RT Journal Article SR Electronic T1 Lewy pathology in Parkinson’s disease consists of a crowded organellar membranous medley JF bioRxiv FD Cold Spring Harbor Laboratory SP 137976 DO 10.1101/137976 A1 Sarah H. Shahmoradian A1 Christel Genoud A1 Alexandra Graff-Meyer A1 Jürgen Hench A1 Tim Moors A1 Gabriel Schweighauser A1 Jing Wang A1 Kenneth N. Goldie A1 Rosmarie Sütterlin A1 Daniel Castaño-Díez A1 Paula Pérez-Navarro A1 Evelien Huisman A1 Sabine Ipsen A1 Angela Ingrassia A1 Yvonne de Gier A1 Annemieke J.M. Rozemuller A1 Anne De Paepe A1 Johannes Erny A1 Andreas Staempfli A1 Joerg Hoernschemeyer A1 Frederik Großerüschkamp A1 Daniel Niedieker A1 Samir F. El-Mashtoly A1 Marialuisa Quadri A1 Wilfred F.J. van IJcken A1 Vincenzo Bonifati A1 Klaus Gerwert A1 Bernd Bohrmann A1 Stephan Frank A1 Markus Britschgi A1 Henning Stahlberg A1 Wilma D. J. van de Berg A1 Matthias E. Lauer YR 2017 UL http://biorxiv.org/content/early/2017/05/16/137976.abstract AB Parkinson’s disease, the most common age-related movement disorder, is a progressive neurodegenerative disease with unclear etiology. Key neuropathological hallmarks are Lewy bodies and Lewy neurites, which are neuronal inclusions that are immunopositive for the protein α-synuclein. In-depth ultrastructural analysis of Lewy pathology is key to understanding pathogenesis and progression of the disease. Using correlative light and electron microscopy on postmortem brain tissue of Parkinson’s patients, we discovered a crowded membranous medley of vesicular structures, dysmorphic mitochondria and disrupted cytoskeletal elements in Lewy bodies and Lewy neurites, rather than the widely expected proteinacious filaments. The collapse and crowding of central organellar components was confirmed by stimulated emission-depletion microscopy, and chemical and optical imaging. A high lipid content was confirmed by lipidomics. The findings indicate ill-defined subcellular protein-lipid compartmentalization and point toward impaired organellar trafficking as a key driver of pathogenesis in Parkinson’s disease.