PMID- 36695937 OWN - NLM STAT- MEDLINE DCOM- 20230926 LR - 20230926 IS - 1573-4919 (Electronic) IS - 0300-8177 (Linking) VI - 478 IP - 10 DP - 2023 Oct TI - Chaperone-mediated autophagy in neurodegenerative diseases: mechanisms and therapy. PG - 2173-2190 LID - 10.1007/s11010-022-04640-9 [doi] AB - Chaperone-mediated autophagy (CMA) is the selective degradation process of intracellular components by lysosomes, which is required for the degradation of aggregate-prone proteins and contributes to proteostasis maintenance. Proteostasis is essential for normal cell function and survival, and it is determined by the balance of protein synthesis and degradation. Because postmitotic neurons are highly susceptible to proteostasis disruption, CMA is vital for the nervous system. Since Parkinson's disease (PD) was first linked to CMA dysfunction, an increasing number of studies have shown that CMA loss, as seen during aging, occurs in the pathogenetic process of neurodegenerative diseases. Here, we review the molecular mechanisms of CMA, as well as the physiological function and regulation of this autophagy pathway. Following, we highlight its potential role in neurodegenerative diseases, and the latest advances and challenges in targeting CMA in therapy of neurodegenerative diseases. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Liu, Yi AU - Liu Y AD - Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China. FAU - Tan, Lan AU - Tan L AD - Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China. dr.tanlan@163.com. FAU - Tan, Meng-Shan AU - Tan MS AD - Department of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, China. tanmengshan@163.com. LA - eng GR - tsqn20161078/Taishan Scholars Program of Shandong Province/ GR - 2021-WJZD001/Medical Science Research Guidance Plan of Qingdao/ GR - 81971032/National Natural Science Foundation of China/ PT - Journal Article PT - Review DEP - 20230125 PL - Netherlands TA - Mol Cell Biochem JT - Molecular and cellular biochemistry JID - 0364456 RN - 0 (Molecular Chaperones) SB - IM MH - Humans MH - *Neurodegenerative Diseases/therapy/metabolism MH - *Chaperone-Mediated Autophagy MH - Molecular Chaperones/metabolism MH - Autophagy/physiology MH - *Parkinson Disease/therapy/metabolism MH - Lysosomes/metabolism OTO - NOTNLM OT - Chaperone-mediated autophagy OT - LAMP2A OT - Mechanisms OT - Neurodegenerative diseases OT - Proteostasis OT - Therapy EDAT- 2023/01/26 06:00 MHDA- 2023/09/26 13:44 CRDT- 2023/01/25 11:18 PHST- 2022/07/18 00:00 [received] PHST- 2022/12/09 00:00 [accepted] PHST- 2023/09/26 13:44 [medline] PHST- 2023/01/26 06:00 [pubmed] PHST- 2023/01/25 11:18 [entrez] AID - 10.1007/s11010-022-04640-9 [pii] AID - 10.1007/s11010-022-04640-9 [doi] PST - ppublish SO - Mol Cell Biochem. 2023 Oct;478(10):2173-2190. doi: 10.1007/s11010-022-04640-9. Epub 2023 Jan 25.