PMID- 35883693 OWN - NLM STAT- MEDLINE DCOM- 20220728 LR - 20221012 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 14 DP - 2022 Jul 20 TI - Chaperone-Mediated Autophagy in Neurodegenerative Diseases: Molecular Mechanisms and Pharmacological Opportunities. LID - 10.3390/cells11142250 [doi] LID - 2250 AB - Chaperone-mediated autophagy (CMA) is a protein degradation mechanism through lysosomes. By targeting the KFERQ motif of the substrate, CMA is responsible for the degradation of about 30% of cytosolic proteins, including a series of proteins associated with neurodegenerative diseases (NDs). The fact that decreased activity of CMA is observed in NDs, and ND-associated mutant proteins, including alpha-synuclein and Tau, directly impair CMA activity reveals a possible vicious cycle of CMA impairment and pathogenic protein accumulation in ND development. Given the intrinsic connection between CMA dysfunction and ND, enhancement of CMA has been regarded as a strategy to counteract ND. Indeed, genetic and pharmacological approaches to modulate CMA have been shown to promote the degradation of ND-associated proteins and alleviate ND phenotypes in multiple ND models. This review summarizes the current knowledge on the mechanism of CMA with a focus on its relationship with NDs and discusses the therapeutic potential of CMA modulation for ND. FAU - Wang, Yi-Ting AU - Wang YT AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR 999078, China. FAU - Lu, Jia-Hong AU - Lu JH AUID- ORCID: 0000-0002-1147-125X AD - State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau SAR 999078, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220720 PL - Switzerland TA - Cells JT - Cells JID - 101600052 SB - IM MH - Autophagy/genetics MH - *Chaperone-Mediated Autophagy MH - Humans MH - Lysosomes/metabolism MH - *Neurodegenerative Diseases/metabolism PMC - PMC9323300 OTO - NOTNLM OT - Alzheimer's disease OT - HSC70 OT - Huntington's disease OT - LAMP2A OT - Parkinson's disease OT - autophagy OT - chaperone-mediated autophagy OT - neurodegenerative disease OT - small molecule OT - alpha-synuclein COIS- The authors declare no conflict of interest. EDAT- 2022/07/28 06:00 MHDA- 2022/07/29 06:00 PMCR- 2022/07/20 CRDT- 2022/07/27 01:06 PHST- 2022/06/21 00:00 [received] PHST- 2022/07/12 00:00 [revised] PHST- 2022/07/15 00:00 [accepted] PHST- 2022/07/27 01:06 [entrez] PHST- 2022/07/28 06:00 [pubmed] PHST- 2022/07/29 06:00 [medline] PHST- 2022/07/20 00:00 [pmc-release] AID - cells11142250 [pii] AID - cells-11-02250 [pii] AID - 10.3390/cells11142250 [doi] PST - epublish SO - Cells. 2022 Jul 20;11(14):2250. doi: 10.3390/cells11142250.