2008
DOI: 10.1038/nchembio.79
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Novel targets for Huntington's disease in an mTOR-independent autophagy pathway

Abstract: Autophagy is a major clearance route for intracellular aggregate-prone proteins causing diseases such as Huntington's disease. Autophagy induction with the mTOR inhibitor rapamycin accelerates clearance of these toxic substrates. As rapamycin has nontrivial side effects, we screened FDA-approved drugs to identify new autophagy-inducing pathways. We found that L-type Ca2+ channel antagonists, the K+ATP channel opener minoxidil, and the G(i) signaling activator clonidine induce autophagy. These drugs revealed a … Show more

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Cited by 728 publications
(815 citation statements)
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References 48 publications
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“…An additional pathway for the induction of autophagy has been described, that is independent of mTOR and mediated through the inhibition of Inositol monophosphatase (IMPase) and the subsequent reduction in Inositol or inositol-3-phosphate (IP 3 ) levels 165 . Therapeutically, this inhibition can be achieved through the treatment with lithium or valproate and is beneficial in Drosophila and Zebrafish models of HD 165 ( Figure 5).…”
Section: Targeting the Pi3 Kinase And Beclin Pathwaymentioning
confidence: 99%
See 1 more Smart Citation
“…An additional pathway for the induction of autophagy has been described, that is independent of mTOR and mediated through the inhibition of Inositol monophosphatase (IMPase) and the subsequent reduction in Inositol or inositol-3-phosphate (IP 3 ) levels 165 . Therapeutically, this inhibition can be achieved through the treatment with lithium or valproate and is beneficial in Drosophila and Zebrafish models of HD 165 ( Figure 5).…”
Section: Targeting the Pi3 Kinase And Beclin Pathwaymentioning
confidence: 99%
“…Reduced BDNF levels 39,40 Increasing BDNF & NGF levels is beneficial in disease models [51][52][53][54] Increased p75 NTR levels and signalling 75,172 Decreased Trk receptor levels and signalling 75,172 Increased Gsk3ß activity 66,173 Altered ERK activity 174 Reduced velocity and efficiency of axonal transport of BDNF 65,66 Apoptotic pathways Increased caspase-6 activity 89,90 Caspase-6 cleavage of disease proteins [89][90][91][92] Preventing caspase cleavage of disease proteins is beneficial in mouse models 93,94 Posttranslational modifications Palmitoylation of disease proteins is linked to aggregate formation 118,119 Phosphorylation of disease proteins reduces their cleavage by caspases 105,106 HDAC inhibition is beneficial in disease models 69,126,127 Protein aggregation and clearance mechanisms Misfolding and aggregation of disease proteins 128 UPS impairment 144,145 Impaired autophagy 161 Upregulation of autophagy is beneficial in disease models 153,155,156,158,162,163,165,167,<...>…”
Section: Supplementary Materialsmentioning
confidence: 99%
“…This effect can be achieved pharmacologically with drugs such as lithium or L-690 330, which disrupt the metabolism of inositol by inhibiting inositol monophosphatase. Rubinsztein and coworkers [123] found that L-type Ca 2+ channel antagonists, the K + ATP channel opener, and G i signaling activators all induce autophagy. These drugs reveal a cyclical mTOR-independent pathway regulating autophagy, in which cAMP regulates IP3 levels, influencing calpain activity, which completes the cycle by cleaving and activating G sα , which in turn regulates cAMP levels.…”
Section: Inositol 145-trisphosphate (Ip 3 ) Receptormentioning
confidence: 99%
“…The therapeutic relevance of the two identified compounds that induce autophagy has been verified using cell, fly and zebrafish models of Huntington's disease. 79 Lithium also stimulates a novel mTOR-independent pathway that regulates autophagy and promotes aggregate clearance in cells and in Drosophila models of Huntington's disease. 80 Finally, mutations that affect the dynein machinery impair autophagosome-lysosome fusion, leading to decreased autophagic clearance of aggregate-prone proteins and enhanced toxicity of the mutation that causes Huntington's disease in fly and mouse models.…”
Section: Autophagy and Neurodegenerative Conditionsmentioning
confidence: 99%