Abstract:Chaperone-mediated autophagy (CMA) involves the selective lysosomal degradation of cytosolic proteins such as SNCA (synuclein a), a protein strongly implicated in Parkinson disease (PD) pathogenesis. However, the physiological role of CMA and the consequences of CMA failure in the living brain remain elusive. Here we show that CMA inhibition in the adult rat substantia nigra via adeno-associated virusmediated delivery of short hairpin RNAs targeting the LAMP2A receptor, involved in CMA's rate limiting step, wa… Show more
“…These findings identify cytokine signalling as a potential target for the treatment of PD and DLB through the induction of autophagy. Interestingly, defects in CMA may also be implicated in the development of PD and DLB, as was demonstrated recently in rats 49 . Whether boosting CMA ameliorates the manifestations of disease in animal models of parkinsonism remains to be elucidated.…”
Section: Autophagy As a Therapeutic Targetmentioning
Autophagy is central to the maintenance of organismal homeostasis in both physiological and pathological situations. Accordingly, alterations in autophagy have been linked to clinically relevant conditions as diverse as cancer, neurodegeneration and cardiac disorders. Throughout the past decade, autophagy has attracted considerable attention as a target for the development of novel therapeutics. However, such efforts have not yet generated clinically viable interventions. In this Review, we discuss the therapeutic potential of autophagy modulators, analyse the obstacles that have limited their development and propose strategies that may unlock the full therapeutic potential of autophagy modulation in the clinic.
“…These findings identify cytokine signalling as a potential target for the treatment of PD and DLB through the induction of autophagy. Interestingly, defects in CMA may also be implicated in the development of PD and DLB, as was demonstrated recently in rats 49 . Whether boosting CMA ameliorates the manifestations of disease in animal models of parkinsonism remains to be elucidated.…”
Section: Autophagy As a Therapeutic Targetmentioning
Autophagy is central to the maintenance of organismal homeostasis in both physiological and pathological situations. Accordingly, alterations in autophagy have been linked to clinically relevant conditions as diverse as cancer, neurodegeneration and cardiac disorders. Throughout the past decade, autophagy has attracted considerable attention as a target for the development of novel therapeutics. However, such efforts have not yet generated clinically viable interventions. In this Review, we discuss the therapeutic potential of autophagy modulators, analyse the obstacles that have limited their development and propose strategies that may unlock the full therapeutic potential of autophagy modulation in the clinic.
“…Reducing the hyperactivated status of IIS–mTOR signalling increases autophagic clearance of these aggregates and rescues memory deficits in mouse models of Alzheimer disease 123,124 . Patients with Parkinson disease have decreased levels of lysosome-associated membrane glycoprotein 2 (LAMP2), which is thought to impair the clearance of α-synuclein aggregates and increase neuronal death 125 . In addition, genetic defects in the parkin and PTEN-induced putative kinase protein 1 (PINK1) proteins (BOX 1) impair autophagic clearance of damaged mitochondria in familial Parkinson disease 120 .…”
Ageing is the predominant risk factor for many common diseases. Human premature ageing diseases are powerful model systems to identify and characterize cellular mechanisms that underpin physiological ageing. Their study also leads to a better understanding of the causes, drivers and potential therapeutic strategies of common diseases associated with ageing, including neurological disorders, diabetes, cardiovascular diseases and cancer. Using the rare premature ageing disorder Hutchinson–Gilford progeria syndrome as a paradigm, we discuss here the shared mechanisms between premature ageing and ageing-associated diseases, including defects in genetic, epigenetic and metabolic pathways; mitochondrial and protein homeostasis; cell cycle; and stem cell-regenerative capacity.
“…The down-regulation of lamp2A receptor resulted in an increased sensitivity to oxidative stressors in mouse fibroblasts (Massey et al, 2006) and in the accumulation of soluble high molecular weight and detergent-insoluble species of asyn in PC12 and SH-SY5Y cells (Vogiatzi et al, 2008). Lamp2A down-regulation also causes a raise in autophagic vacuoles within rats nigral neurons with a progressive loss of the same neurons as well as unilateral motor behavioral deficits (Xilouri et al, 2016). However, other studies failed to report CMA dysfunctions after lamp2 silencing, and a compensatory activation of other proteolytic pathways was reported after the aspecific down-regulation of all lamp2 isoforms (Eskelinen et al, 2004; Rothaug et al, 2015).…”
Chaperone-mediated autophagy (CMA) represents a selective form of autophagy involved in the degradation of specific soluble proteins containing a pentapeptide motif that is recognized by a cytosolic chaperone able to deliver proteins to the lysosomes for degradation. Physiologically, CMA contributes to maintain crucial cellular functions including energetic balance and protein quality control. Dysfunctions in CMA have been associated to the pathogenesis of several neurodegenerative diseases characterized by accumulation and aggregation of proteins identified as CMA substrates. In particular, increasing evidence highlights the existence of a strong relationship between CMA defects and Parkinson’s disease (PD). Several mutations associated with familial forms of PD (SNCA, LRRK2, UCHL1 and DJ-1) have been demonstrated to block or reduce the activity of CMA, the main catabolic pathway for alpha-synuclein (asyn). CMA dysfunctions also leads to a mislocalization and inactivation of the transcription factor MEF2D that plays a key-role in the survival of dopaminergic neurons. Furthermore, reduced levels of CMA markers have been observed in post mortem brain samples from PD patients. The aim of this review article is to provide an organic revision of evidence for the involvement of CMA dysfunctions in the pathogenesis of PD. Updated findings obtained in patient’s specimens will be resumed, and results deriving from in vivo and in vitro studies will be discussed to evidence the current knowledge on the molecular mechanisms underlying CMA alterations in PD. Finally, the possibility of up-regulating CMA pathway as promising neuroprotective strategy will be considered.
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