Related Experiment Video
Updated: Dec 25, 2025

Evaluation of LC3-II Release via Extracellular Vesicles in Relation to the Accumulation of Intracellular LC3-positive Vesicles
Published on: October 18, 2024
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.
Abstract:
Many neurodegenerative conditions are characterized by the deposition of protein aggregates (mainly amyloid-like) in the central nervous system (CNS). In post-mitotic CNS cells protein aggregation causes cytotoxicity by interfering with various cellular functions. Mutations in different genes may directly cause protein aggregation. However, genetic factors together with aging may contribute to the onset of protein aggregation also by affecting cellular degradative functions, in particular the autophagy-lysosomal pathway (ALP). Increasing body of evidence show that ALP dysfunction and protein aggregation are functionally interconnected and induce each other during neurodegenerative processes. We will summarize the findings supporting these concepts by focusing on lysosomal storage diseases (LSDs), a class of metabolic inherited conditions characterized by global lysosomal dysfunction and often associated to a severe neurodegenerative course. We propose a model by which the inherited lysosomal defects initiate aggregate-prone protein deposition, which, in turns, worsen ALP degradation function, thus generating a vicious cycle, which boost neurodegenerative cascades.
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.
Related Concept Videos
Lysosomal Hydrolases
Delivery Pathways to the Lysosome
Endocytosis
In endocytosis, the cell membrane takes up macromolecules and particles from the surrounding medium. Clathrin-mediated...
Autophagy
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
The Proteasome
In this pathway, the target proteins are first tagged with small proteins called ubiquitin. This involves participation of a series of enzymes including— E1 (ubiquitin-activating enzyme), E2 (ubiquitin-conjugating enzyme), and E3...
The Proteasome
In this pathway, the target proteins are first tagged with small proteins called ubiquitin. A series of enzymes carry out the ubiquitination of the target proteins - E1 (ubiquitin-activating enzyme), E2 (ubiquitin-conjugating enzyme), and E3...
The Proteasome

