“…First, milder LMP (small membrane disruption) initiates mechanisms that directly repair the damaged lysosomal membrane within minutes. Together, endosomal sorting complex required for transport (ESCRT) (Skowyra et al, 2018; Radulovic et al, 2018; Jia et al, 2020a; Bohannon and Hanson, 2020), annexins A1/A2 (Yim et al, 2022), sphingomyelin scramblases (Niekamp et al, 2022), and phosphatidyl-inositol-4-phosphate (PI4P) production (Tan and Finkel, 2022; Radulovic et al, 2022) facilitate direct membrane repair. These repair mechanisms have all been shown to be dependent on local Ca 2+ release from damaged lysosomes.…”