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Updated: May 15, 2026

Evaluation of LC3-II Release via Extracellular Vesicles in Relation to the Accumulation of Intracellular LC3-positive Vesicles
Published on: October 18, 2024
Macroautophagy abnormality in essential tremor
Sheng-Han Kuo1, Guomei Tang, Karen Ma
1Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York, United States of America.
Abstract:
Macroautophagy is a cellular mechanism for the clearance of protein aggregates and damaged organelles. Impaired macroautophagy has been observed in neurodegenerative disorders. We investigated the macroautophagy pathway in essential tremor (ET) cases compared to age-matched controls. We analyzed microtubule-associated protein light chain 3-II (LC3-II), S6K, phosphorylated S6K, beclin-1, and mitochondrial membrane proteins levels by Western blot in the post-mortem cerebellum of 10 ET cases and 11 controls. We also performed immunohistochemistry in 12 ET cases and 13 controls to quantify LC3 clustering in Purkinje cells (PCs). LC3-II protein levels were significantly lower in ET cases vs. controls on Western blot (0.84 ± 0.14 vs. 1.00 ± 0.14, p = 0.02), and LC3-II clustering in PCs by immunohistochemistry was significantly lower in ET cases vs. controls (2.03 ± 3.45 vs. 8.80 ± 9.81, p = 0.03). In ET cases, disease duration was inversely correlated with LC3-II protein level (r = -0.64, p = 0.046). We found that mitochondrial membrane proteins were accumulated in ET (TIM23: 1.36 ± 0.11 in ET cases vs. 1.00 ± 0.08 in controls, p = 0.02; TOMM20: 1.63 ± 0.87 in ET cases vs. 1.00 ± 0.14 in controls, p = 0.03). Beclin-1, which is involved in macroautophagy, was strikingly deficient in ET (0.42 ± 0.13 vs. 1.00 ± 0.35, p<0.001). Decreased macroautophagy was observed in the ET cerebellum, and this could be due to a decrease in beclin-1 levels, which subsequently lead to mitochondrial accumulation as a result of autophagic failure. This provides a possible means by which perturbed macroautophagy could contribute to PC pathology in ET.
Insights
Essential tremor (ET) shows impaired macroautophagy, a cellular cleanup process. Reduced levels of key proteins like LC3-II and beclin-1 in ET brains suggest autophagic failure contributes to Purkinje cell pathology.
Area of Science:
- Neuroscience
- Cell Biology
- Molecular Biology
Background:
- Macroautophagy is a critical cellular process for removing damaged components.
- Dysfunctional macroautophagy is implicated in various neurodegenerative diseases.
- Essential tremor (ET) is a common neurological disorder with unclear pathogenesis.
Purpose of the Study:
- To investigate the macroautophagy pathway in the cerebellum of essential tremor (ET) cases.
- To compare the levels of key macroautophagy-related proteins and mitochondrial markers in ET versus controls.
- To explore the correlation between macroautophagy markers and disease duration in ET.
Main Methods:
- Western blot analysis of LC3-II, S6K, p-S6K, beclin-1, and mitochondrial proteins in post-mortem cerebellar tissue.
- Immunohistochemistry to quantify LC3 clustering in Purkinje cells (PCs).
- Analysis of 10 ET cases and 11 controls for Western blot, and 12 ET cases and 13 controls for immunohistochemistry.
Main Results:
- Significantly lower LC3-II protein levels and LC3 clustering in PCs of ET cases compared to controls.
- Beclin-1 levels were markedly reduced in ET cerebellum.
- Accumulation of mitochondrial membrane proteins (TIM23, TOMM20) observed in ET cases.
- Inverse correlation between disease duration and LC3-II protein levels in ET.
Conclusions:
- Essential tremor exhibits impaired macroautophagy in the cerebellum.
- Reduced beclin-1 levels may underlie the observed autophagic failure in ET.
- Perturbed macroautophagy and subsequent mitochondrial accumulation could contribute to Purkinje cell pathology in ET.
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