%0 Journal Article %T Aplp1 interacts with Lag3 to facilitate transmission of pathologic α-synuclein. %A Mao X %A Gu H %A Kim D %A Kimura Y %A Wang N %A Xu E %A Kumbhar R %A Ming X %A Wang H %A Chen C %A Zhang S %A Jia C %A Liu Y %A Bian H %A Karuppagounder SS %A Akkentli F %A Chen Q %A Jia L %A Hwang H %A Lee SH %A Ke X %A Chang M %A Li A %A Yang J %A Rastegar C %A Sriparna M %A Ge P %A Brahmachari S %A Kim S %A Zhang S %A Shimoda Y %A Saar M %A Liu H %A Kweon SH %A Ying M %A Workman CJ %A Vignali DAA %A Muller UC %A Liu C %A Ko HS %A Dawson VL %A Dawson TM %J Nat Commun %V 15 %N 1 %D 2024 May 31 %M 38821932 %F 17.694 %R 10.1038/s41467-024-49016-3 %X Pathologic α-synuclein (α-syn) spreads from cell-to-cell, in part, through binding to the lymphocyte-activation gene 3 (Lag3). Here we report that amyloid β precursor-like protein 1 (Aplp1) interacts with Lag3 that facilitates the binding, internalization, transmission, and toxicity of pathologic α-syn. Deletion of both Aplp1 and Lag3 eliminates the loss of dopaminergic neurons and the accompanying behavioral deficits induced by α-syn preformed fibrils (PFF). Anti-Lag3 prevents the internalization of α-syn PFF by disrupting the interaction of Aplp1 and Lag3, and blocks the neurodegeneration induced by α-syn PFF in vivo. The identification of Aplp1 and the interplay with Lag3 for α-syn PFF induced pathology deepens our insight about molecular mechanisms of cell-to-cell transmission of pathologic α-syn and provides additional targets for therapeutic strategies aimed at preventing neurodegeneration in Parkinson's disease and related α-synucleinopathies.