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Early retinal synaptic dysfunction and proteomic remodeling precede neurodegeneration in a Parkinson’s disease model
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  • Published: 15 January 2026

Early retinal synaptic dysfunction and proteomic remodeling precede neurodegeneration in a Parkinson’s disease model

  • Chae-Eun Moon1 na1,
  • Seung Jae Lee1,2 na1,
  • Haesol Shin1,3,
  • Hongkyung Kim3,
  • Jun-Ki Lee1,
  • Hyunjin Kim1,
  • Hyun Seung Kang4,
  • In Hee Moon5,
  • Sung Soo Kim1,
  • Hyung Keun Lee1,6,
  • Kyoung Yul Seo1,3,
  • Sung-Rae Cho7,8,9,10 &
  • …
  • Yong Woo Ji1,5 

npj Parkinson's Disease , Article number:  (2026) Cite this article

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Subjects

  • Diseases
  • Neurology
  • Neuroscience

Abstract

Parkinson’s disease (PD) affects motor and non-motor systems; however, retinal changes and their molecular basis are not well understood. Using a transgenic mouse model overexpressing A53T-mutant human α-synuclein, we examined retinal function, structure, and proteomics at 6- and 16 months. Early retinal dysfunction was detected by a reduction in scotopic oscillatory potential amplitudes on electroretinography. Optical coherence tomography showed early thinning of the retinal nerve fiber layer/ganglion cell layer, and photoreceptor layer, accompanied by thickening of the inner plexiform layer. Phosphorylated α-synuclein accumulation, increased glial fibrillary acidic protein, and loss of the ribbon synapse protein CtBP2 were observed. Proteomic profiling revealed stage-dependent alterations involving α-synuclein, oxidative stress markers, and crystallins. Network analysis showed progression from α-synuclein-associated disruption to inflammation and metabolic remodeling. These results highlight retinal alterations as early indicators of PD neurodegeneration and provide mechanistic insights into the molecular events that precede neuronal loss.

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Data availability

Mass spectrometry proteomic data were deposited in the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD066087.

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Acknowledgements

This study was supported by the Nano-Material Technology Development Program through the National Research Foundation of Korea (NRF), funded by the Ministry of Science and ICT (NRF-2022M3H4A4085936); the Korea Mouse Phenotyping Project (RS-2024-00400118) from the Ministry of Science and ICT through the National Research Foundation. The funding bodies had no role in the design of the study, collection, analysis, and interpretation of data, or in writing the manuscript.

Author information

Author notes
  1. These authors contributed equally: Chae-Eun Moon, Seung Jae Lee.

Authors and Affiliations

  1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Republic of Korea

    Chae-Eun Moon, Seung Jae Lee, Haesol Shin, Jun-Ki Lee, Hyunjin Kim, Sung Soo Kim, Hyung Keun Lee, Kyoung Yul Seo & Yong Woo Ji

  2. Department of Ophthalmology, Aerospace Medical Center, Republic of Korea Air Force, Cheongju, Korea

    Seung Jae Lee

  3. Korea Mouse Sensory Phenotyping Center (KMSPC), Yonsei University College of Medicine, Seoul, Republic of Korea

    Haesol Shin, Hongkyung Kim & Kyoung Yul Seo

  4. Department of Ophthalmology, Dongsuwon General Hospital, Suwon, Republic of Korea

    Hyun Seung Kang

  5. Department of Ophthalmology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea

    In Hee Moon & Yong Woo Ji

  6. Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea

    Hyung Keun Lee

  7. Department of Rehabilitation Medicine, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, Republic of Korea

    Sung-Rae Cho

  8. Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea

    Sung-Rae Cho

  9. Department of Biohealth Engineering, Graduate School of Transdisciplinary Health Sciences, Yonsei University, Seoul, Republic of Korea

    Sung-Rae Cho

  10. Brain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea

    Sung-Rae Cho

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Contributions

C.-E.M. and S.J.L. contributed equally to this study. C.-E.M. contributed to the conceptualization, methodology, formal analysis, investigation, data curation, original draft writing, and visualization. S.J.L. contributed to original draft writing, review, and editing. H.S., H.K., J.-K.L., and H.J.K. were involved in the investigation. H.S.K. and I.H.M. were involved in writing. S.S.K., H.K.L., K.Y.S., and S.-R.C. contributed to supervision and project administration. Y.W.J. contributed to conceptualization, writing, supervision, and project administration. All the authors have read and approved the final version of the manuscript.

Corresponding author

Correspondence to Yong Woo Ji.

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The authors declare no competing interests.

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Supplementary figure 1

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Moon, CE., Lee, S.J., Shin, H. et al. Early retinal synaptic dysfunction and proteomic remodeling precede neurodegeneration in a Parkinson’s disease model. npj Parkinsons Dis. (2026). https://doi.org/10.1038/s41531-026-01261-7

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  • Received: 05 August 2025

  • Accepted: 06 January 2026

  • Published: 15 January 2026

  • DOI: https://doi.org/10.1038/s41531-026-01261-7

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