Chaperone‐mediated autophagy: Molecular mechanisms, biological functions, and diseases
Open accessAbstract
Chaperone‐mediated autophagy (CMA) is a lysosomal degradation pathway that eliminates substrate proteins through heat‐shock cognate protein 70 recognition and lysosome‐associated membrane protein type 2A‐assisted translocation. It is distinct from macroautophagy and microautophagy. In recent years, the regulatory mechanisms of CMA have been gradually enriched, including the newly discovered NRF2 and p38–TFEB signaling, as positive and negative regulatory pathways of CMA, respectively. Normal CMA activity is involved in the regulation of metabolism, aging, immunity, cell cycle, and other physiological processes, while CMA dysfunction may be involved in the occurrence of neurodegenerative disorders, tumors, intestinal disorders, atherosclerosis, and so on, which provides potential targets for the treatment and prediction of related diseases. This article describes the general process of CMA and its role in physiological activities and summarizes the connection between CMA and macroautophagy. In addition, human diseases that concern the dysfunction or protective role of CMA are discussed. Our review deepens the understanding of the mechanisms and physiological functions of CMA and provides a summary of past CMA research and a vision of future directions.
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Macroautophagy is a multistep process regulated by mTORC1 and ULK1 signaling that culminates in formation of double-membraned autophagosomes, which fuse with lysosomes to form autolysosomes.
“and (iii) macroautophagy (commonly referred to simply as autophagy), a multistep process regulated by mammalian target of rapamycin 1 (mTORC1) and Unc-51 like autophagy activating kinase 1 (ULK1) signaling that culminates in the formation of double-membraned autophagosomes, which fuse with lysosomes to form autolysosomes [133–135].”
From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [134]
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Hein, Z. M., Karikalan, B., Gopalakrishna, P. K., Dhevi, K., Alkatiri, A., Hussan, F., Mohd Moklas, M. A., Jagadeesan, S., Che Ramli, M. D., Che Mohd Nassir, C. M. N., et al. (2026) · Molecular Neurobiology · doi:10.1007/s12035-025-05602-0 · Cited by 43 · see citing works
- Authors
- Yao, R., & Shen, J.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Corresponding author
- Shen, Jun
- ORCID
- Shen, Jun
- Venue
- MedComm
- Publisher
- Wiley
- Published
- 2023-08-30
- Volume
- 4
- Issue
- 5
- Pages
- e347-e347
- ISSN
- 2688-2663 (ISSN-L)
- PMC
- PMC10466100
- OpenAlex
- W4386292310
- Cited by
- 111
- References
- 20
- Citations by year
- 2026: 45 · 2025: 48 · 2024: 18
- FWCI
- 4.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- MedComm (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Shanghai Jiao Tong University (RJPY‐LX‐004)
- Topics
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heat shock proteins research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Keywords
- chaperone-mediated autophagy, Hsc70, LAMP2A, lysosomal degradation, Nrf2 signaling, macroautophagy, aging, neurodegenerative diseases, tumors, intestinal disorders, atherosclerosis
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