Chaperone-mediated autophagy

From WikiMD's medical encyclopedia

Chaperone-Mediated Autophagy (CMA) is a selective form of autophagy, a critical process in cellular homeostasis involving the degradation and recycling of unnecessary or damaged cellular components. Unlike other forms of autophagy that involve the engulfment of cellular material by autophagosomes, CMA directly translocates specific proteins across the lysosomal membrane for degradation. This process is highly selective and involves the recognition of a pentapeptide motif, related to KFERQ, present in the substrate proteins.

Overview

CMA plays a vital role in cellular maintenance and response to stress. By degrading specific proteins, it regulates protein quality and ensures cellular homeostasis. The process is upregulated in response to stress conditions such as nutrient deprivation, oxidative stress, and the accumulation of damaged proteins.

Mechanism

The mechanism of CMA involves several key steps and components:

  1. Recognition: The substrate proteins containing a KFERQ-like motif are recognized by the cytosolic chaperone, Hsc70 (Heat shock cognate 71 kDa protein).
  2. Complex Formation: The substrate-chaperone complex then binds to co-chaperones and is targeted to the lysosome.
  3. Translocation: At the lysosomal membrane, the complex interacts with LAMP-2A (Lysosome-associated membrane protein type 2A), which acts as a receptor for CMA substrates. LAMP-2A undergoes multimerization, forming a translocation complex that facilitates the movement of the substrate into the lysosome.
  4. Degradation: Inside the lysosome, the substrate protein is rapidly degraded by lysosomal hydrolases.

Regulation

The regulation of CMA is complex and involves the modulation of LAMP-2A levels at the lysosomal membrane, which can be influenced by various factors including cellular stress, hormonal signals, and changes in lysosomal lipid composition.

Physiological Significance

CMA contributes to the regulation of various cellular processes, including:

  • Protein quality control
  • Cellular response to stress
  • Regulation of metabolism
  • Modulation of cell signaling pathways

Dysregulation of CMA has been implicated in the pathogenesis of several diseases, including neurodegenerative diseases (such as Parkinson's disease and Alzheimer's disease), cancer, and metabolic disorders.

Research and Clinical Implications

Understanding the mechanisms and regulation of CMA opens new avenues for therapeutic interventions in diseases associated with protein aggregation and cellular stress. Modulating CMA activity could potentially offer strategies for the treatment of neurodegenerative diseases, cancer, and metabolic syndromes.

See Also


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Contributors: Prab R. Tumpati, MD