Cited by 191Amyotrophic Lateral Sclerosis ResearchAutophagy in Disease and TherapyAlzheimer's disease research and treatments

Autophagy and ALS: mechanistic insights and therapeutic implications

Open access
Chua, Jason P., De Calbiac, Hortense, Kabashi, Edor, Barmada, Sami J.·2022·Autophagy

Abstract

: ALS: amyotrophic lateral sclerosis; Atg: autophagy-related; CHMP2B: charged multivesicular body protein 2B; DPR: dipeptide repeat; FTD: frontotemporal dementia; iPSC: induced pluripotent stem cell; LIR: LC3-interacting region; MAP1LC3/LC3: microtubule associated protein 1 light chain 3; MTOR: mechanistic target of rapamycin kinase; PINK1: PTEN induced kinase 1; RNP: ribonuclear protein; sALS: sporadic ALS; SPHK1: sphingosine kinase 1; TARDBP/TDP-43: TAR DNA binding protein; TBK1: TANK-binding kinase 1; TFEB: transcription factor EB; ULK: unc-51 like autophagy activating kinase; UPR: unfolded protein response; UPS: ubiquitin-proteasome system; VCP: valosin containing protein.

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes mechanistic links between autophagy dysfunction and ALS, focusing on ALS-associated mutations in autophagy-related genes and cell type-specific regulation of autophagy. It argues that effective autophagy-based therapies will require targeting the pathway in specific cell types rather than indiscriminate induction.

Key findings

  • ALS-related mutations affect multiple autophagy stages and factors, including SQSTM1, C9orf72, TBK1, UBQLN2, FUS, VCP, OPTN, and CHMP2B; these mutations impair selective autophagy, mitophagy, autophagosome maturation, or autophagic flux.
  • Reported mutation frequencies include C9orf72 expansion in 23–47% of familial ALS/FTD and 4–21% of sporadic disease; TBK1 mutations in ~1% of familial or sporadic ALS; OPTN mutations in ~3% of familial and ~1% of sporadic ALS; VCP mutations in ~1–2% of familial ALS; and SQSTM1 mutations in ~1–3.5% of ALS-FTD cases.
  • Autophagy regulation differs by cell type: neurons are insensitive or only mildly responsive to starvation and MTOR inhibition, whereas astrocytes, oligodendrocytes, Schwann cells, and skeletal muscle respond to these stimuli; neuronal autophagy can be induced by MTOR/AKT-independent compounds such as 10-NCP.
  • Therapeutic implications are mixed: rapamycin can worsen disease in SOD1G93A ALS mice, lithium showed no clinical benefit in five ALS trials, and a phase II rapamycin trial in ALS began in 2018 with results not yet published.

Methods

  • Narrative review of the autophagy pathway, ALS-associated autophagy-related mutations, disease models, and cell type-specific autophagy regulation.
  • No primary experimental design, sample, or statistical analysis is reported; the paper synthesizes published cell, animal, iPSC, and human data.
  • Main analysis is conceptual integration of mechanistic findings to identify therapeutic targets and remaining questions.

Limitations

  • The authors state that mechanistic details of autophagy’s neuroprotective role, neuronal resistance to autophagy induction, neuron-specific effects of autophagy-impairing mutations, and non-cell autonomous contributions to ALS pathogenesis remain incompletely defined.
  • The authors note that cell type-specific autophagy regulation is insufficiently explored, that cell and animal models may not faithfully reproduce human autophagy regulation, and that LC3-II accumulation cannot distinguish true autophagy induction from late-stage inhibition.
  • Evident from the text: this is a review without a systematic search strategy or primary data, and it relies on model systems that may not fully translate to human disease.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1080/15548627.2021.1926656

Cites

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Statistics

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Claims the paper makes

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  • Premisecitation

    Mutations detected in the SQSTM1 promoter region are associated with reduced SQSTM1 protein levels in familial ALS-FTD.

    “Additionally, mutations detected in the SQSTM1 promoter region are associated with reduced SQSTM1 protein levels in familial ALS-FTD [132,133].”
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    In C9orf72-related ALS and FTD, SQSTM1 accumulates together with ubiquitin in neurons and glia as well as muscle fibers.

    “In the most commonly inherited form of ALS and FTD due to mutations in the C9orf72 gene (described below), SQSTM1 accumulates together with ubiquitin in neurons and glia [119–121] as well as muscle fibers [122].”
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    Individuals with disease-associated C9orf72 mutations display a significantly greater burden of SQSTM1-positive glial inclusions than those with sporadic ALS.

    “In fact, individuals with disease-associated C9orf72 mutations display a significantly greater burden of SQSTM1-positive glial inclusions than those with sporadic ALS [82].”
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    • cites [82] Lorente Pons A, 2020, J Pathol source

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  • Premisecitation

    The C9orf72 hexanucleotide repeat expansion is the most common genetic cause of inherited ALS and FTD, accounting for 23-47% of familial cases and 4-21% of sporadic disease.

    “In 2011, the seminal discovery of disease-associated expansion mutations within the C9orf72 gene uncovered the most common genetic cause of inherited ALS and FTD, accounting for 23–47% of familial cases and 4–21% of sporadic disease.”
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    Nearly every neurodegenerative disorder is marked by accumulation of misfolded proteins within or adjacent to affected neurons and glia.

    “This notion is underscored by the fact that nearly every neurodegenerative disorder is marked by the accumulation of misfolded proteins within or adjacent to affected neurons and glia, in spite of heterogeneous clinical and pathological characteristics among these diseases [68,69].”
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    Premisecitation

    Autophagy is regulated by distinct mechanisms in different cell types, and these cell type-specific mechanisms underlie the differential vulnerability of separate tissues to autophagy mutations, resulting in heterogeneous manifestations of disease.

    “Furthermore, mounting evidence shows that autophagy is regulated by distinct mechanisms in different cell types [11–26], and these cell type-specific mechanisms underlie the differential vulnerability of separate tissues to autophagy mutations, resulting in heterogenous manifestations of disease.”
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    Macroautophagy is an evolutionarily conserved eukaryotic pathway for bulk and selective degradation of proteins and organelles.

    “Macroautophagy, often referred to simply as autophagy, is an evolutionarily conserved eukaryotic pathway for bulk and selective degradation of proteins and organelles [31].”
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    Premisecitation

    ALS-FTD-associated SQSTM1 mutations frequently affect the UBA and LIR domains involved in autophagy and include both missense and nonsense mutations.

    “ALS-FTD-associated SQSTM1 mutations frequently affect the UBA and LIR domains involved in autophagy and include both missense and nonsense mutations [123–125].”
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    Overexpression of SQSTM1 variants carrying disease-associated mutations in the UBA domain exhibits a PDB-like skeletal disorder and impaired spatial learning and long-term memory.

    “On the other hand, overexpression of SQSTM1 variants carrying disease-associated mutations in the UBA domain exhibit a PDB-like skeletal disorder [138,139] as well as impaired spatial learning and long-term memory [140].”
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    Premisecitation

    Initiation of autophagosome formation begins with dissociation of MTOR from the phagophore assembly site, cued by nutrient starvation or treatment with rapamycin or its derivatives.

    “The initiation step begins with the dissociation of MTOR (mechanistic target of rapamycin kinase) from the PAS, cued by nutrient starvation or treatment with rapamycin or its various derivatives [36,37].”
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    Premisecitation

    Fusion of autophagosomes with lysosomes is mediated by the HOPS complex, whose subunits include VPS11, VPS16, VPS18, VPS33A, VPS39, and VPS41.

    “Fusion of the autophagosome and lysosome is mediated by the homotypic fusion and protein sorting (HOPS) complex, whose subunits include VPS11, VPS16, VPS18, VPS33A, VPS39, and VPS41 [45,46].”
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    Premisecitation

    TBK1 amplifies mitophagy signaling by phosphorylating OPTN and SQSTM1, enhancing their binding to ubiquitin and LC3, and promoting TBK1 autophosphorylation in a positive-feedback manner.

    “Additionally, TBK1 amplifies the signaling cascade for mitophagy by phosphorylating OPTN and SQSTM1 (which enhances binding to ubiquitin and LC3) and promoting TBK1 autophosphorylation in a positive-feedback manner [58,59].”
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    Premisecitation

    Unaffected individuals carry 2-30 repeated GGGGCC stretches within the first intron of C9orf72, whereas patients with C9orf72-associated ALS-FTD harbor several hundred to thousands of repeats.

    “Unaffected individuals carry 2–30 repeated stretches of GGGGCC within the first intron of the gene, but patients with C9orf72-associated ALS-FTD harbor several hundred to thousands of repeats [141,142].”
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    LC3-I undergoes proteolytic processing by ATG4 and conjugation to phosphatidylethanolamine through ATG7 and ATG3 to form lipidated LC3-II, which is incorporated into the phagophore membrane.

    “Before membrane insertion, the unbound and immature LC3 precursor protein (LC3-I) undergoes proteolytic processing by ATG4, and conjugation to phosphatidylethanolamine through ATG7 and ATG3. The resulting mature, lipidated isoform (LC3-II) is incorporated into the phagophore membrane [41].”
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    Knockdown of the SQSTM1 ortholog in zebrafish leads to an ALS-like phenotype consisting of locomotor and motor neuron axonal abnormalities, which is rescued by overexpression of wild-type human SQSTM1 or rapamycin.

    “Knockdown of the SQSTM1 ortholog in zebrafish leads to an ALS-like phenotype consisting of locomotor and motor neuron axonal abnormalities. Overexpression of wild-type human SQSTM1 or application of the autophagy activator rapamycin rescues these phenotypes [137].”
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    SQSTM1 mutations are a rare cause of ALS-FTD, accounting for ~1-3.5% of cases with or without family history, and also cause Paget's disease of bone and inclusion body myositis.

    “SQSTM1 mutations are not only a rare cause of ALS-FTD, accounting for ~1-3.5% of cases with or without family history [123–125], but also Paget’s disease of bone (PDB), a chronic and progressive skeletal disorder characterized by disorganized bone turnover [126,127], and inclusion body myositis (IBM) [128].”
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    Premisecitation

    SQSTM1 mutations affecting the UBA domain impair ubiquitin recognition, whereas mutations within the LIR domain impact LC3 recognition and substrate delivery to autophagosomes.

    “SQSTM1 mutations affecting the UBA domain impair ubiquitin recognition [130], whereas mutations within the LIR domain impact LC3 recognition and substrate delivery to the autophagosomes [84,131].”
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    Premisecitation

    TFEB directs expression of autophagy and lysosomal genes comprising the CLEAR network by binding to a conserved promoter motif.

    “Global regulation of the myriad effectors and phases of autophagy is overseen by TFEB (transcription factor EB), a basic helix-loop-helix leucine zipper that directs expression of autophagy and lysosomal genes comprising the coordinated lysosomal expression and regulation (CLEAR) network by binding to a conserved promoter motif [47,48].”
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    Premisecitation

    SQSTM1-positive inclusions are found in the majority of patients with ALS and FTD and often overlap with inclusions that stain for ubiquitin and TARDBP/TDP-43.

    “Furthermore, SQSTM1-positive inclusions are found in the majority of patients with ALS and FTD, and often overlap with inclusions that stain for ubiquitin and TARDBP/TDP-43 (TAR DNA binding protein), an essential RNA-binding protein integrally connected with ALS-FTD [82,116–118] (Figure 1).”
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    Interpretationcitation

    Molecular and histopathologic analyses of patient tissues demonstrate mislocalized or accumulated autophagy machinery, pathogenic mutations underlying familial neurodegenerative diseases disable known autophagy-related factors, and genetically ablating autophagy effectors produces neurodegeneration in cell and animal model systems, supporting a role for autophagy dysfunction in age-related neurode

    “Molecular and histopathologic analyses of patient tissues demonstrate mislocalized or accumulated autophagy machinery, pathogenic mutations underlying familial neurodegenerative diseases disable known autophagy-related factors, and genetically ablating autophagy effectors produce neurodegeneration in cell and animal model systems [74–81], supporting a role for autophagy dysfunction in the devel”
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    Premisecitation

    sqstm1-knockout mice display reduced numbers of osteoclasts, cognitive impairment, and anxiety, associated with hyperphosphorylated MAPT/tau and neurofibrillary tangles.

    “sqstm1-knockout mice display reduced numbers of osteoclasts as well as cognitive impairment and anxiety, associated with hyperphosphorylated MAPT/tau and neurofibrillary tangles [134–136].”
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    Premisecitation

    Nucleation of the nascent phagophore is orchestrated by a class III phosphatidylinositol 3-kinase complex containing BECN1, PIK3C3/VPS34, PIK3R4/p150, NRBF2 and either ATG14 or UVRAG.

    “Next, nucleation of the nascent phagophore is orchestrated by a class III phosphatidylinositol 3-kinase (PtdIns3K) complex containing BECN1, PIK3C3/VPS34, PIK3R4/p150, NRBF2 and either ATG14 or UVRAG [38,39].”
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    Premisecitation

    Degradation of neuronal mitochondria can occur non-cell autonomously, as demonstrated by astrocytic engulfment and degradation of mitochondria excreted from retinal ganglion cells.

    “Interestingly, degradation of neuronal mitochondria can occur in a non-cell autonomous fashion, as demonstrated by the astrocytic engulfment and degradation of mitochondria excreted from retinal ganglion cells [60].”
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    Expansion of the phagophore membrane is guided by the ATG12-ATG5-ATG16L1 complex, which catalyzes insertion of LC3 into the phagophore membrane.

    “Expansion then occurs through maturation of the extending phagophore membrane guided by the ATG12–ATG5-ATG16L1 complex, catalyzing insertion of MAP1LC3/LC3 (microtubule associated protein 1 light chain 3) into the phagophore membrane [40,41].”
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    Premisecitation

    Deletion of the mouse C9orf72 ortholog leads to splenomegaly, lymphadenopathy, dysregulation of macrophages and microglia, and excess production of inflammatory cytokines.

    “In contrast, deletion of the mouse C9orf72 ortholog leads to splenomegaly, lymphadenopathy, dysregulation of macrophages and microglia, and excess production of inflammatory cytokines [184–187].”
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    • cites [184] Atanasio A, 2016, Sci Rep source

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    • cites [187] Sudria-Lopez E, 2016, Acta Neuropathol source

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    Interpretationcitation

    Conditioned medium from astrocytes differentiated from patient-derived iPSC lines (two with C9orf72 expansion mutations) applied to HEK293T cells reduces LC3-II while increasing SQSTM1 levels, suggesting non-cell autonomous inhibition of autophagy by astrocytes in ALS.

    “In addition, conditioned medium from astrocytes differentiated from patient-derived iPSC lines (two of which harbor C9orf72 expansion mutations) applied to HEK293T cells reduces LC3-II while increasing SQSTM1 levels [181], suggesting non-cell autonomous inhibition of autophagy by astrocytes in ALS.”
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    • cites [181] Madill M, 2017, Mol Brain source

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    Premisecitation

    TBK1 is a cytoplasmically-localized homodimeric multidomain protein with an ubiquitin-like domain, an N-terminal serine/threonine kinase domain, and two coiled-coil domains.

    “TBK1/NAK/T2K (TANK binding kinase 1) is a cytoplasmically-localized homodimeric multidomain protein with an ubiquitin-like domain, a N-terminal serine/threonine kinase domain, and two coiled-coil domains [192].”
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    Premisecitation

    c9orf72 knockout in mouse enhances autophagy by de-repressing MTOR and increasing TFEB nuclear translocation.

    “Paradoxically, however, c9orf72 knockout in mouse (which models the loss of function attributed to the hexanucleotide repeat expansion) enhances autophagy by de-repressing MTOR and, in turn, increasing TFEB nuclear translocation [179,180].”
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    • The authors state this as an assumption: c9orf72 knockout in mouse models the loss of function attributed to the C9orf72 hexanucleotide repeat expansion.
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    Premisecitation

    c9orf72 knockout animals exhibit a shortened lifespan, but no specific neuronal defects have been identified in these mice.

    “While c9orf72 knockout animals exhibit a shortened lifespan [184,185,187], no specific neuronal defects have been identified in these mice.”
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    Premisecitation

    The C9orf72 protein belongs to the DENN family and binds the GTPases RAB7 and RAB11, which are involved in endosome maturation and recycling.

    “The C9orf72 protein belongs to the DENN (differentially expressed in normal and neoplastic cells) family [143,144] and binds the GTPases RAB7 and RAB11, which are involved in endosome maturation and recycling [145].”
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    Premisecitation

    TBK1 is expressed in all tissues, but at much higher levels in neurons of the hippocampus, cortex and lateral ventricle, with moderate levels in glial cells of the cortex and cerebellum.

    “TBK1 is expressed in all tissues, but at much higher levels in neurons of the hippocampus, cortex and lateral ventricle. Moderate levels of the protein have been detected in the glial cells of the cortex and cerebellum [193].”
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    Interpretationcitation

    Deletion of the zebrafish and C. elegans homologs of C9orf72 results in impaired locomotion and motor axon degeneration, implying that the C9orf72 protein is essential for motor neuron function and survival in these systems.

    “Deletion of the zebrafish and C. elegans homologs of C9orf72 results in impaired locomotion and motor axon degeneration [182,183], implying that the C9orf72 protein is essential for motor neuron function and survival in these systems.”
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    Interpretationreasoning

    C9orf72 assists in the formation of nascent autophagosomes, consistent with impaired autophagy observed in murine cortical neurons and human iPSC-derived neurons upon C9orf72 knockdown.

    “Together, these findings suggest that C9orf72 assists in the formation of nascent autophagosomes, consistent with the finding of impaired autophagy in murine cortical neurons [148] and human iPSC-derived neurons [154] upon C9orf72 knockdown.”
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    Premisecitation

    C9orf72 expansion mutations are associated with ALS/FTLD and also with symptoms reminiscent of Parkinson disease, Alzheimer disease, Huntington disease, and corticobasal syndrome.

    “For instance, C9orf72 expansion mutations are associated not only with ALS/FTLD, but also with symptoms reminiscent of Parkinson disease, Alzheimer disease, Huntington disease, and corticobasal syndrome, reinforcing the imperfect connection between clinical and molecular phenotypes and emphasizing the need for molecular diagnostics [155–164].”
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    Premisecitation

    C9orf72 forms a complex with SMCR8 and WDR41, which targets the complex to lysosomes and interacts with RB1CC1-ULK1-ATG13-ATG101 to regulate autophagosome formation.

    “C9orf72 also forms a complex with SMCR8, a guanine nucleotide exchange factor, and WDR41, a WD40 protein essential for targeting the C9orf72-SMCR8-WDR41 complex to lysosomes [146–150]. Here, this complex interacts with RB1CC1-ULK1-ATG13-ATG101, which together are involved in autophagosome formation [149].”
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    Premisecitation

    C9orf72 mutations are associated with reduced basal autophagy and enhanced sensitivity to autophagy inhibitors in human iPSC-derived neurons.

    “C9orf72 mutations are associated with reduced basal autophagy and enhanced sensitivity to autophagy inhibitors in human iPSC-derived neurons [153,178].”
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    Interpretationcitation

    DPR inclusions rarely co-label with TARDBP pathological inclusions and are mainly found in areas of the CNS that are not pathologically affected, arguing against a direct role for DPRs in neurodegeneration.

    “On the other hand, DPR inclusions rarely co-label with TARDBP pathological inclusions and are mainly found in areas of the CNS that are not pathologically affected [171,174–177], arguing against a direct role for DPRs in neurodegeneration.”
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    • cites [174] Davidson Y, 2016, Neuropathol Appl Neurobiol source

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    • cites [175] source

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    • cites [176] Gomez-Deza J, 2015, Acta Neuropathol Commun source

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    • cites [177] source

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  • May combine two claims.

    Premisecitation

    Neurons derived from iPSCs carrying the C9orf72 repeat expansion recapitulate key features of cellular pathology associated with ALS, including hyperexcitability and decreased viability upon exposure to excitotoxic agents such as glutamate.

    “Further, neurons derived from iPSCs carrying the C9orf72 repeat expansion recapitulate key features of cellular pathology associated with ALS, including hyperexcitability [154,188,189] and decreased viability upon exposure to excitotoxic agents such as glutamate [154,190,191].”
    Quote in the paperNot a substantial claim0 of 5 sources checked
    • cites [154] source

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    • cites [188] Devlin AC, 2015, Nat Commun source

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    • cites [189] source

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    • cites [190] source

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    • cites [191] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    VCP/p97/Cdc48 is involved in DNA replication and repair, cell cycle regulation, and protein clearance.

    “VCP/p97/Cdc48 (valosin containing protein) is involved in a wide range of essential cellular processes, including DNA replication and repair, cell cycle regulation, and protein clearance [238,239].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [238] source

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    • cites [239] source

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  • May combine two claims.

    Premisecitation

    In vitro, silencing of TBK1 or ALS-related TBK1 variants reduces the recruitment of OPTN and LC3B to damaged mitochondria, thereby impairing mitophagy and resulting in the accumulation of defective mitochondria.

    “In vitro, silencing of TBK1 or ALS-related TBK1 variants reduces the recruitment of OPTN and LC3B to damaged mitochondria [212,213], thereby impairing mitophagy and resulting in the accumulation of defective mitochondria (Figure 1).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [212] source

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    • cites [213] source

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  • May combine two claims.

    Premisecitation

    TBK1 phosphorylates SMCR8, which forms a complex with C9orf72 and WDR41, thereby enhancing autophagy initiation.

    “TBK1 also phosphorylates SMCR8, which forms a complex with C9orf72 and WDR41, thereby enhancing autophagy initiation [148].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [148] source

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  • May combine two claims.

    Interpretationcitation

    In neurons, TBK1 knockdown enhances the accumulation of SQSTM1, which can be rescued by phosphomimetic SMCR8 mutations, suggesting that SMCR8 phosphorylation is crucial for TBK1's effects on autophagy.

    “In neurons, TBK1 knockdown enhances the accumulation of SQSTM1, which can be rescued by phosphomimetic SMCR8 mutations [148], suggesting that SMCR8 phosphorylation is crucial for TBK1’s effects on autophagy.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [148] source

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  • May combine two claims.

    Premisecitation

    Genetic loss of ATG5 exacerbates mutant FUS impairment of stress granule clearance, enhancing stress granule accumulation and leading to cell death.

    “this effect is exacerbated by genetic loss of ATG5, enhancing stress granule accumulation and, ultimately, leading to cell death [235].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [235] source

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  • May combine two claims.

    Interpretationreasoning

    TBK1 loss of function also prolongs the disease course by reducing neuroinflammation, suggesting that the dual functions of TBK1 in autophagy and inflammation independently and inversely impact ALS pathogenesis.

    “Unexpectedly, however, TBK1 loss of function also prolongs the disease course by reducing neuroinflammation, suggesting that the dual functions of TBK1 in autophagy and inflammation independently and inversely impact ALS pathogenesis.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Rapamycin-mediated activation of autophagy ameliorates mutant FUS-induced stress granule accumulation and cell death.

    “Conversely, rapamycin-mediated activation of autophagy ameliorates these features, suggesting that FUS-positive inclusions are autophagy substrates [235].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [235] source

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  • May combine two claims.

    Interpretationcitation

    Neuropathological analysis of CNS tissue from ALS patients with TBK1 mutations shows SQSTM1- and TARDBP-positive inclusions in motor neurons and glia, along with reduced TBK1 mRNA and protein, suggesting haploinsufficiency mechanisms.

    “Neuropathological analysis of CNS tissue from ALS patients with TBK1 mutations shows SQSTM1- and TARDBP-positive inclusions in motor neurons and glia [206,210,211], along with reduced TBK1 mRNA and protein, suggesting haploinsufficiency mechanisms [205,206].”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [206] source

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    • cites [210] source

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    • cites [211] source

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    • cites [205] source

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  • May combine two claims.

    Premisecitation

    The majority of disease-associated FUS mutations affect the C-terminal nuclear localization signal, resulting in cytosolic mislocalization and aggregation of mutant FUS.

    “The majority of disease-associated FUS mutations affect the C-terminal nuclear localization signal, resulting in cytosolic mislocalization and aggregation of mutant FUS [232–234].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [232] Dormann D, 2012, Embo J source

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    • cites [233] source

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    • cites [234] source

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  • May combine two claims.

    Premisecitation

    Tbk1 haploinsufficiency impairs motor neuron autophagy and accelerates clinical phenotypes as well as the accumulation of mutant SOD1 in transgenic ALS mouse models.

    “Tbk1 haploinsufficiency impairs motor neuron autophagy and accelerates clinical phenotypes as well as the accumulation of mutant SOD1 in transgenic ALS mouse models [214,215].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [214] source

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    • cites [215] source

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  • May combine two claims.

    Premisecitation

    UBQLN2 modulates MTORC1 activity, lysosomal acidification, and autophagosome maturation.

    “UBQLN2 modulates MTORC1 activity, lysosomal acidification, and, in turn, autophagosome maturation [229–231].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [229] source

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    • cites [230] source

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    • cites [231] Yang W, 2020, S NPJ Parkinsons Dis source

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  • May combine two claims.

    Premisecitation

    Overexpression of ALS-linked UBQLN2 mutants triggers intracellular inclusions and motor defects in vitro and in vivo.

    “while also triggering intracellular inclusions [226,227] and motor defects in vitro and in vivo [226].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [226] source

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    • cites [227] source

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  • May combine two claims.

    Premisecitation

    UBQLN2 is an adaptor protein that binds polyubiquitinated substrates via a C-terminal UBA domain and directs them to the UPS for degradation through an N-terminal UBL domain.

    “UBQLN2 (ubiquilin 2) is an adaptor protein that binds polyubiquitinated substrates via a C-terminal ubiquitin-associated (UBA) domain, and directs them to the UPS for degradation through an N-terminal ubiquitin-like (UBL) domain [218].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [218] Walters KJ, 2004, Biochim Biophys Acta source

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  • May combine two claims.

    Premisecitation

    In rats, overexpression of ALS mutant UBQLN2 leads to motor neuron loss and accumulation of autophagy substrates such as SQSTM1 and LC3-II.

    “In rats, overexpression of ALS mutant UBQLN2 leads to motor neuron loss and accumulation of autophagy substrates such as SQSTM1 and LC3-II [228].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [228] source

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  • May combine two claims.

    Premisecitation

    OPTN regulates vesicular trafficking, maintenance of the Golgi, NFKB/NF-κB signaling, and immune response.

    “OPTN has emerged as a key player in the regulation of various cellular mechanisms, including vesicular trafficking, maintenance of the Golgi, NFKB/NF-κB signaling and immune response [253].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [253] source

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  • May combine two claims.

    Premisecitation

    Transgenic mice expressing mutant CHMP2B develop progressive neurological defects, axonal pathology, early mortality, and neuronal loss reminiscent of FTD.

    “Transgenic mice expressing mutant CHMP2B develop progressive neurological defects, axonal pathology, early mortality and neuronal loss reminiscent of FTD [270,271].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [270] Clayton EL, 2017, Hum Mol Genet

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    • cites [271] source

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  • May combine two claims.

    Premisecitation

    Overexpression of CHMP2B mutants leads to the formation of large cytoplasmic vacuoles and increased LC3-II protein levels.

    “overexpression of CHMP2B mutants leads to the formation of large cytoplasmic vacuoles and increased LC3-II protein levels [266]”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [266] Cox LE, 2010, PLoS One source

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  • May combine two claims.

    Premisecitation

    These mice also develop lysosomal storage pathology characterized by large neuronal aggregates derived from the endosomal system, and early microglial proliferation leading to a pro-inflammatory phenotype at later stages.

    “These mice also develop lysosomal storage pathology characterized by large neuronal aggregates derived from the endosomal system [272], and early microglial proliferation leading to a pro-inflammatory phenotype at later stages [270].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [272] source

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    • cites [270] Clayton EL, 2017, Hum Mol Genet

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  • May combine two claims.

    Premisecitation

    In IBMPFD murine muscle lysates, VCP mutations disrupt autophagosome maturation and fusion with lysosomes, but not the formation of early autophagosome precursors.

    “In IBMPFD murine muscle lysates, VCP mutations disrupt autophagosome maturation and fusion with lysosomes, but not the formation of early autophagosome precursors [246,249].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [246] source

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    • cites [249] source

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  • May combine two claims.

    Premisecitation

    Motor neurons from CHMP2B mutant ALS patients show increased calcium concentrations, reduced ATP availability, downregulation of the MAPK/p38 signaling pathway, and impaired autophagy initiation.

    “Motor neurons from CHMP2B mutant ALS patients show increased calcium concentrations, reduced ATP availability, downregulation of the MAPK/p38 signaling pathway and impaired autophagy initiation [266].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [266] Cox LE, 2010, PLoS One source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Genetic analyses have uncovered more than 20 OPTN mutations in ALS patient cohorts, accounting for approximately 3% of familial disease and approximately 1% of sporadic disease.

    “Genetic analyses have uncovered >20 OPTN mutations in ALS patient cohorts, accounting for ~3% of familial disease and ~1% of sporadic disease [258].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [258] source

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  • May combine two claims.

    Premisecitation

    ESCRT-III is one of the four multiprotein complexes required for multivesicular body formation and is responsible for membrane deformation that enables autophagosome initiation and endolysosomal trafficking.

    “ESCRT-III is one of the four multiprotein complexes required for multivesicular body formation, and is responsible for the membrane deformation that enables autophagosome initiation and endolysosomal trafficking [263].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [263] source

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  • May combine two claims.

    Premisecitation

    Motor neurons and astrocytes derived from iPSCs carrying pathogenic VCP mutations demonstrate cytoplasmic TARDBP accumulation, ER stress, mitochondrial dysfunction, and oxidative stress, ultimately leading to cell death.

    “Motor neurons and astrocytes derived from iPSCs carrying pathogenic VCP mutations demonstrate cytoplasmic TARDBP accumulation, endoplasmic reticulum (ER) stress, mitochondrial dysfunction, and oxidative stress, ultimately leading to cell death [252].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [252] Hall CE, 2017, Cell Rep source

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  • May combine two claims.

    Premisecitation

    SQSTM1-positive inclusions are also ubiquitin-positive, consistent with a disruption in the UPS.

    “SQSTM1-positive inclusions are also ubiquitin-positive, consistent with a disruption in the UPS [118].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [118] source

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  • May combine two claims.

    Premisecitation

    Although TARDBP is typically absent from neuronal inclusions in CHMP2B-associated disease, SQSTM1-positive oligodendroglial inclusions are found in the motor cortex of ALS patients with CHMP2B mutations.

    “Although TARDBP is typically absent from neuronal inclusions found in CHMP2B-associated disease, SQSTM1-positive oligodendroglial inclusions are found in the motor cortex of ALS patients with CHMP2B mutations [267].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [267] source

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  • May combine two claims.

    Premisecitation

    Upon mitochondrial damage, OPTN translocates to the surface of mitochondria, an interaction stabilized via TBK1-mediated phosphorylation, facilitating engulfment of mitochondria into phagophores.

    “Upon mitochondrial damage, OPTN translocates to the surface of mitochondria, an interaction that is stabilized via TBK1-mediated phosphorylation, facilitating the engulfment of mitochondria into phagophores [256].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [256] source

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  • May combine two claims.

    Premisecitation

    OPTN is an autophagy receptor that binds ubiquitinated cargo via its UBAN domain and LC3 via its LIR domain, although it can also act independently of target ubiquitination.

    “OPTN is an autophagy receptor that binds ubiquitinated cargo (via its UBAN domain) and LC3 (via its LIR domain) [194,254,255], although it can also act independently of target ubiquitination [254].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [194] source

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    • cites [254] source

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    • cites [255] source

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  • May combine two claims.

    Premisecitation

    The majority of pathogenic OPTN mutations are located in its UBAN domain and may impair ubiquitin binding.

    “the majority of pathogenic OPTN mutations are located in its UBAN domain and may impair ubiquitin binding [259]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [259] source

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  • May combine two claims.

    Premisecitation

    CHMP2B downregulation or expression of disease-associated CHMP2B mutants in Drosophila and mammalian cell lines results in aberrant endosomal structures, impaired autophagosome maturation, and cytosolic TARDBP aggregates.

    “CHMP2B downregulation or expression of disease-associated CHMP2B mutants in Drosophila and mammalian cell lines results in aberrant endosomal structures, impaired autophagosome maturation, and cytosolic TARDBP aggregates [264,265,268,269].”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [264] source

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    • cites [265] Van Der Zee J, 2008, Hum Mol Genet source

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    • cites [268] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    VCP mutations are responsible for approximately 1-2% of familial ALS cases.

    “but are also responsible for ~1-2% of familial ALS cases [241–243].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [241] source

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    • cites [242] Koppers M, 2013, Neurobiol Aging source

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    • cites [243] source

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  • May combine two claims.

    Interpretationreasoning

    There is a conserved pattern of autophagy dysfunction in association with VCP mutations, implying a crucial role for VCP in autophagy and the maintenance of protein homeostasis.

    “Together, these observations suggest a conserved pattern of autophagy dysfunction in association with VCP mutations, implying a crucial role for VCP in autophagy and the maintenance of protein homeostasis.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Mutations in TARDBP are the third most common cause of familial autosomal dominant ALS and account for rare cases of sporadic ALS.

    “Mutations in TARDBP, which encodes the transactive response DNA binding protein 43 kDa (TDP-43), are the third most common cause of familial autosomal dominant ALS and account for rare cases of sporadic ALS [290–293].”
    Quote in the paperNot a substantial claim0 of 4 sources checked
    • cites [290] source

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    • cites [291] source

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    • cites [292] source

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    • cites [293] source

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  • May combine two claims.

    Interpretationreasoning

    Correcting autophagy dysregulation or promoting the autophagic degradation of TARDBP may be of therapeutic benefit in ALS.

    “suggest that correcting autophagy dysregulation or promoting the autophagic degradation of TARDBP may be of therapeutic benefit in ALS.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Antagonizing the unfolded protein response through deletion of XBP1 triggers autophagy and the clearance of SOD1 inclusions, delaying disease onset and improving survival.

    “antagonizing the unfolded protein response (UPR) through deletion of XBP1 [335] triggers autophagy and the clearance of SOD1 inclusions, in the process delaying disease onset and improving survival.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [335] source

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  • May combine two claims.

    Premisecitation

    Overexpression of TFEB enhances LC3 expression and prevents cytotoxicity in SOD1G93A-expressing NSC-34 cells.

    “overexpression of TFEB enhances LC3 expression and prevents cytotoxicity in SOD1G93A-expressing NSC-34 cells [362].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [362] Chen Y, 2015, Am J Transl Res

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  • May combine two claims.

    Premisecitation

    Inducing autophagy using benzoxazine compounds including 10-NCP enhances TARDBPM337V degradation and extends survival in rodent and human neurons.

    “inducing autophagy using novel compounds belonging to the benzoxazine class of molecules, including 10-NCP, enhance TARDBPM337V degradation and extend survival in rodent and human neurons [357].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [357] source

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  • May combine two claims.

    Premisecitation

    Ibudilast induces autophagy by promoting TFEB activity, which enhances clearance of TARDBP aggregates and reduces cytotoxicity.

    “the phosphodiesterase inhibitor ibudilast induces autophagy by promoting TFEB activity, which enhances clearance of TARDBP aggregates and reduces cytotoxicity [360].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [360] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Mutations in SOD1 represent the second most common cause of familial ALS in Europeans and the most common cause in those of Asian descent.

    “Mutations in the SOD1 gene, which encode the free radical/reactive oxygen species scavenger superoxide dismutase 1 [294,295], represent the second most common cause of familial ALS in Europeans and the most common cause in those of Asian descent [296].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [296] source

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  • May combine two claims.

    Premisecitation

    Embryonic stem cell-derived motor neurons expressing TARDBPN390D show increased levels of the autophagy suppressor BCL2 and reduced autophagic activity.

    “embryonic stem cell-derived motor neurons expressing TARDBPN390D show increased levels of the autophagy suppressor, BCL2, and reduced autophagic activity [300].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [300] Huang SL, 2020, Acta Neuropathol Commun source

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  • May combine two claims.

    Interpretationcitation

    HSP90AA1 and CDC37 are key suppressors of autophagy and may accentuate TARDBP-related toxicity in ALS.

    “suggesting that these chaperones are key suppressors of autophagy and may accentuate TARDBP-related toxicity in ALS [354].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [354] source

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  • May combine two claims.

    Premisecitation

    TARDBP downregulation promotes TFEB nuclear localization and TFEB target gene expression, but also reduces DCTN1 expression, thereby blocking autolysosome formation and impairing autophagic flux.

    “TARDBP downregulation promotes TFEB nuclear localization and TFEB target gene expression, but it also reduces DCTN1 (dynactin subunit 1) expression, thereby blocking autolysosome formation and impairing autophagic flux [350].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [350] source

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  • May combine two claims.

    Premisecitation

    Conditional deletion of Atg7 in mouse motor neurons accentuates early ALS pathology but mitigates glial inflammation and early death.

    “conditional deletion of Atg7 in mouse motor neurons accentuates early ALS pathology but mitigates glial inflammation and early death [336].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [336] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Autophagy helps eliminate synapses during development.

    “autophagy helps eliminate synapses during development [377,378]”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [377] source

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    • cites [378] source

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  • May combine two claims.

    Premisecitation

    Newly-formed autophagosomes in neuronal processes undergo retrograde transport to the soma and proximal segments of neurites to fuse with somatodendritic lysosomes for cargo degradation, with maturation and acidification of the autophagosomal lumen developing en passant.

    “Newly-formed autophagosomes in neuronal processes undergo retrograde transport to the soma and proximal segments of neurites to fuse with somatodendritic lysosomes for cargo degradation, with maturation and acidification of the autophagosomal lumen developing en passant [370,372,374].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [370] source

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    • cites [372] source

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    • cites [374] source

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  • May combine two claims.

    Premisecitation

    Baseline autophagy in neurons constitutively operates at a highly processive level, such that maturing autophagosomes are rapidly incorporated into autolysosomes, which represent the majority of the autophagic vesicle population after autophagy induction or flux inhibition.

    “Baseline autophagy in neurons constitutively operates at a highly processive level, such that maturing autophagosomes are rapidly incorporated into autolysosomes, which represent the majority of the autophagic vesicle population after autophagy induction or flux inhibition [379].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [379] source

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  • May combine two claims.

    Premisecitation

    Axonal autophagy is dependent on specialized enzymatic apparatuses, including the PINK1-PRKN complex for localized mitophagy, KIF1A/UNC-104 for autophagosome formation at the synapse, and the HTT-HAP1 complex and MAPK8IP1/JIP1 for retrograde transport of autophagosomes.

    “Axonal autophagy is dependent on specialized enzymatic apparatuses, including the PINK1-PRKN complex for localized mitophagy [24], KIF1A/UNC-104 for autophagosome formation at the synapse [22,25], and the HTT-HAP1 complex and MAPK8IP1/JIP1 for retrograde transport of autophagosomes [23,26].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [24] source

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    • cites [22] source

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    • cites [25] source

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  • May combine two claims.

    Premisecitation

    Basal autophagy in neurons is essential for maintaining long-term neuronal health, since disruption of baseline autophagic activity in vivo causes neurodegeneration and the accumulation of inclusions containing polyubiquitinated proteins.

    “Basal autophagy in neurons is essential for maintaining long-term neuronal health, since disruption of baseline autophagic activity in vivo causes neurodegeneration and the accumulation of inclusions containing polyubiquitinated proteins [380,381].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [380] source

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    • cites [381] source

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  • May combine two claims.

    Premisecitation

    OPTN mutations produce microglial activation and glaucoma.

    “OPTN mutations produce microglial activation and glaucoma [288]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [288] source

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  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    The interplay between autophagy and TARDBP or SOD1 mutations is complex and influences ALS pathogenesis within and between different cell types of the nervous system.

    “The interplay between autophagy and TARDBP or SOD1 mutations is complex and influences ALS pathogenesis within and between different cell types of the nervous system.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Selective MTORC1 inhibition via everolimus or modulation of MTOR- and AKT-independent pathways with 10-NCP are more successful in neurons.

    “Alternative methods have proven more successful in neurons, however, including selective MTORC1 inhibition via everolimus [385–387], or modulation of MTOR- and AKT-independent pathways with 10-NCP, an N10-substituted derivative of the heterocyclic dye compound and antipsychotic analog phenoxazine [384].”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [385] source

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    • cites [386] Fox JH, 2010, Mol Neurodegener source

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    • cites [387] source

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    • cites [384] source

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  • May combine two claims.

    Premisecitation

    With increasing age, basal autophagy and the capacity for efficient autophagosome maturation progressively deteriorate in neurons, leading to accumulation of malformed and immature autophagic vesicles, implying reduced proteostatic reserve over time.

    “With increasing age, basal autophagy and the capacity for efficient autophagosome maturation progressively deteriorate in neurons, leading to accumulation of malformed and immature autophagic vesicles, implying reduced proteostatic reserve over time [382].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [382] source

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  • May combine two claims.

    Premisecitation

    Rapamycin and related MTOR inhibitors, as well as AKT inhibitors, are ineffective inducers of neuronal autophagy.

    “rapamycin and related MTOR inhibitors, as well as AKT inhibitors, are ineffective inducers of neuronal autophagy [338,384].”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [338] source

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    • cites [384] source

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  • May combine two claims.

    Premisecitation

    C9orf72 deficiency leads to lymphocytic inflammation, lymphadenopathy, and splenomegaly.

    “C9orf72 deficiency leads to lymphocytic inflammation, lymphadenopathy, and splenomegaly [149]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [149] source

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  • May combine two claims.

    Premisecitation

    In the setting of the SOD1G93A mutation, loss of TBK1 or pathogenic TBK1 mutations accentuate several pathologic features of ALS (disease onset, muscle denervation) while ameliorating others (inflammation, early death).

    “in the setting of the SOD1G93A mutation, loss of TBK1 or pathogenic TBK1 mutations accentuate several pathologic features of ALS (disease onset, muscle denervation) while ameliorating others (inflammation, early death) [214].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [214] source

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  • May combine two claims.

    Premisecitation

    Mitochondrial compromise and ATP synthase inhibition with oligomycin A stimulate autophagy to a greater extent in astrocytes than in neurons, although both cell types activate autophagy to similar extents in the face of ischemia.

    “Mitochondrial compromise and ATP synthase inhibition with oligomycin A stimulate autophagy to a greater extent in astrocytes than in neurons, although both cell types activate autophagy to similar extents in the face of ischemia [400].”
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    • cites [400] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Activation of microglia through genetic, infectious, inflammatory, or physical stimuli leads to stereotypical changes in their morphology, accompanied by proliferation, migration, and the release of proinflammatory cytokines and chemokines.

    “Activation of microglia through genetic, infectious, inflammatory, or physical stimuli, leads to stereotypical changes in their morphology, accompanied by proliferation, migration, and the release of proinflammatory cytokines and chemokines [417–419].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [417] source

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    • cites [418] source

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    • cites [419] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Microglia are macrophage-like cells that comprise 10-15% of the CNS and mediate diverse functions ranging from innate immunity and phagocytosis to synaptic pruning and the regulation of synaptic activity.

    “Microglia are macrophage-like cells that comprise 10–15% of the CNS, and mediate diverse functions ranging from innate immunity and phagocytosis to synaptic pruning and the regulation of synaptic activity [416,417].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [416] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Autophagy and phagocytosis share key morphological and mechanistic features.

    “Autophagy and phagocytosis share key morphological and mechanistic features [428].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [428] source

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  • May combine two claims.

    Interpretationcitation

    Differences in autophagy between neurons and astrocytes may be due to enhanced phosphorylation of astrocytic SPHK1/SK1 with starvation, whereas benzoxazines activate neuronal but not astrocytic SPHK1 to induce autophagy.

    “These differences in autophagy may be due to enhanced phosphorylation of astrocytic SPHK1/SK1 (sphingosine kinase 1) with starvation, whereas benzoxazines activate neuronal (but not astrocytic) SPHK1 to induce autophagy [11].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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  • May combine two claims.

    Premisecitation

    In reactive gliosis, intact mitochondrial health is essential and is maintained through autophagy, such that astrocyte-specific deletion of Atg7 perturbs the balance of mitochondrial dynamics to favor fission over fusion and thereby reduces oxidative capacity.

    “In reactive gliosis, a process unique to astrocytes, intact mitochondrial health is essential and is maintained through autophagy, such that astrocyte-specific deletion of Atg7 perturbs the balance of mitochondrial dynamics to favor fission over fusion and thereby reduces oxidative capacity [401].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Both autophagy and phagocytosis rely on vesicular structures to deliver contents to lysosomes for degradation.

    “For instance, both pathways rely on vesicular structures to deliver contents to lysosomes for degradation.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [428] source

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    Premisecitation

    Autophagy is responsible for degrading HTT in astrocytes and promotes glutamate transporter expression in these cells.

    “not only is autophagy responsible for degrading HTT in astrocytes, but it also promotes glutamate transporter expression in these cells [413]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [413] source

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  • May combine two claims.

    Interpretationreasoning

    Astrocytes are both necessary and sufficient for neurodegeneration in this ALS model.

    “implying that astrocytes are both necessary and sufficient for neurodegeneration in this ALS model.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [414] source

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    • cites [181] Madill M, 2017, Mol Brain source

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    • cites [415] source

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  • May combine two claims.

    Premisecitation

    Benzoxazines are sufficient to reduce TARDBPM337V-associated toxicity in iPSC-derived astrocytes, presumably through autophagy upregulation.

    “these compounds are sufficient to reduce TARDBPM337V-associated toxicity in iPSC-derived astrocytes [357], presumably through autophagy upregulation.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
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  • May combine two claims.

    Premisecitation

    In transgenic mice overexpressing mutant SOD1 associated with ALS, astrocytes display more SOD1-positive inclusions than do neurons, and at an earlier stage.

    “In transgenic mice overexpressing mutant SOD1 associated with ALS, astrocytes display more SOD1-positive inclusions than do neurons, and at an earlier stage [414].”
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    Premisecitation

    Conditional oligodendrocyte-specific deletion of Atg5 in mice leads to incomplete differentiation, reduced myelination, abnormal myelin compaction, oligodendrocytic death, and shortened life span.

    “Conditional oligodendrocyte-specific deletion of Atg5 in mice leads to incomplete differentiation, reduced myelination, abnormal myelin compaction, oligodendrocytic death, and shortened life span [444].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [444] Bankston AN, 2019, Glia source

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  • May combine two claims.

    Premisecitation

    C9orf72-deficient mice display lysosomal accumulation and a hyperactive immune response characterized by enhanced production of IL1B and IL6.

    “C9orf72-deficient mice display lysosomal accumulation and a hyperactive immune response characterized by enhanced production of IL1B and IL6 [184,185,187,439],”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [184] Atanasio A, 2016, Sci Rep source

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    • cites [185] source

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    • cites [187] Sudria-Lopez E, 2016, Acta Neuropathol source

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    • cites [439] source

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  • May combine two claims.

    Premisecitation

    During OPC differentiation, autophagy becomes most active in distal OPC processes, and autophagosomes are trafficked proximally to the soma in a manner similar to neurons.

    “During oligodendroglial precursor (OPC) differentiation, autophagy becomes most active in distal OPC processes, and autophagosomes are trafficked proximally to the soma in a manner similar to neurons [444].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [444] Bankston AN, 2019, Glia source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Autophagy activation enhances oligodendrocyte survival and promotes myelination in a rat model of demyelinating disease.

    “Consistent with these findings, autophagy activation enhances oligodendrocyte survival and promotes myelination in a rat model of demyelinating disease [448].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [448] source

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  • May combine two claims.

    Interpretationreasoning

    These findings reinforce the convergence between inflammation and autophagy in microglia and their importance for ALS pathogenesis.

    “Collectively, these findings reinforce the convergence between inflammation and autophagy in microglia, and their importance for ALS pathogenesis.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Conditional Atg7 deletion in mouse Schwann cells leads to cytoplasmic swelling, ribosomal accumulation, dysmorphic ER, and dysmyelination.

    “and conditional Atg7 deletion in mouse Schwann cells leads to cytoplasmic swelling, ribosomal accumulation, dysmorphic ER, and dysmyelination [459].”
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    • cites [459] source

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  • May combine two claims.

    Premisecitation

    Rapamycin fails to enhance recovery after spinal cord contusion in mice despite effective stimulation of autophagy in oligodendrocytes.

    “but rapamycin fails to enhance recovery [449] despite effective stimulation of autophagy in these cells [449–451].”
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    • cites [449] source

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    • cites [450] source

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    • cites [451] Riedel M, 2010, PLoS One source

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  • May combine two claims.

    Premisecitation

    Suppression of autophagy with NTF3 disinhibits oligodendrocyte proliferation and promotes motor recovery in a separate model of spinal cord contusion.

    “Paradoxically, suppression of autophagy with NTF3 (neurotrophin 3) disinhibits oligodendrocyte proliferation and promotes motor recovery in a separate model of spinal cord contusion [452].”
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  • May combine two claims.

    Premisecitation

    Oligodendrocyte autophagy, OPC differentiation, and myelination during development are all regulated by MTOR.

    “In addition, oligodendrocyte autophagy, OPC differentiation, and myelination during development are all regulated by MTOR [445–447].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [445] source

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    • cites [446] source

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    • cites [447] Tyler WA, 2009, J Neurosci source

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  • May combine two claims.

    Premisecitation

    Schwann cell-specific PTEN deletion or EGFR overexpression attenuate peripheral nerve autophagy and lead to disorganization of the nascent neuromuscular junction.

    “Additional non-cell autonomous effects are observed with Schwann cell-specific PTEN deletion or EGFR overexpression, which attenuate peripheral nerve autophagy and lead to disorganization of the nascent neuromuscular junction [461].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [461] Zhang SJ, 2019, Biochem Biophys Res Commun source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Centronuclear myopathy is caused by mutations in the genes encoding MTM1 or MTMR14/Jumpy.

    “For instance, centronuclear myopathy is caused by mutations in the genes encoding MTM1 (myotubularin1) or MTMR14/Jumpy (myotubularin related protein 14) [17,20].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [17] source

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    • cites [20] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The positive effect of exercise on autophagy was first noted in 1984, with the observation of autophagosome accumulation after exercise in rat skeletal muscle.

    “The positive effect of exercise on autophagy was first noted in 1984, with the observation of autophagosome accumulation after exercise in rat skeletal muscle [482].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [482] source

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  • May combine two claims.

    Premisecitation

    Neurogenic atrophy can be partially mitigated by adrenergic stimulation, which activates autophagy through Atg7 and counteracts denervation-induced inhibition of autophagic flux.

    “neurogenic atrophy can be partially mitigated by adrenergic stimulation, which activates autophagy through Atg7 and counteracts denervation-induced inhibition of autophagic flux [474].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [474] source

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  • May combine two claims.

    Premisecitation

    Starvation-related atrophy is associated with upregulated autophagy, which is controlled by FOXO3 and is independent of MTOR activity.

    “Starvation-related atrophy is also associated with upregulated autophagy, which in turn is controlled by the transcription factor FOXO3 and is independent of MTOR activity [473].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [473] source

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  • May combine two claims.

    Premisecitation

    Stimulating Schwann cell autophagy with rapamycin promotes myelination and improves peripheral nerve regeneration.

    “Conversely, stimulating Schwann cell autophagy with rapamycin promotes myelination and improves peripheral nerve regeneration [465,466].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [465] source

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    • cites [466] source

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  • May combine two claims.

    Interpretationreasoning

    Autophagy is required for muscle maintenance and homeostasis, but there is a limit or threshold beyond which autophagy stimulation may exacerbate fiber atrophy.

    “The discrepancies suggested by these paradoxical findings may indicate that autophagy is required for muscle maintenance and homeostasis, but there is a limit or threshold beyond which autophagy stimulation may exacerbate fiber atrophy.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Conditional deletion of Pik3c3 in murine Schwann cells results in hypomyelination and non-cell autonomous disruption of neuronal autophagic flux and dysregulated neuronal trafficking of ERBB2 or ERBB3 receptor tyrosine kinases.

    “Furthermore, conditional deletion of Pik3c3 in murine Schwann cells not only results in hypomyelination, but also in non-cell autonomous disruption of neuronal autophagic flux and dysregulated neuronal trafficking of ERBB2 or ERBB3 receptor tyrosine kinases [460].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [460] source

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  • May combine two claims.

    Premisecitation

    In ALS, skeletal muscle-specific expression of SOD1G93A is associated with atrophy and elevated autophagy.

    “In ALS, skeletal muscle-specific expression of SOD1G93A is associated with atrophy and elevated autophagy [479],”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [479] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Similar effects have been seen in humans and mice after strenuous exercise, interpreted as a response to exercise-related muscle breakdown.

    “Similar effects have been seen in humans and mice after strenuous exercise, interpreted as a response to exercise-related muscle breakdown [482,483].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [482] source

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    • cites [483] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Interpretationreasoning

    Discrepant results may be due to effects of genetic background unique to each disease, resulting in excessive autophagy stimulation in centronuclear myopathy but insufficient autophagy in DMD.

    “These discrepant results may be due to effects of the genetic background unique to each disease, resulting in excessive autophagy stimulation in centronuclear myopathy, but insufficient autophagy in DMD.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Loss-of-function mutations in MTM1 or MTMR14 prevent these enzymes from metabolizing phosphoinositides required for autophagy, thereby disinhibiting autophagy flux and muscle atrophy.

    “These loss-of-function mutations prevent these enzymes from metabolizing phosphoinositides required for autophagy, thereby disinhibiting autophagy flux and muscle atrophy [17,20].”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [17] source

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    • cites [20] source

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  • May combine two claims.

    Premisecitation

    Genetic ablation of RUNX1 disinhibits autophagy and worsens atrophy.

    “Conversely, genetic ablation of RUNX1 disinhibits autophagy and worsens atrophy [472].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [472] source

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  • May combine two claims.

    Premisecitation

    Conditional Atg7 deletion in mouse skeletal muscle leads to atrophy, weakness, and accumulation of unhealthy mitochondria and sarcoplasmic reticulum.

    “and conditional Atg7 deletion in mouse skeletal muscle leads to atrophy, weakness, and accumulation of unhealthy mitochondria and sarcoplasmic reticulum [477].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [477] source

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  • May combine two claims.

    Premisecitation

    Skeletal muscle denervation causes neurogenic atrophy and may activate autophagy.

    “skeletal muscle denervation causes neurogenic atrophy and may activate autophagy;”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [472] source

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  • May combine two claims.

    Premisecitation

    Aged rats show elevated basal mitophagy, higher levels of mitophagy proteins, higher TFEB expression and lysosomal markers than young mice.

    “Aged rats also show elevated basal mitophagy, higher levels of mitophagy proteins, higher TFEB expression and lysosomal markers than young mice;”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [497] source

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  • May combine two claims.

    Premisecitation

    Sarcopenia involves autophagy of muscle structural components, and attenuation of autophagy with PPARGC1A overexpression mitigates sarcopenia.

    “On the other hand, sarcopenia involves autophagy of muscle structural components, and attenuation of autophagy with PPARGC1A overexpression mitigates sarcopenia [495].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [495] source

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  • May combine two claims.

    Interpretationreasoning

    These negative trials, together with lithium's narrow therapeutic index, severely limit the therapeutic utility of lithium for ALS.

    “These negative trials, together with lithium’s narrow therapeutic index, severely limit the therapeutic utility of lithium for ALS (Figure 3).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Use of rapamycin in ALS is complicated by its potential for insufficient induction of neuronal autophagy and its capacity for modulating multiple MTOR-dependent downstream pathways.

    “but the use of rapamycin in ALS is complicated not only by its potential for insufficient induction of neuronal autophagy per se, but also its capacity for modulating multiple MTOR-dependent downstream pathways (Figure 3).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Mouse muscle shows age-related decline in autophagy machinery (LC3, BECN1, and LAMP2), and these deficiencies are partially mitigated by 8 weeks of treadmill exercise.

    “Mouse muscle also shows age-related decline in autophagy machinery (LC3, BECN1, and LAMP2), and these deficiencies are partially mitigated by 8 weeks of treadmill exercise [491].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [491] source

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  • May combine two claims.

    Premisecitation

    Despite early enthusiasm over lithium in patients and mouse models, five subsequent trials showed no clinical benefit in survival or neuromuscular outcomes for ALS patients.

    “Despite early enthusiasm over lithium in patients and mouse models [505,506], five subsequent trials showed no clinical benefit in survival or neuromuscular outcomes for ALS patients [507–511].”
    Quote in the paperSubstantial claim0 of 7 sources checked
    • cites [505] source

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    • cites [506] source

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    • cites [507] source

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    • cites [508] source

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    • cites [509] source

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    • cites [510] source

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    • cites [511] source

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  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Treatment with autophagy modulating drugs runs the risk of incurring intolerable side effects and toxicities, especially when given on a long-term basis.

    “Additionally, treatment with autophagy modulating drugs runs the risk of incurring intolerable side effects and toxicities, especially when given on a long-term basis that may be required to prevent or delay late-onset neurodegenerative diseases.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Skeletal muscle autophagy declines with aging in Drosophila and can be rescued by FOXO overexpression or constitutive activation of EIF4EBP1.

    “On the one hand, skeletal muscle autophagy declines with aging in Drosophila and can be rescued by FOXO overexpression or constitutive activation of EIF4EBP1 [490].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [490] source

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  • May combine two claims.

    Premisecitation

    Neither amino acid starvation-induced autophagy nor amino acid provision-induced RPS6KB phosphorylation is affected by rapamycin, suggesting that MTOR is dispensable for this pathway.

    “Neither event is affected by rapamycin, suggesting that MTOR is dispensable for this pathway [512].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [512] source

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  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    The effectiveness of autophagy inducers must be tested rigorously in model systems that do not depend upon overexpression of disease-associated proteins, since this approach may inappropriately emphasize strategies that reduce non-physiological accumulation of exogenous proteins.

    “Fourth, the effectiveness of these compounds must be tested rigorously in model systems that do not depend upon the overexpression of disease-associated proteins, since this approach may inappropriately emphasize strategies that reduce the non-physiological accumulation of exogenous proteins.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Drawbacks of chronic rapamycin therapy include cytopenias, nephrotoxicity, metabolic syndrome, dermatitis, and pneumonitis.

    “the drawbacks of chronic rapamcyin therapy – including cytopenias, nephrotoxicity, metabolic syndrome, dermatitis, and pneumonitis [502,503] – are well known.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [502] source

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    • cites [503] source

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  • May combine two claims.

    Premisecitation

    Amino acid starvation induces autophagy, whereas amino acid provision results in RPS6KB/p70S6K phosphorylation and autophagy suppression.

    “amino acid starvation induces autophagy, whereas amino acid provision results in RPS6KB/p70S6K phosphorylation and autophagy suppression [512].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [512] source

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  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Rapamycin has been extensively utilized for transplant rejection prophylaxis and graft-versus-host disease, as well as seizure control and reduction of tumors in tuberous sclerosis complex patients.

    “Rapamycin has been extensively utilized for transplant rejection prophylaxis and graft-versus-host disease, as well as seizure control and reduction of tumors in tuberous sclerosis complex patients [499–501].”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [499] Li M, 2019, Orphanet J Rare Dis source

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    • cites [500] source

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    • cites [501] Nguyen LS, 2019, Drug Saf

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  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Lithium has numerous multi-target effects, including depletion of IP3 through IMPase, activating nitric oxide synthase, inhibiting GSK3B, stimulating NMDA receptors and enhancing glutamatergic tone.

    “Similarly, lithium has numerous multi-target effects, including depletion of IP3 through IMPase, activating nitric oxide synthase, inhibiting GSK3B, stimulating NMDA receptors and enhancing glutamatergic tone, among many others (middle).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Lithium has a narrow therapeutic index, potentially explaining its apparent lack of neuroprotective effects in human trials for neurodegenerative disease to date.

    “This results in a narrow therapeutic index for lithium, potentially explaining its apparent lack of neuroprotective effects in human trials for neurodegenerative disease to date.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Autophagy induction is seen with acute bouts of exercise, and this short-term increase appears to require PPARGC1A.

    “Autophagy induction is not only seen with endurance exercise, but also acute bouts of exercise, and this short-term increase in autophagy appears to require PPARGC1A [488].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [488] source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In aged rats, these changes are accompanied by reduced adaptive reserve in response to denervation, with impaired autophagy induction and lower levels of mitophagy compared to young rats.

    “These changes are accompanied by reduced adaptive reserve in response to denervation, with impaired autophagy induction and lower levels of mitophagy compared to young rats [496].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [496] source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In aged rats, muscle tissues display elevated basal levels of proteolysis, higher expression of autophagy proteins and accumulation of unfolded protein response elements.

    “In aged rats, muscle tissues display elevated basal levels of proteolysis, higher expression of autophagy proteins and the accumulation of unfolded protein response elements.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [496] source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    MTOR-independent methods for stimulating autophagy include direct stimulation of AKT and BECN1, activating MAPK8/JNK1 to dissociate BCL2 from BECN1, applying Tat-Beclin 1, SIRT1-associated starvation, and disrupting nonsense-mediated RNA decay.

    “The array of MTOR-independent methods for stimulating autophagy also includes direct stimulation of AKT and BECN1, activating MAPK8/JNK1 to dissociate BCL2 from (and thereby disinhibit) BECN1, applying the synthetic peptide Tat-Beclin 1, SIRT1-associated starvation, and disrupting nonsense-mediated RNA decay [513–517] (Figure 3).”
    Quote in the paperNot a substantial claim0 of 5 sources checked
    • cites [513] source

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    • cites [514] source

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    • cites [515] source

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    • cites [516] source

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    • cites [517] source

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  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Cell and animal models may not faithfully reproduce autophagy regulation in healthy subjects or humans with disease.

    “For instance, cell and animal models may not faithfully reproduce autophagy regulation in healthy subjects or humans with disease.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Aging is associated with a decline in muscle mass (sarcopenia) and mitochondrial function, both of which are associated with dysregulated autophagy.

    “Aging is associated with a decline in muscle mass (termed sarcopenia) and mitochondrial function, both of which are associated with dysregulated autophagy [489].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [489] source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Skeletal muscle from aged rats exhibits lower LC3 expression, suggesting reduced basal autophagy and an overall decreased capacity for autophagy.

    “Supporting this, skeletal muscle from aged rats exhibits lower LC3 expression, suggesting reduced levels of basal autophagy and an overall decreased capacity for autophagy [494].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [494] source

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144 of 144
  • The paper relies on this without support.

    Findings from animal and cell models of ALS (e.g., mouse, zebrafish, iPSC) are relevant to human ALS pathogenesis.

    “These results are consistent with those in animal models, suggesting that the endogenously encoded C9orf72 repeat expansion mutation leads to toxicity by both gain and loss of function mechanisms.”
  • The authors state this as an assumption.

    c9orf72 knockout in mouse models the loss of function attributed to the C9orf72 hexanucleotide repeat expansion.

    “Paradoxically, however, c9orf72 knockout in mouse (which models the loss of function attributed to the hexanucleotide repeat expansion) enhances autophagy by de-repressing MTOR and, in turn, increasing TFEB nuclear translocation [179,180].”
  • The paper relies on this without support.

    Autophagy-based therapies can be effective for ALS and related neurodegenerative diseases.

    “This review thereby provides a framework not only to guide further investigations of neuronal autophagy but also to refine therapeutic strategies for ALS and related neurodegenerative diseases.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • PPARGC1A is described as both suppressing and driving muscle autophagy

    Minor

    Figure 2 labels PPARGC1A a suppressor of muscle autophagy, while the skeletal-muscle section says its overexpression drives autophagy. The figure does not qualify the suppressive effect by context.

1 of 1

Cites

2 retracted

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1 of the 527 references couldn’t be matched to a known paper.

Research works printed but not linked: 10

  1. Laferriere F, 2015, Swiss Med Wkly, 145, w14054
  2. Le Ber I, 2013, JAMA Neurol, 70, 1403
  3. Anor CJ, 2015, Neurobiol Aging, 36
  4. Komine O, 2015, Nagoya J Med Sci, 77, 537
  5. Arenas A, 2020, J Neurochem
  6. Clayton EL, 2017, Hum Mol Genet, 26, 873
  7. Chen Y, 2015, Am J Transl Res, 7, 1574
  8. Miller RH, 1994, Perspect Dev Neurobiol, 2, 225
  9. Kulkarni A, 2019, Autophagy.
  10. Nguyen LS, 2019, Drug Saf, 42, 813

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Authors
Chua, J. P., De Calbiac, H., Kabashi, E., & Barmada, S. J.
Affiliations
  • University of Michigan (US)
  • Recherche translationnelle sur les maladies neurologiques, Institut Imagine, UMR-1163 INSERM et Université Paris Descartes, Hôpital Universitaire Necker-Enfants Malades, Paris, France
  • Hôpital Necker-Enfants Malades (FR)
Corresponding author
Barmada, Sami J.
Venue
Autophagy
Published
2021-05-31
Volume
18
Issue
2
Pages
254-282
ISSN
  • 1554-8627 (ISSN-L)
  • 1554-8635
OpenAlex
W3164735937
Cited by
189
References
527
Citations by year
2026: 34 · 2025: 51 · 2024: 46 · 2023: 34 · 2022: 19 · 2021: 5
FWCI
3.39
Type
journal article
Language
en
Open access
Locations
  • Autophagy (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
National Institute of Neurological Disorders and Stroke (2R25NS089450-06)
Topics
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
Keywords
amyotrophic lateral sclerosis, CHMP2B, dipeptide repeat proteins, PINK1, mTOR, TBK1, TFEB, LC3, VCP, ubiquitin-proteasome system, unfolded protein response, frontotemporal dementia, autophagy-related proteins, therapeutic target
MeSH terms
Proteostasis, Amyotrophic Lateral Sclerosis, Autophagy, Humans, Unfolded Protein Response, Frontotemporal Dementia

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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