Biological and Chemical Approaches to Diseases of Proteostasis Deficiency
Abstract
Many diseases appear to be caused by the misregulation of protein maintenance. Such diseases of protein homeostasis, or "proteostasis," include loss-of-function diseases (cystic fibrosis) and gain-of-toxic-function diseases (Alzheimer's, Parkinson's, and Huntington's disease). Proteostasis is maintained by the proteostasis network, which comprises pathways that control protein synthesis, folding, trafficking, aggregation, disaggregation, and degradation. The decreased ability of the proteostasis network to cope with inherited misfolding-prone proteins, aging, and/or metabolic/environmental stress appears to trigger or exacerbate proteostasis diseases. Herein, we review recent evidence supporting the principle that proteostasis is influenced both by an adjustable proteostasis network capacity and protein folding energetics, which together determine the balance between folding efficiency, misfolding, protein degradation, and aggregation. We review how small molecules can enhance proteostasis by binding to and stabilizing specific proteins (pharmacologic chaperones) or by increasing the proteostasis network capacity (proteostasis regulators). We propose that such therapeutic strategies, including combination therapies, represent a new approach for treating a range of diverse human maladies.
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Protein quality control is regulated by a complex network that monitors protein concentration, subcellular location, and folding, including molecular chaperones, folding enzymes, and degradation pathways.
“Protein quality control is regulated by a complex protein network that monitors the concentration, subcellular location and folding of proteins and includes molecular chaperones and folding enzymes, as well as pathways that drive protein degradation when needed, through the proteasome, lysosome and autophagy pathways69–71.”
From Stem cell aging: mechanisms, regulators and therapeutic opportunities (2014) · cites this paper as [70]
Proteostasis pathways are essential for development and for most cellular functions, including replication, metabolic catalysis, cellular architecture, signaling, and immune responses.
“Proteostasis is essential for development and for most cellular functions, including replication of genetic material, catalysis of metabolic reactions, maintenance of cellular architecture, signaling and immune responses69,70.”
From Stem cell aging: mechanisms, regulators and therapeutic opportunities (2014) · cites this paper as [70]
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Bortezomib in multiple myeloma
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Targeting Proteasomes as Therapy in Multiple Myeloma
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The mTOR Pathway as a Potential Target for the Development of Therapies Against Neurological Disease
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Importance of Metastable States in the Free Energy Landscapes of Polypeptide Chains
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The role of sirtuin proteins in obesity
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Targeting TNF-α with a tetravalent mini-antibody TNF-TeAb
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Organization of the Functions and Components of the Endoplasmic Reticulum
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Treatment perspectives for the lysosomal storage diseases
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Networking metabolites and diseases
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Increased mTORC1 Signaling UPRegulates Stress
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Therapeutic Potential of Sirtuin-Activating Compounds in Alzheimer's Disease
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Self-citationCostly Mistakes: Translational Infidelity and Protein Homeostasis
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López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2013) · Cell · doi:10.1016/j.cell.2013.05.039 · Cited by 14,982 · see citing works
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A chaperome subnetwork safeguards proteostasis in aging and neurodegenerative disease
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“Advancing age is the most prevalent risk factor for the accumulation of Ab in the brain,(10,11) possibly because of the decline of cellular protein quality control processes.(12) All firmly established genetic risk factors for AD promote the buildup of Ab, either by increasing its production, promoting its aggregation…”
BackgroundRPN-6 determines C. elegans longevity under proteotoxic stress conditions
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Recent advances in our understanding of neurodegeneration
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Aging Hallmarks: The Benefits of Physical Exercise
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Soluble Aβ Seeds Are Potent Inducers of Cerebral β-Amyloid Deposition
Langer, F., Eisele, Y. S., Fritschi, S. K., Staufenbiel, M., Walker, L. C., & Jucker, M. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.3088-11.2011 · Cited by 237 · see citing works
Firefly luciferase mutants as sensors of proteome stress
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Proteostasis collapse is a driver of cell aging and death
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Measuring Biological Age via Metabonomics: The Metabolic Age Score
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Signaling networks determining life span
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Restored mutant receptor:Corticoid binding in chaperone complexes by trimethylamine N-oxide
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- Authors
- Powers, E. T., Morimoto, R. I., Dillin, A., Kelly, J. W., & Balch, W. E.
- Affiliations
- Scripps Research Institute (US)
- Northwestern University (US)
- Salk Institute for Biological Studies (US)
- Venue
- Annual Review of Biochemistry
- Publisher
- Annual Reviews
- Published
- 2009-06-01
- Volume
- 78
- Issue
- 1
- Pages
- 959-991
- ISSN
- 0066-4154 (ISSN-L)
- 1545-4509
- OpenAlex
- W2156576736
- Cited by
- 1,149
- References
- 173
- Citations by year
- 2026: 35 · 2025: 33 · 2024: 46 · 2023: 57 · 2022: 65 · 2021: 62 · 2020: 80 · 2019: 79 · 2018: 75 · 2017: 69 · 2016: 72 · 2015: 63 · 2014: 86 · 2013: 83 · 2012: 68
- FWCI
- 6.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Biochemistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG 018917, AG 026647, R01AG018917, P01AG031097, R01AG026647, AG 031097)
- National Heart, Lung, and Blood Institute (HL 079442, R01HL079442)
- National Institute of General Medical Sciences (R01GM042336, GM033301, GM081192, GM 038109, R01GM038109, R01GM033301, GM 042336)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK046335, DK 05187, T32DK007529, DK-07529)
- National Institute of Neurological Disorders and Stroke (NS-047331, R01NS047331)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heat shock proteins research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Endoplasmic Reticulum Stress and Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein purification and stability
- Keywords
- proteostasis, proteostasis network, protein folding energetics, protein misfolding, protein aggregation, protein degradation, small molecule drugs, cystic fibrosis, Alzheimer's disease, Parkinson's disease, Huntington's disease, combination therapy, aging
- MeSH terms
- Animals, Brain Diseases, Cystic Fibrosis, Humans, Protein Conformation, Proteins, Protein Folding, Molecular Chaperones, Protein Stability
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.
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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