PMID- 34629183 OWN - NLM STAT- MEDLINE DCOM- 20211229 LR - 20221202 IS - 1872-9452 (Electronic) IS - 0098-2997 (Print) IS - 0098-2997 (Linking) VI - 82 DP - 2021 Dec TI - Chaperone-mediated autophagy and disease: Implications for cancer and neurodegeneration. PG - 101025 LID - S0098-2997(21)00085-6 [pii] LID - 10.1016/j.mam.2021.101025 [doi] AB - Chaperone-mediated autophagy (CMA) is a proteolytic process whereby selected intracellular proteins are degraded inside lysosomes. Owing to its selectivity, CMA participates in the modulation of specific regulatory proteins, thereby playing an important role in multiple cellular processes. Studies conducted over the last two decades have enabled the molecular characterization of this autophagic pathway and the design of specific experimental models, and have underscored the importance of CMA in a range of physiological processes beyond mere protein quality control. Those findings also indicate that decreases in CMA function with increasing age may contribute to the pathogenesis of age-associated diseases, including neurodegeneration and cancer. In the context of neurological diseases, CMA impairment is thought to contribute to the accumulation of misfolded/aggregated proteins, a process central to the pathogenesis of neurodegenerative diseases. CMA therefore constitutes a potential therapeutic target, as its induction accelerates the clearance of pathogenic proteins, promoting cell survival. More recent evidence has highlighted the important and complex role of CMA in cancer biology. While CMA induction may limit tumor development, experimental evidence also indicates that inhibition of this pathway can attenuate the growth of established tumors and improve the response to cancer therapeutics. Here, we describe and discuss the evidence supporting a role of impaired CMA function in neurodegeneration and cancer, as well as future research directions to evaluate the potential of this pathway as a target for the prevention and treatment of these diseases. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Gomez-Sintes, Raquel AU - Gomez-Sintes R AD - Department of Cellular and Molecular Biology, Centro de Investigaciones Biologicas Margarita Salas CIB-CSIC, 28040, Madrid, Spain; Department of Developmental and Molecular Biology & Institute for Aging Studies, Albert Einstein College of Medicine, Bronx, NY, 10461, USA. Electronic address: rgomez@cib.csic.es. FAU - Arias, Esperanza AU - Arias E AD - Department of Medicine, Marion Bessin Liver Research Center & Institute for Aging Studies, Albert Einstein College of Medicine, Bronx, NY, 10461, USA. Electronic address: esperanza.arias-perez@einsteinmed.org. LA - eng GR - P30 AG038072/AG/NIA NIH HHS/United States GR - P30 DK041296/DK/NIDDK NIH HHS/United States GR - R01 DK124308/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20211007 PL - England TA - Mol Aspects Med JT - Molecular aspects of medicine JID - 7603128 RN - 0 (Molecular Chaperones) SB - IM MH - Autophagy MH - *Chaperone-Mediated Autophagy MH - Humans MH - Lysosomes MH - Molecular Chaperones/genetics MH - *Neoplasms/genetics MH - *Neurodegenerative Diseases/genetics PMC - PMC8711233 MID - NIHMS1760922 OTO - NOTNLM OT - Aggregation OT - Autophagy OT - Chaperones OT - Lysosomes OT - Protein degradation OT - Tumorigenesis EDAT- 2021/10/12 06:00 MHDA- 2021/12/30 06:00 PMCR- 2022/12/01 CRDT- 2021/10/11 05:35 PHST- 2021/07/26 00:00 [received] PHST- 2021/09/10 00:00 [revised] PHST- 2021/09/12 00:00 [accepted] PHST- 2021/10/12 06:00 [pubmed] PHST- 2021/12/30 06:00 [medline] PHST- 2021/10/11 05:35 [entrez] PHST- 2022/12/01 00:00 [pmc-release] AID - S0098-2997(21)00085-6 [pii] AID - 10.1016/j.mam.2021.101025 [doi] PST - ppublish SO - Mol Aspects Med. 2021 Dec;82:101025. doi: 10.1016/j.mam.2021.101025. Epub 2021 Oct 7.