Synuclein misfolding & spread
The lane
- Status
- Active. Trials are running and the idea is still being tested.
- Verdict
- Cinpanemab and minzasolmin failed; prasinezumab Phase 3 PARAISO runs to 2029; exidavnemab and UB-312 have safety data only.
- Family
- Synuclein
- Landmarks
- 31 in this lane, 3 more tagged with it. Advanced 11 · Open 13 · Pending 4 · Dead end 3
The verdict and status come from the project's branches.yaml and use research wording.
Landmarks in this lane
| First Parkinson's gene: SNCA | 1997 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 4 |
| Alpha-synuclein is what Lewy bodies are made of | 1997 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 2 |
| Further SNCA point mutations | 1998–2013 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 5 |
| Drosophila synuclein model | 2000 | Research model | Confirmed and built on | – | – | 19 Oct 2026 | 3 |
| A53T alpha-synuclein mice | 2002 | Research model | Confirmed and built on | – | – | 19 Oct 2026 | 5 |
| Synuclein Ser129 phosphorylation | 2002 | Discovery | Still being studied | – | – | 19 Oct 2026 | 3 |
| Braak staging: the disease spreads in order | 2003 | Discovery | Still being studied | – | – | 19 Oct 2026 | 2 |
| Vaccinating mice against synuclein | 2005 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 3 |
| Lewy bodies in grafts: prion-like spread | 2008 | Discovery | Still being studied | – | – | 19 Oct 2026 | 3 |
| Critiques of Braak staging | 2008–2009 | Discovery | Still being studied | – | – | 19 Oct 2026 | 3 |
| Synuclein travels in vesicles | 2010 | Discovery | Still being studied | – | – | 19 Oct 2026 | 5 |
| Fibril-seeding (PFF) models | 2011–2012 | Research model | Confirmed and built on | – | – | 19 Oct 2026 | 4 |
| Synuclein oligomers are toxic | 2011 | Discovery | Still being studied | – | – | 19 Oct 2026 | 4 |
| 9E4 antibody in mice (paper retracted 2024) | 2011 | Lab study (cells or animals) | Did not hold up | – | – | 19 Oct 2026 | 2 |
| One injection of fibrils spreads pathology | 2012 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 2 |
| PD01A synuclein vaccine (AFFiRiS) | 2012–2020 | Trial in people | Passed this stage | 1 | 32 | 19 Oct 2026 | 3 |
| Patient Lewy body extracts harm mice and monkeys | 2014 | Discovery | Confirmed and built on | – | – | 19 Oct 2026 | 3 |
| Synuclein strains | 2015 | Discovery | Still being studied | – | – | 19 Oct 2026 | 3 |
| LAG3 as a synuclein-fibril receptor | 2016–2021 | Discovery | Still being studied | – | – | 20 Oct 2026 | 4 |
| Atomic structures of synuclein fibrils | 2018–2022 | Discovery | Confirmed and built on | – | – | 20 Oct 2026 | 4 |
| Lewy bodies are full of lipids and organelles | 2019 | Discovery | Still being studied | – | – | 20 Oct 2026 | 3 |
| Anle138b (emrusolmin) | 2019–2026 | Trial in people | Mixed or early results | 1 | – | 22 Oct 2026 | 3 |
| SPARK: cinpanemab | 2021–2022 | Trial in people | Did not work | 2 | 357 | 22 Oct 2026 | 3 |
| Prasinezumab: PASADENA and PADOVA | 2022–2026 | Trial in people | Mixed or early results | 2 | – | 22 Oct 2026 | 5 |
| UB-312 synuclein vaccine | 2022–2025 | Trial in people | Mixed or early results | 1 | 20 | 19 Oct 2026 | 2 |
| ACI-7104 VacSYn Phase 2 | 2023–2028 | Trial in people | Result due Jun 2028 | 2 | 150 | 19 Oct 2026 | 5 |
| ORCHESTRA: minzasolmin | 2024 | Trial in people | Did not work | 2 | 496 | 22 Oct 2026 | 5 |
| ML-designed synuclein aggregation inhibitors | 2024 | Lab study (cells or animals) | Still being studied | – | – | 20 Oct 2026 | 3 |
| Exidavnemab (EXIST) | 2024–2026 | Trial in people | Result due Dec 2026 | 2 | 38 | 19 Oct 2026 | 5 |
| PARAISO prasinezumab Phase 3 | 2025–2029 | Trial in people | Result due Jun 2029 | 3 | 900 | 18 Oct 2026 | 1 |
| PreCoDe: prasinezumab in GBA carriers | 2025–2030 | Trial in people | Result due Dec 2030 | 2 | 120 | 22 Oct 2026 | 5 |
Also tagged with this lane
| Chaperone-mediated autophagy | 2004 | Discovery | Still being studied | – | – | 19 Oct 2026 | 3 |
| Synuclein travels gut to brain in rats | 2014 | Discovery | Still being studied | – | – | 19 Oct 2026 | 5 |
| Gut-to-brain spread in mice | 2019 | Discovery | Still being studied | – | – | 20 Oct 2026 | 3 |
Links with other lanes
Built on work from
- Foundations: 2 links
- Gut–brain origin: 1 link
- Cell replacement: 1 link
- Lysosome & GBA: 1 link
- Trial methods & regulation: 1 link
- Synuclein lowering: 1 link
Led to work in
- Gut–brain origin: 10 links
- Genetic architecture: 8 links
- Biomarkers: 5 links
- Synuclein lowering: 4 links
- Cell survival & anti-apoptosis: 3 links
- Inflammation & immunity: 3 links
- Selective vulnerability: 2 links
- Models: 2 links
- Lysosome & GBA: 2 links