Protein Aggregation and Dysfunction of Autophagy-Lysosomal Pathway: A Vicious Cycle in Lysosomal Storage Diseases

Antonio Monaco1, Alessandro Fraldi1,2

  • 1Telethon Institute of Genetics and Medicine, Pozzuoli, Italy.

Insights

Lysosomal storage diseases (LSDs) involve protein aggregation and impaired autophagy-lysosomal pathway (ALP) function, creating a vicious cycle that drives neurodegeneration. Understanding this link is key to developing treatments for these conditions.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Genetics

Background:

  • Neurodegenerative diseases often involve protein aggregate deposition in the central nervous system (CNS).
  • Protein aggregation in post-mitotic CNS cells leads to cytotoxicity by disrupting cellular functions.
  • Genetic factors and aging can influence protein aggregation by impairing cellular degradative functions, notably the autophagy-lysosomal pathway (ALP).

Purpose of the Study:

  • To summarize evidence linking autophagy-lysosomal pathway (ALP) dysfunction and protein aggregation in neurodegeneration.
  • To focus on lysosomal storage diseases (LSDs) as a model for understanding this interplay.
  • To propose a model illustrating the feedback loop between lysosomal defects and protein aggregation.

Main Methods:

  • Review of existing literature on neurodegeneration, protein aggregation, and the autophagy-lysosomal pathway.
  • Focus on studies related to lysosomal storage diseases (LSDs) and their neurodegenerative aspects.
  • Synthesis of findings to propose a mechanistic model.

Main Results:

  • Evidence indicates a functional interconnection where ALP dysfunction and protein aggregation induce each other.
  • Lysosomal storage diseases (LSDs) exhibit global lysosomal dysfunction and often a severe neurodegenerative course.
  • A proposed model suggests inherited lysosomal defects initiate protein aggregation, which further impairs ALP function, creating a detrimental cycle.

Conclusions:

  • Inherited lysosomal defects can initiate protein aggregation, exacerbating neurodegeneration.
  • The interplay between lysosomal dysfunction and protein aggregation forms a vicious cycle that promotes neurodegenerative cascades.
  • Targeting the autophagy-lysosomal pathway may be crucial for managing neurodegenerative processes in LSDs and other conditions.

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