Postmortem tissue was provided by the Sun Health Research Institute Brain donation program (Sun City, AZ) and included samples from PD cases that, antemortem, showed no evidence of dementia (and neuropathologically confirmed to be absent of AD pathology or cortical Lewy Bodies) and well characterized, neurologically/neuropathologically normal controls. Clinical evaluation and neuropathological diagnoses of these cases have been published in greater detail elsewhere [29]. The average postmortem interval was ,3 hours. Data in this study were as follows: PD patients: 4 male and 2 female, ages 84-90, with mean age of 85.3 years; control group, 3 males and 3 females, ages 78-89, with mean age of 80.7 years. Since no gender differences were observed, data were pooled together.

Preparation of Triton X-100 soluble and insoluble fractions
The aggregation state of a-Syn was analyzed based on its differential solubility in 1% Triton X-100, as described elsewhere [30]. Briefly, tissues were extracted in buffer containing 20 mM Tris-HCl, pH 7.4, 50 mM NaCl, 1% Triton X-100, protease inhibitor cocktail tablets (Complete Mini, EDTA-free; Roche Diagnostics GmbH, Germany) and phosphatase inhibitors (Halt TM Protease Inhibitor Cocktail; Pierce). Lysates were incubated for 30 min on ice, followed by centrifugation at 15,0006g for 60 min at 4uC. The pellet and supernatant were collected as the Triton X-100-insoluble and soluble fractions, respectively. The Triton X-100-insoluble pellets were redissolved in the previously described lysis buffer containing 2% SDS [30].

Extraction of tissues in PIPES-SDS buffer
To measure interaction of proteins with the cytoskeleton, mouse striata were differentially extracted and separated into cytoskeleton-free and cytoskeleton-associated fractions as described previously [23]. Briefly, striata were homogenized in prewarmed [37uC] extraction buffer (80 mM PIPES, pH 6.8, 1 mM MgCl2, 2 mM EGTA, 0.1 mM EDTA, 0.1% Triton X-100 and 30% glycerol) containing protease inhibitors (Complete Mini, EDTAfree; Roche Diagnostics GmbH, Germany) and phosphatase inhibitors (Halt TM Protease Inhibitor Cocktail; Pierce). After a 10 min incubation period at 37uC, lysates were centrifuged (20 min, 14,0006g) at room temperature and the supernatant removed; the supernatant contained soluble cytoskeletal-free proteins. The pellet, containing the cytoskeletal-associated proteins, was resuspended in 2% SDS, 5 mM EDTA, 10% glycerol, 0.25 mM Tris-HCl, pH 6.8 and sonicated with a Branson Sonifier 250.Sonication was done 3 times for 30 s at room temperature, with cooling between bursts. Proteins in both fractions were analyzed by Western blots.

Western Blot Analysis
Western blot analysis was performed as described elsewhere [24,27]. Briefly, mouse striata were homogenized in RIPA buffer (50 mM Tris-HCl pH 7.5, 150 mM NaCl, 1 mM EDTA) containing 0.5% Triton X-100, 0.5% sodium deoxycholate, and 0.1% SDS in the presence of protease inhibitor cocktail tablets (Complete Mini, EDTA-free; Roche Diagnostics GmbH, Germany) and phosphatase inhibitor cocktail (Halt TM Protease Inhibitor Cocktail; Pierce). Lysates were left on ice for 20 minutes and sonicated for 30 seconds with a Branson Sonifier. Lysates were inverted at 4uC for 30 min, followed by centrifugation for 10 min at 14,0006g and 4uC. Supernatants were collected and protein concentrations were measured using the Lowry assay. Samples were analyzed by Western blots on 10-20% Tris-HCl Criterion gels (Bio-Rad), after blocking with 20 mM Tris-buffered saline, pH 7.6 containing 0.1% Tween 20 (TBST) and 5% (wt/vol) blotting grade blocker non-fat dry milk (Bio-Rad) for 1 hour at room temperature. Western blots were developed with a wide range of specific human Tau antibodies that recognize the protein at different phosphorylation sites, including: CP13 (pS202) (1:500), PHF-1 (pS396/404) (1:1000) and pS262 (1:500). Total Glycogen Synthase Kinase-3b (GSK-3b) was probed for with mouse GSK-3b antibody (1:500) and p-GSK-3b was probed for using mouse phospho-specific (pY216) antibody (1:500). This antibody also recognizes p-GSK-3a, detectable as a band visible above p-GSK-3b; in our studies, only the lower band, corresponding to p-GSK-3b was used to calculate for this protein. To probe for a-Syn, samples were run on 10-20% Tris HCl Criterion gels (Bio-Rad) and immunoblotted with mouse a-synuclein (1:500) antibody. All proteins were normalized to total Tau (1:500) or b-actin. After incubation for 2 hours at room temperature with HRP-conjugated secondary antibodies (1:3000; Santa Cruz), proteins were revealed by enhanced chemiluminescence (Perkin Elmer). Images were scanned by Scanner EPSON Perfection V700 Photo and then quantified using ImageJ. Immunohistochemistry IHC analysis of mouse brain coronal sections was performed as previously described [24], with slight modifications. Briefly, mouse brains from 12 month old control wild-type and age-matched A53T a-Syn mutant mice were perfused with 4% PFA, and prepared in a sequential sucrose gradient, from 10% to a final 30% sucrose soak. Sections were washed, permeabilized, and stained in the following manner. Each slice was washed 3 times in 1 mg/ml NaBr 2 , 1 X PBS pH 7.4, for 5 min at room temperature. Following the NaBr 2 auto-fluorescence quenching treatment, each slice was washed 6 X, for 10 min in 1 X PBS pH 7.4, 1% Triton X-100 followed by blocking for 1hr at room temperature in 1 X PBS pH 7.4, 1% Triton X-100, 10% FCS. Antibodies were conjugated primarily to the appropriate fluorophore as indicated using the following reagents and manufacturer's protocol: Lighting-Link FITC #707-0030, Lighting-Link Rhodamine #710-0030, Lighting-Link Texas Red #714-0030 (Novus Biologicals Littleton, CO). Incubation with primary antibody occurred at 4uC, overnight in the dark, in blocking buffer using the following concentrations for either single or dual staining with the following fluorophore conjugated antibodies: anti-a-Syn, Texas Red 1:750; Anti-p-GSK-3b (pY216), Texas Red; Anti-p-GSK-3b (pY216), FITC 1:500; PHF-1, FITC 1:500; MC1, Rhodamine 1:500. Following staining, each slice was washed 3 X in 1 X PBS pH 7.4, 1% Triton X-100 at room temperature, incubated for 30 min in blocking buffer, and washed a final 3X in 1X PBS pH 7.4, 1% Triton X-100. Stained slices were mounted to Fischer Scientific Superfrost standard microscope slides using Fluoromount-DAPI. Fluorescence images were captured using a laser scanning confocal microscope (Olympus FV300). Paired images between WT and Tg tissue for all figures were collected at the same laser power, gain, and offset settings. Postcollection processing was performed using ImageJ and applied uniformly to all paired images.

Statistical Analysis
Results were expressed as mean 6 S.E.M. and statistically analyzed by the Student's t test between two groups and analysis of variance among multiple groups. Statistical significance was accepted at the [P,0.05] level.