Journal: Cell / Year: 2026 Title: TPPP/p25 amyloid seeding activity as a specific biomarker for multiple system atrophy. Authors: Shuyi Zeng / Shenqing Zhang / Shengnan Zhang / Yun Fan / Wencheng Xia / Feiyang Chen / Chengan Huang / Shiran Lv / Jinxia Lu / Yunpeng Sun / Kaien Liu / Yunxia Li / Yaoyang Zhang / Jian Wang ...Authors: Shuyi Zeng / Shenqing Zhang / Shengnan Zhang / Yun Fan / Wencheng Xia / Feiyang Chen / Chengan Huang / Shiran Lv / Jinxia Lu / Yunpeng Sun / Kaien Liu / Yunxia Li / Yaoyang Zhang / Jian Wang / Cong Liu / Dan Li / Abstract: Detection of α-synuclein (α-syn) amyloid seeds in human biofluids has attracted great interest for clinical diagnosis of synucleinopathies. However, as a common biomarker, α-syn lacks specificity ...Detection of α-synuclein (α-syn) amyloid seeds in human biofluids has attracted great interest for clinical diagnosis of synucleinopathies. However, as a common biomarker, α-syn lacks specificity in reliably differentiating distinct disorders. Here, we report tubulin polymerization promoting protein (TPPP/p25) as a cerebrospinal fluid (CSF) biomarker for the specific diagnosis of multiple system atrophy (MSA). We demonstrate that native TPPP/p25 is self-protected against amyloid aggregation, while disease-related mutation disrupts this protection, triggering TPPP/p25 aggregation. Cryo-electron microscopy (cryo-EM) analysis reveals that the well-folded core domain (CORE) undergoes large conformational changes to mediate amyloid formation. Based on this insight, we developed a seed amplification assay using a minimized CORE (miniCORE) monomer, which detects TPPP/p25 amyloid seeds in CSF and robustly differentiates MSA from Parkinson's disease (PD) and other neurodegenerative diseases. Our findings establish misfolded TPPP/p25 as a promising, specific biomarker in biofluids for MSA diagnosis.
Entire : Cryo-EM structure of P25alpha core fibril
Entire
Name: Cryo-EM structure of P25alpha core fibril
Components
Organelle or cellular component: Cryo-EM structure of P25alpha core fibril
Protein or peptide: Tubulin polymerization-promoting protein
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Supramolecule #1: Cryo-EM structure of P25alpha core fibril
Supramolecule
Name: Cryo-EM structure of P25alpha core fibril / type: organelle_or_cellular_component / ID: 1 / Parent: 0 / Macromolecule list: all
Source (natural)
Organism: Homo sapiens (human)
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Macromolecule #1: Tubulin polymerization-promoting protein
Macromolecule
Name: Tubulin polymerization-promoting protein / type: protein_or_peptide / ID: 1 / Number of copies: 6 / Enantiomer: LEVO EC number: Hydrolases; Acting on acid anhydrides; Acting on GTP to facilitate cellular and subcellular movement
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