PMID- 35406769 OWN - NLM STAT- MEDLINE DCOM- 20220413 LR - 20220517 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 7 DP - 2022 Apr 2 TI - Chaperone-Mediated Autophagy in Neurodegenerative Diseases and Acute Neurological Insults in the Central Nervous System. LID - 10.3390/cells11071205 [doi] LID - 1205 AB - Autophagy is an important function that mediates the degradation of intracellular proteins and organelles. Chaperone-mediated autophagy (CMA) degrades selected proteins and has a crucial role in cellular proteostasis under various physiological and pathological conditions. CMA dysfunction leads to the accumulation of toxic protein aggregates in the central nervous system (CNS) and is involved in the pathogenic process of neurodegenerative diseases, including Parkinson's disease and Alzheimer's disease. Previous studies have suggested that the activation of CMA to degrade aberrant proteins can provide a neuroprotective effect in the CNS. Recent studies have shown that CMA activity is upregulated in damaged neural tissue following acute neurological insults, such as cerebral infarction, traumatic brain injury, and spinal cord injury. It has been also suggested that various protein degradation mechanisms are important for removing toxic aberrant proteins associated with secondary damage after acute neurological insults in the CNS. Therefore, enhancing the CMA pathway may induce neuroprotective effects not only in neurogenerative diseases but also in acute neurological insults. We herein review current knowledge concerning the biological mechanisms involved in CMA and highlight the role of CMA in neurodegenerative diseases and acute neurological insults. We also discuss the possibility of developing CMA-targeted therapeutic strategies for effective treatments. FAU - Kanno, Haruo AU - Kanno H AUID- ORCID: 0000-0003-1985-2257 AD - Department of Orthopaedic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Japan. AD - Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai 980-8574, Japan. FAU - Handa, Kyoichi AU - Handa K AD - Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai 980-8574, Japan. FAU - Murakami, Taishi AU - Murakami T AD - Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai 980-8574, Japan. FAU - Aizawa, Toshimi AU - Aizawa T AD - Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai 980-8574, Japan. FAU - Ozawa, Hiroshi AU - Ozawa H AD - Department of Orthopaedic Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Japan. LA - eng PT - Journal Article PT - Review DEP - 20220402 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Autophagy/physiology MH - Central Nervous System/metabolism MH - *Chaperone-Mediated Autophagy MH - Humans MH - *Neurodegenerative Diseases/metabolism MH - Proteolysis PMC - PMC8997510 OTO - NOTNLM OT - Alzheimer's disease OT - Hsc70 OT - LAMP2A OT - Parkinson's disease OT - autophagy OT - central nervous system OT - chaperone-mediated autophagy OT - neurodegenerative disease OT - spinal cord injury OT - traumatic brain injury COIS- The authors declare no conflict of interest. EDAT- 2022/04/13 06:00 MHDA- 2022/04/14 06:00 PMCR- 2022/04/02 CRDT- 2022/04/12 01:05 PHST- 2022/02/01 00:00 [received] PHST- 2022/03/27 00:00 [revised] PHST- 2022/03/30 00:00 [accepted] PHST- 2022/04/12 01:05 [entrez] PHST- 2022/04/13 06:00 [pubmed] PHST- 2022/04/14 06:00 [medline] PHST- 2022/04/02 00:00 [pmc-release] AID - cells11071205 [pii] AID - cells-11-01205 [pii] AID - 10.3390/cells11071205 [doi] PST - epublish SO - Cells. 2022 Apr 2;11(7):1205. doi: 10.3390/cells11071205.