What's to like about the prion-like hypothesis for the spreading of aggregated α-synuclein in Parkinson disease?

alpha-Synuclein is a key protein in Parkinson disease. Not only is it the major protein component of Lewy bodies, but it is implicated in several cellular processes that are disrupted in Parkinson disease. Misfolded a-synuclein has also been shown to spread from cell-to-cell and, in a prion-like fashion, trigger aggregation of alpha-synuclein in the recipient cell. In this minireview we explore the evidence that misfolded alpha-synuclein underlies the spread of pathology in Parkinson disease and discuss why it should be considered a prion-like protein.