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Pros and cons of different ways to address dysfunctional autophagy in Pompe disease

Identifieur interne : 000468 ( Pmc/Checkpoint ); précédent : 000467; suivant : 000469

Pros and cons of different ways to address dysfunctional autophagy in Pompe disease

Auteurs : Jeong-A Lim [États-Unis] ; Naresh Kumar Meena [États-Unis] ; Nina Raben [États-Unis]

Source :

RBID : PMC:6642936

Abstract

Autophagy is a major intracellular self-digestion process that brings cytoplasmic materials to the lysosome for degradation. Defective autophagy has been linked to a broad range of human disorders, including cancer, diabetes, neurodegeneration, autoimmunity, cardiovascular diseases, and myopathies. In Pompe disease, a severe neuromuscular disorder, disturbances in autophagic process manifest themselves as progressive accumulation of undegraded cellular debris in the diseased muscle cells. A growing body of evidence has connected this defect to the decline in muscle function and muscle resistance to the currently available treatment—enzyme replacement therapy (ERT). Both induction and inhibition of autophagy have been tested in pre-clinical studies in a mouse model of the disease. Here, we discuss strengths and weaknesses of different approaches to address autophagic dysfunction in the context of Pompe disease.


Url:
DOI: 10.21037/atm.2019.03.51
PubMed: 31392191
PubMed Central: 6642936


Affiliations:


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PMC:6642936

Le document en format XML

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<name sortKey="Raben, Nina" sort="Raben, Nina" uniqKey="Raben N" first="Nina" last="Raben">Nina Raben</name>
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<p>Autophagy is a major intracellular self-digestion process that brings cytoplasmic materials to the lysosome for degradation. Defective autophagy has been linked to a broad range of human disorders, including cancer, diabetes, neurodegeneration, autoimmunity, cardiovascular diseases, and myopathies. In Pompe disease, a severe neuromuscular disorder, disturbances in autophagic process manifest themselves as progressive accumulation of undegraded cellular debris in the diseased muscle cells. A growing body of evidence has connected this defect to the decline in muscle function and muscle resistance to the currently available treatment—enzyme replacement therapy (ERT). Both induction and inhibition of autophagy have been tested in pre-clinical studies in a mouse model of the disease. Here, we discuss strengths and weaknesses of different approaches to address autophagic dysfunction in the context of Pompe disease.</p>
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<surname>Lim</surname>
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Division of Medical Genetics, Department of Pediatrics,
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Cell Biology and Physiology Center, National Heart, Lung, and Blood Institute, NIH,
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<italic>Contributions:</italic>
(I) Conception and design: N Raben; (II) Administrative support: None; (III) Provision of study materials or patients: N Raben; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: JA Lim, NK Meena; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p>
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<fn id="afn2" fn-type="equal">
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<p>These authors contributed equally to this work.</p>
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<corresp id="cor1">
<italic>Correspondence to:</italic>
Nina Raben. Cell Biology and Physiology Center, National Heart, Lung, and Blood Institute, NIH, Bethesda, MD, USA. Email:
<email xlink:href="rabenn@mail.nih.gov">rabenn@mail.nih.gov</email>
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<fn fn-type="COI-statement">
<p>
<italic>Conflicts of Interest:</italic>
The authors have no conflicts of interest to declare.</p>
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<pub-date pub-type="epub-ppub">
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<volume>7</volume>
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<day>19</day>
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<copyright-statement>2019 Annals of Translational Medicine. All rights reserved.</copyright-statement>
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<abstract>
<p>Autophagy is a major intracellular self-digestion process that brings cytoplasmic materials to the lysosome for degradation. Defective autophagy has been linked to a broad range of human disorders, including cancer, diabetes, neurodegeneration, autoimmunity, cardiovascular diseases, and myopathies. In Pompe disease, a severe neuromuscular disorder, disturbances in autophagic process manifest themselves as progressive accumulation of undegraded cellular debris in the diseased muscle cells. A growing body of evidence has connected this defect to the decline in muscle function and muscle resistance to the currently available treatment—enzyme replacement therapy (ERT). Both induction and inhibition of autophagy have been tested in pre-clinical studies in a mouse model of the disease. Here, we discuss strengths and weaknesses of different approaches to address autophagic dysfunction in the context of Pompe disease.</p>
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