05-272026
The Cong Liu team and collaborators develop a new biomarker-based method for synucleinopathy subtyping
This study focused on tubulin polymerization promoting protein (TPPP/p25), an oligodendrocyte-enriched protein. The researchers elucidated the molecular mechanism of TPPP/p25 amyloid aggregation and determined the cryo-electron microscopy (cryo-EM) structure of TPPP/p25 amyloid fibrils. Based on these findings, they rationally designed miniCORE as a seed amplification assay (SAA) substrate and established TPPP/p25-SAA to detect pathological TPPP/p25 amyloid seeds in patient cerebrospinal fluid (CSF). By linking mechanistic discovery, structural analysis and clinical assay development, this work identifies TPPP/p25 as a novel biomarker for synucleinopathy subtyping, with potential value in the molecular differential diagnosis of MSA.