State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR 999078, China.
Cells. 2022 Jul 20;11(14):2250. doi: 10.3390/cells11142250.
Chaperone-mediated autophagy (CMA) is a protein degradation mechanism through lysosomes. By targeting the KFERQ motif of the substrate, CMA is responsible for the degradation of about 30% of cytosolic proteins, including a series of proteins associated with neurodegenerative diseases (NDs). The fact that decreased activity of CMA is observed in NDs, and ND-associated mutant proteins, including alpha-synuclein and Tau, directly impair CMA activity reveals a possible vicious cycle of CMA impairment and pathogenic protein accumulation in ND development. Given the intrinsic connection between CMA dysfunction and ND, enhancement of CMA has been regarded as a strategy to counteract ND. Indeed, genetic and pharmacological approaches to modulate CMA have been shown to promote the degradation of ND-associated proteins and alleviate ND phenotypes in multiple ND models. This review summarizes the current knowledge on the mechanism of CMA with a focus on its relationship with NDs and discusses the therapeutic potential of CMA modulation for ND.
伴侣蛋白介导的自噬(CMA)是一种通过溶酶体进行的蛋白质降解机制。通过靶向底物的 KFERQ 基序,CMA 负责降解约 30%的细胞质蛋白,包括一系列与神经退行性疾病(NDs)相关的蛋白质。在 NDs 中观察到 CMA 活性降低,并且 ND 相关的突变蛋白,包括α-突触核蛋白和 Tau,直接损害 CMA 活性,这揭示了 CMA 损伤和致病蛋白在 ND 发展中的可能恶性循环。鉴于 CMA 功能障碍与 ND 之间的内在联系,增强 CMA 已被视为对抗 ND 的一种策略。事实上,已经有研究表明,通过遗传和药理学方法来调节 CMA,可以促进 ND 相关蛋白的降解,并在多种 ND 模型中减轻 ND 表型。本综述总结了目前关于 CMA 机制的知识,重点讨论了它与 NDs 的关系,并讨论了调节 CMA 治疗 ND 的潜力。
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