Schematic model of the molecular mechanism of the loss of tyrosine hydroxylase (TH) protein in the dopaminergic neurons. (A) A balanced state between the recycling TH protein and degrading TH protein. (B) Dopamine/biopterin deficient state activates PKA (red), and α-Synuclein aggregation presumably activates MAPKAPK and MSK1 (purple). Both activations accelerate TH phosphorylation (pSer40-TH), which is accompanied by proteasomal degradation. PKA, cAMP-dependent protein kinase; PP2A, protein phosphatase 2a. MAPKAPK, mitogen-activated protein kinase activated protein kinase; MSK1, mitogen- and stress-activated kinase 1.