“…Even if trehalose is an autophagy enhancer it is difficult to explain how trehalose could produce neuroprotection in a toxin-lesioned model of PD, such as 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) (Sarkar et al, 2014), without additional actions. Several other effects of trehalose, independent of autophagy, have also been suggested to confer the neuroprotective effects of trehalose, including being a chemical chaperone (Crowe, 2007;Sarkar et al, 2014), downregulation of poly(ADP-ribose) polymerase (Spina-Purrello et al, 2010), regulation of stress granules (Dimasi et al, 2017), anti-inflammatory actions (Echigo et al, 2012;Pagliassotti et al, 2017;Mirzaie et al, 2018), inducer of neurotrophic factors (Perucho et al, 2016;Portbury et al, 2017a,b), and reduction of oxidative stress (Gao et al, 2018;Mizunoe et al, 2018). Any one of these mechanisms, or more likely a combination of several of these mechanisms, may be responsible for the neuroprotective effects of trehalose.…”