The Synucleins and the Astrocyte

Simple Summary

Emerging evidence on synucleins and astrocytes warrants closer inspection of their functional relationship. The expression and release of synucleins from the presynaptic terminal results in synuclein–astrocyte interaction. Notably, astrocytes, along with microglia, remove and degrade excess α-synuclein at the synapse. If astrocytes are impaired, toxic aggregates of α-synuclein can form in disease, and synapse loss and astrocyte dysfunction are early pathological signs of neurodegenerative disease. Less is understood about β-synuclein and γ-synuclein, although evidence indicates astrocytic uptake and expression of both proteins and possible astroprotective functions. Therefore, future research on the interconnection of synucleins and the astrocyte at the synapse will likely shed light on the mechanisms and causes of neurodegenerative disease.

Abstract

Synucleins consist of three proteins exclusively expressed in vertebrates. α-Synuclein (αS) has been identified as the main proteinaceous aggregate in Lewy bodies, a pathological hallmark of many neurodegenerative diseases. Less is understood about β-synuclein (βS) and γ-synuclein (γS), although it is known βS can interact with αS in vivo to inhibit aggregation. Likewise, both γS and βS can inhibit αS’s propensity to aggregate in vitro. In the central nervous system, βS and αS, and to a lesser extent γS, are highly expressed in the neural presynaptic terminal, although they are not strictly located there, and emerging data have shown a more complex expression profile. Synapse loss and astrocyte atrophy are early aspects of degenerative diseases of the brain and correlate with disease progression. Synucleins appear to be involved in synaptic transmission, and astrocytes coordinate and organize synaptic function, with excess αS degraded by astrocytes and microglia adjacent to the synapse. βS and γS have also been observed in the astrocyte and may provide beneficial roles. The astrocytic responsibility for degradation of αS as well as emerging evidence on possible astrocytic functions of βS and γS, warrant closer inspection on astrocyte–synuclein interactions at the synapse.

1. Introduction

Synucleins can be expressed at various levels in skeletal muscle, cardiac muscle, the peripheral nervous system and in certain tumors, but are robustly expressed in the central nervous system (CNS) [1,2]. The distribution and extent of synuclein protein expression is dependent on tissue origin and synuclein type, as well as the condition of the surrounding cellular environment [3]. The first synuclein (α-synuclein, αS) was described as a presynaptic protein in Torpedo californica, localized in the electric organ [4], followed by β-synuclein (βS) as a phosphorylated 14 kDa protein in the presynaptic terminal in the rat brain [5], and then γ-synuclein (γS), which was first described in breast cancer as breast-cancer-specific gene 1 (BCSG-1) before observation in the brain and the recognition of homology with the other synucleins [6]. Subsequently, synucleins have been solely observed in vertebrates [7,8].

Astrocytes are also specific to vertebrates, as invertebrates have glial cells containing astrocyte-like function but without the same morphology [9]. Cells with true astrocyte morphology are only first observed evolutionarily in some reptiles and birds [10,11,12,13], with increasing complexity and heterogeneity in mammals and primates [9], where they are responsible for modulating most CNS functions through synaptic control [14]. Synucleins are highly expressed presynaptically, although γS resides there to a lesser extent [15,16], where they likely function to load neurotransmitter in vesicles, increase the vesicular pool and facilitate neurotransmitter release [16,17,18]. αS’s propensity to misfold and lead to toxic aggregations in neurodegenerative disease is well documented [19,20], although βS and γS aggregations have also been observed to be dysregulated in aged and/or diseased human brain [1,21], with less known about their native function. All three synucleins have also been found in glioblastomas, with αS and βS also observed in some astrocytomas [22,23].

Exosomal and soluble release of αS is internalized by astrocytes for autophagic degradation [24,25], and astrocytic accumulation of αS has been observed in neurodegenerative disease [26,27], indicating that loss of astrocytic function could result in toxic synuclein aggregations [28]. Likewise, inclusions of βS and oxidized γS have also been observed in astrocytes [29,30]. Indeed, before more cell-specific techniques, whole-brain homogenatestudies of processes such as autophagy were analyzed mainly from a neuronal perspective, without considering other cell types [31], and now it appears the astrocyte is the cell responsible for maintenance of excess synuclein protein itself and through crosstalk with microglia [32].

2. Synucleins and the Synapse

In humans, synucleins are mapped to separate chromosomes. The αS (aa 140) gene, SNCA, is mapped to chromosome 4q21.3–q22, while βS (aa 132), encoded by SNCB, is located on 5q35, and γS (aa 127), SNCG, is found on chromosome 10q23 [1]. Synucleins are small soluble proteins that consist of a highly conserved amphipathic N-terminus containing seven repeats of 11-mer with a consensus KTKEGV sequence, located between aa 7–87, with only six of the repeats in βS [1]. An acidic calcium-interacting C-terminus varies greatly between synucleins [33,34]. αS possesses a core hydrophobic NAC (non-amyloid-β component) region (aa 61–95) with a binding affinity for membranes with a small curve in diameter and folds into β-sheets that are at the core of fibrils formation in neurodegenerative diseases [35,36]. Four other human isoforms through alternative splicing of αS have been identified (aa 126, aa 112, aa 98 and aa 41); however, the native full length protein retains the most robust aggregation propensity, and other isoforms of βS and γS have yet to be identified [37,38]. βS and γS lack a NAC core, and native βS and γS aggregate less readily and rapidly than αS does [39]. Synucleins are highly expressed in the brain, and αS itself is estimated to comprise 1% of total cytosolic protein [40].

Because of their high expression and significant presence throughout the human brain, the synuclein proteins are thought to be major contributors to CNS function, specifically at the synapse. Observations in αβγ-synuclein triple knockout mice demonstrated that excitatory synapse size was decreased by nearly 30%, suggesting that synucleins support synapse structure and basic transmission [41]. In neurodegenerative diseases, synucleinopathy is common outcome, which is characterized by synapse loss and synuclein dysfunction, accumulation and release. Synucleinopathy is traditionally associated with Parkinson’s disease, dementia with Lewy bodies and multiple system atrophy. However, synuclein aggregation is observed in other diseases, and aging, as evidenced by an analysis of confirmed Alzheimer’s disease cases at the Mayo clinic, which showed that 54% also had synuclein pathology [42].

Although synuclein expression is not strictly presynaptic, most of the known function of αS and βS is due to the expression and original discovery there [15,43,44]. Synucleins can also localize in the neuronal soma and nucleus [45,46]. Likewise, the expression of γS is not as robust presynaptically as that of αS and βS, and in murine RNA-seq data, despite the higher expression in neurons, there is evidence for synuclein expression in astrocytes themselves [47,48,49,50,51]. Additionally, γS is more highly expressed in human mature astrocytes derived from iPSCs compared to neurons, as contrasted to mouse expression, where it appears to be more highly expressed in the neuron [52,53].

γS and βS can inhibit αS fibrillization, and initial in vitro studies with thioflavin T fluorescent analysis of αS while in combination with βS or γS revealed that βS and γS can inhibit the rate of αS fibrillization with a 1:1 ratio and completely abolish it at a 4:1 βS:αS or γS:αS ratio [54,55]. Additionally, γS and βS have been shown to exhibit chaperone behavior in vivo, and could inhibit protein misfolding [56,57]. Therefore, γS and βS could inhibit αS misfolding and aggregation. In αS/ βS double transgenics mice, overexpression of βS can inhibit behavioral deficits and aggregation of αS at the synapse observed in mice overexpressing αS alone [58]. Likewise, the murine neuronal expression of γS and αS at the synapse results in their ability to share at least some functional properties [59], with conflicting evidence on vesicular binding capabilities being restricted to αS function [60].

It appears that αS regulates neurotransmitter release and the transport function of synaptic vesicles, as well as maintain the size of recycling pools at synapses [18,61]. Research using WT αS, αS null and overexpressed αS cultured in mouse hippocampal neurons found that αS mitigates vesicle trafficking within synapses, effectively maintaining the number of synaptic vesicles available for release upon stimulation [62,63]. Because αS has high affinity for membranes with a small curve in diameter, it binds vesicular membranes [64,65]. Furthermore, the C-terminus of αS and cysteine-string protein-α (CSPα) support SNARE folding, which is a protein necessary for neurotransmitter release and vesicle recycling [66], and can facilitate SNARE complex formation, to promote vesicular exocytosis and transmitter release [17,67]. Because of their ability to bind to the αS region responsible for membrane binding, βS and γS can inhibit αS vesicular binding and contribution to vesicular trafficking [16]. Once αS is unbound from the vesicular membrane, it can aggregate, unless bound to βS or γS [16]. Likewise, inducing point mutations to increase βS and γS membrane affinity increases their toxicity and ability to form cytoplasmic inclusions similar to those of αS [68].

However, αS, βS and γS are not restricted to the intracellular space, as all have been observed in human cerebrospinal fluid and interstitial fluid, meaning they are constitutively released [69]. It has been shown that αS can be released via exosomes in monomeric or oligomeric form [70,71], and increased levels of synucleins are found in the cerebral spinal fluid of patients with neurodegenerative disease [54,72].

3. The Astrocyte and the Synapse

Astrocytes control all aspects of the synapse to promote synaptic health [73,74,75,76,77,78,79]. Their incredible diversity and malleable response and function in different brain states, from broad destructive disease and injury to micro perturbations in the healthy brain, is just beginning to be understood [80,81]. Their extensive bushy morphology contacts thousands of synapses in individual territories. They are responsible for synaptic plasticity, including synaptogenesis [82,83,84] and regulation of neurotransmission [73,85,86,87,88]. They respond to neurotransmission through discrete calcium increases in endfoot processes [89]. Intercellular transmission is not completely neuronal in the CNS, and it is known that astrocytic gliotransmission contributes to synaptic communication [14,90,91]. Subsequently, astrocytes have been shown to control neuronal network activity as a modulator of the synapse [92,93,94,95,96]. Due to this, increasing emerging evidence has shown that astrocytes orchestrate many behavioral and cognitive processes in the brain [97,98]. For example, recently, astrocyte control of anxiety and reward in the hippocampus, as well as more evidence confirming the well-established astrocytic role in learning and memory have been shown [99,100,101]. Additional recent evidence also supports the responsibility of astrocytes for affective behavior in the amygdala [102], reward in the ventral tegmental area [103], repetitive behavior and attention in the striatum [104,105], as well as modulation of sleep [106]. Lastly, more evidence reinforces astrocyte regulation of working memory in the prefrontal cortex [107,108].

Astrocytes also remove and degrade debris, damaged organelles and toxic proteinaceous accumulations at the synapse [109,110]. They can work with microglia to prune synapses through phagocytosis, with astrocytes mainly focusing on excitatory synapses [111] for circuit homeostasis. The endolysosomal pathway in astrocytes can help remove and degrade excess synaptic waste to maintain synapse integrity [109]. Damaged mitochondria in dopaminergic neurons in Parkinson’s disease are transferred to astrocytes for degradation through transmitophagy [112]. Neurons exposed to amyloid-β protofibrils will release them in exosomes which are rapidly imbibed by astrocytes [113,114]. Likewise, toxic proteins have been shown to be cleared by astrocytes during sleep via the glymphatic pathway [115,116,117,118]. Sleep deprivation also increases astrocytic phagocytic activity at the synapse [119]. Expression data comparing astrocytes in development and mature astrocytes has shown astrocytes to upregulate transcription of proteins involved in engulfment and phagocytosis until maturity [120]. Working with microglia, astrocytes are also responsible for the neuroinflammatory response in damaged or degenerative nervous tissue [121]. Proteins can be transferred from neuron to astrocyte and astrocyte to astrocyte via tunneling nanotubes, which is facilitated by the endolysosomal pathway [122,123].

Because of these responsibilities, as well as the clear evidence of an involvement in cognition, attention has turned to astrocytic dysfunction as the possible cause of neurodegenerative diseases [124,125]. Synapse loss correlates with the rate of cognitive decline in early disease states [126,127]. In conjunction with early synapse loss, astrocyte atrophy has been observed in neurodegenerative disease, including Parkinson’s disease, where an analysis of dysregulated genetic expression is also mainly astrocytic in origin [128,129]. Astrocytic dysfunction is particularly impactful to the human brain, where astrocytes in the cortex are 27 times greater in volume and have 10 times as many terminal processes, estimated to contact up to 2 × 10⁶ synapses compared with 1.2 × 10⁵ in the rodent [130,131].

4. α-Synuclein and Astrocytes

Excess αS from neuronal presynaptic terminals [4,44] is released in soluble form or via exosomes into the extracellular space, where it is taken up by astrocytes and degraded through the endolysosmal pathway [24,25,26,27,132,133] (Figure 1A). It has recently been shown that endogenous neuronal αS does not contribute appreciably to the toxicity of αS, and that αS already aggregated from external sources interacts with mitochondria as the cause [134], placing additional focus on astrocytic function to prevent synucleinopathy.

αS can interact with mitochondria and the endolysosomal system for autophagy, and processing by the ubiqutin/proteosome pathway has been observed in neurons [135,136]. In the event of astrocyte atrophy or dysfunction—and astrocytes are unable to adequately remove and degrade αS—it can misfold and accumulate, become toxic to neurons and influence other native αS to misfold, eventually resulting in Lewy bodies [137]. Lewy bodies are abnormal inclusions largely consisting of neurofilaments, ubiquitin, and the αS protein [138,139]. The fibrillized form of αS is the most capable of inducing native αS to fibrillize [140] (Figure 1). Oligomeric αS is then the main form that can cause toxic aggregates by interacting and disrupting mitochondrial function [141]. αS oligomers leading to fibrillization and subsequent Lewy body formation cause disruption of synaptic function, which advances neurodegeneration [142].

Since cognitive impairments can present decades before histological signs, an initial decrease in astrocytic populations that coincides with early cognitive decline could also be the cause of eventual protein inclusions [143]. When the astrocytic oligomeric load increases to a point that it is causing mitochondria damage and reduced cell viability [144], αS is transferred to other healthy astrocytes via tunneling nanotubes for removal, but also facilitates the propagation of oligomeric and toxic αS [145]. Likewise, to maintain αS, a unique form of αS is observed in astrocytes due to post translational modification to remove the N and C terminus as well as phosphorylate the protein at Y39 [146].

In astrocytes derived from patient-specific induced pluripotent stem cells (iPSCs), impaired chaperone-mediated autophagy (CMA) and macroautophagy degradation of αS is observed when comparing cells from familial mutant LRRK2 G2019S and controls [147]. Increased p62, LC3-II and LAMP2 redistribution are observed in astrocytes from familial Parkinson’s disease patients, with autophagic flux less responsive to lysosomal proteolysis inhibitors [147]. Overexpression of αS and its mutant forms also decreases LC3-II expression and increases p62 expression in astrocytes, indicating impaired macroautophagy [148]. Similarly, this causes apoptosis in astrocytes, with mutant forms much more dramatic than native αS [148]. Mutations to PINK1 and Parkin, both expressed predominantly by astrocytes and essential for healthy autophagy, result in familial neurodegeneration with evidence of αS forming Lewy bodies in aged patients [149,150]

Additionally, upon internalization of αS, the genetic expression profile of astrocytes changes, with neuroinflammatory genes upregulated, resulting in initially protective astrocyte reactivity [32,151,152] that occurs along a continuum of injury or disease severity [153,154] (Figure 1B). Astrocyte reactivity can subsequently induce microglial activation [27]. This can be region-specific, as demonstrated by astrocytes in the midbrain of a mouse model of PD exhibiting a pro-inflammatory profile with macrophage/monocyte and microglia phagocytizing dopaminergic neurons, but not in the striatum, where despite a pro-inflammatory profile of microglia, neurons are not degraded [155]. αS in momomer and aggregated forms can also bind indiscriminately on various receptors to induce an inflammatory response in the microglia [156] as well as astrocytes, including TLR4 [157,158]. Astrocyte reactivity to αS has been shown in post mortem tissue of patients diagnosed with neurodegenerative disease and in tissue culture, in addition to transgenic mouse models overexpressing αS [132,144,159,160,161,162]. Growth factors, cytokines, chemokines and antioxidant enzymes are upregulated initially in astrocytes when they become reactive [163,164], and mutant glial fibrillary acidic protein (GFAP), a signature of astrocyte reactivity, in Alexander disease dysregulates autophagy [165]. Similarly, overexpression of αS in astrocytes causes increases in growth factor expression and secretion [166]. Likewise, apolipoprotein E, which is highly expressed in astrocytes and microglia as compared to neurons, is believed to be involved in astrocytic autophagy and membrane formation. The e4 allele has been linked to Alzheimer’s disease and now is believed to facilitate αS seeding and aggregation because of its deficient interaction with αS in the membrane [42].

Familial Parkinson’s disease is the result of several mutations, A53T, A30P, E46K, H50Q, A53E, G51D and T72M either in the N-terminus region or NAC core, which result in an elevated degree of aggregation, misfolding and phosphorylation as compared to those in the native form [32,33,139,167]. Overexpression of αS in astrocytes results in apoptosis with native αS, but more dramatically with A53T and A50P mutated forms [148]. Without proper astrocyte degradation of αS, it can spread cell-to-cell in a prion-like fashion [168], whereby fibril forms of αS can influence other αS proteins to aggregate and increase toxicity [20]. However, most studies that have demonstrated prion-like αS behavior have used the A53T αS form [169,170]. Therefore, although it is becoming clear that initial astrocyte dysfunction causes propagation of αS in idiopathic synucleinopathies, further studies on the native forms of αS in astrocytes instead of A53T αS need to be conducted to properly elucidate the mechanisms.

5. β-Synuclein and Astrocytes

Perhaps the least is known about βS and astrocytes. Preclinical AD demonstrated an increase in the cerebrospinal fluid of βS indicating that it coincides with synapse loss [171]. βS has also been observed expressed in astrocytes in culture, and βS immunoreactivity was found in astrocytes in mouse and human brain [29].

βS has a deletion of amino acid residues 53–63 in the repeat domain of the protein, as well as high C-terminal rigidity, both factors that decrease the aggregation tendency of βS [172,173]. The protein is found at high concentrations within the cytoplasm of presynaptic axon terminals, [174] and βS can inhibit αS aggregation in vivo and in vitro most effectively [175], via the C-terminus region of aa 115–134 binding to the αS N-terminus [176]. βS interaction with αS fibrils also leads to reduced seeding and toxicity [177].

Beyond the structural support of axon terminals, βS contributes to neurological homeostasis through functions that regulate dopamine uptake, apoptosis and lipid binding [178]. Proper dopamine neurotransmission is reliant on the reuptake of dopamine into acidic synaptic vesicles via vesicular monoamine transporter-2 (VMAT-2). This reuptake is dependent on βS, as studies have shown that VMAT-2 activity significantly decreases in βS null mutant mice [178]. Intriguingly, VMAT-2 is expressed by astrocytes, and disruption to homeostatic control by VMAT-2 astrocyte knockouts causes cognitive impairments [179] (Figure 2A).

βS has also been shown to have anti-apoptotic effects. For example, neurons expressing low, physiological levels of βS are more resistant to chemically induced apoptosis as compared to mock-transfected neurons [180], and βS binding of αS has been shown to decrease αS membrane association [181].

Recent studies have also revealed a direct physiological interplay between βS and αS (Figure 2B). βS mitigates αS aggregation in a dose-dependent manner where, in conditions of equimolar βS, αS was present only in the monomeric form [182]. Additionally, βS attenuates many cytotoxic effects of αS, including the production of reactive oxygen species, inhibition of proteasomal activity and impairment of motor activity [181]. It appears βS can compete with αS binding on lipid vesicles or fibril formations in order to provide beneficial anti-aggregating effects [183]. Conversely, βS expression in rats resulted in βS aggregation and neurotoxicity, conflicting with the evidence of protective βS function [181,184]. Likewise, T-cell activation is prompted by neuronal βS in Lewis rats, a model of multiple sclerosis, which results in neurodegeneration, reactive astrocytes and activated microglia [185]. The exploration of βS expression in astrocytes in vitro or in vivo has yet to be conducted in relation to astrocyte αS processing, and the function of βS itself to further understand these processes.

Two mutants of βS (P123H and V70M) that increase aggregating properties are associated with lysosomal pathology and dementia with Lewy bodies [186,187]. The P123H mutant has been shown to induce astrocyte reactivity [188] and neuroinflammatory phenotypes in the hippocampus [189]. p123H was discovered in a familial case of DLB and is associated with the accumulation of insoluble βS, and behaviorally results in learning and memory deficits [190]. When P123H mice were crossed with αS transgenic mice, neurodegeneration worsened, further supporting the hypothesis that βS neurotoxicity may result from an imbalance in αS/βS interplay [190]. The effects of the P123H βS mutation may be due to pathological lysosomal inclusions, abnormal lipid binding and/or increased propensity for βS aggregation due to increased flexibility of the C-terminal end of the protein [181,191]. The V70M βS mutation was discovered in a case of sporadic DLB and is associated with the degeneration of both dopaminergic and non-dopaminergic neurons [192]. Unlike the P123H βS mutation, the V70M mutation has not been shown to influence neuronal network activity [192]. Additionally, when compared to native βS, both the P123H and V70M βS mutations express increased rates of fibrillation in slightly acidic microenvironments, forming structures similar to αS aggregates.

The discovery of βS in astrocytes with the beneficial inhibition of αS aggregation, and an understanding that mutations that cause aggregations of βS can cause astrocyte reactivity, indicate that studies on βS in astrocytes could be beneficial to the understanding of synucleinopathies. Likewise βS affinity for VMAT-2, a vesicular transporter also expressed by astrocytes, might indicate βS involvement in gliotransmission and astrocytic monoamine transmitter uptake at the synapse.

6. γ-Synuclein and Astrocytes

Initially, γS was discovered as a protein upregulated in breast cancer and named BCSG-1 [6]. In the central nervous system it was likewise observed as increased in glioblastomas [6,22,193]. γS has been shown to promote cell proliferation and radioresistance in a variety of cancer types, including glioblastoma, and is most often used as a biomarker for breast cancer diagnosis and progression [194,195]. Expression of the γS protein has also been observed in the adult rodent brain, specifically in neurons of the brainstem, thalamus, hypothalamus, hippocampus and cerebral cortex [52]. Additionally, studies have shown that human cortical astrocytes are capable of both endogenous γS expression and internalization of extracellular γS [196,197]. γS shares the least homology with other synucleins, and only 60% with αS [59].

Overexpression of mouse neuronal γS results in deficits in learning, memory and locomotor activity and causes γS inclusions in neurons and astrocytes [198,199]. Conversely, although γS knockouts result in reduced cellular proliferation in the midbrain in development, no behavioral deficits are observed [200]. Additionally, conflictingly in the rat brain, γS expression does not aggregate or appreciably cause any behavioral or degenerative effects as compared with the other synucleins [184]. However, RNA-seq data show that human neuronal γS is reduced compared to that of mice, while mature human astrocytes derived from iPSCs express higher levels of γS compared to neurons, while in mice, expression is higher in the neuron [52].

It has been shown in human astrocytes in tissue culture that γS may be astroprotective. When human astrocytes in tissue culture are treated with physiological levels of extracellular γS, it is internalized and stimulates cellular proliferation, which is followed by increased cell viability and expression and release of neuroprotective brain-derived neurotrophic factor (BDNF) [196]. Likewise, RNAi knockdown of endogenous human astrocytic γS reduces cellular proliferation, increases apoptosis and upregulates phospho-histone H3 to indicate arrest with chromosome condensation and subsequent cell death [197] (Figure 3A).

In neurons, in neurodegenerative disease, cell cycle arrest and mitotic catastrophe have been shown [22,23,30,58,69,201,202], therefore, astrocytic γS dysregulation could have adverse effects intercellularly by inducing abnormal cell cycle re-entry [203]. In the astrocyte, γS could beneficially allow successful cell cycle re-entry in vivo in the adult CNS [204,205]. Studies in cancer have shown that γS regulates cell division through interaction with BuBR1, a mitotic spindle protein, which causes BuBR1 degradation and facilitates the cell to pass through the M-phase [23,206]. In addition to protein degradation of BubR1, γS also interferes with BubR1/centromere protein E interaction in checkpoint signaling, and through ERK 1/2 stimulates protective MAP kinase pathways [207]. An exploration of this mechanism in primary astrocytes could provide a window into the native function of γS.

Similarly, age-associated glaucoma and optic nerve degeneration correlates with reduced γS expression, further implicating protective γS properties in the nervous system [208]. It has also been shown that γS can inhibit αS fibrillization in vitro, indicating possible protective properties in neurodegeneration [54,55] (Figure 3B). However, oxidized γS is capable of aggregation, and overexpression can lead to the death of motor neurons, impaired synaptic vesicle release and synaptic dysfunction [198,209]. This aggregation of γS results from oxidization of the Met³⁸ and Tyr³⁹ residues in the synuclein, which has also been found to promote αS misfolding, aggregation and toxicity [210] (Figure 3). However, oxidized γS and its effects have yet to be explored in the astrocyte. Similarly, γS coincides with αS in human pathological lesions in the brain and is increased in the CSF of Alzheimer’s disease patients [30]. The increased presence of γS has also been noted within the cerebrospinal fluid of patients with Alzheimer’s disease and dementia with Lewy bodies [22,69].

Lastly, synaptic dysregulation is a hallmark of autism spectrum disorder (ASD), with astrocytic dysfunction being considered as a possible cause [211,212]. In ASD, plasma levels of γS are significantly decreased, while αS is increased [213]. αS/γS antagonism is only moderately studied, specifically in relation to neurological diseases that involve damaging protein aggregations. Information about both their independent and combined effects could promote further understanding of the synucleinopathies, leading to better outcomes for those diagnosed with neurodegenerative disease.

7. Discussion

More research on how βS and γS affect αS in the astrocyte would provide beneficial knowledge on synuclein function and the cause and treatment of synucleinopathies. Astrocytes promote synaptogenesis, synaptic health, contribute to synaptic communication [73] and remove neuronally derived αS from the extracellular space [25]. Both synapse loss and astrocyte atrophy are prevalent in the aged brain and in early stages of neurodegenerative disease [126,128,214]. αS accumulation, toxicity and prion-like propagation in humans could be a consequence of initial astrocytic cell death or dysfunction.

Both βS and γS can inhibit αS fibrillization and have both been shown to be protective. The therapeutic benefits of this are unclear, as oxidized γS can be toxic and facilitate αS aggregation [210], whereas some conflicting studies indicate that βS can also be toxic and may compete with αS function at the vesicle, which could result in subsequent αS aggregation. However, as astrocytes are responsible for the degradation of αS, and astrocyte dysfunction would result in synucleinopathy, studies on γS and βS along with αS in the astrocyte would illuminate the mechanisms behind the tergiversation. Additionally, from a physiological perspective, the emerging evidence of synuclein expression by the astrocyte [47,48,49,50,51,52,53] may indicate synuclein involvement in gliotransmission or transmitter uptake, something that has not been explored. The effects of altering βS and γS expression in astrocytes would provide insight into their function and their relationship to astrocytic αS interaction.

Therefore, due to γS’s astrocytic expression in human cells and astroprotective effects, as well as the emerging evidence on βS expression, VMAT2 activity, chaperone ability and ability to inhibit αS aggregation, further exploration on the role of synucleins is warranted, particularly for γS and βS on astrocytic function, gliotransmission and endolysosomal processing of αS.