Cited by 44Autophagy in Disease and TherapyCellular transport and secretionCalcium signaling and nucleotide metabolism

Neuronal Autophagy: Regulations and Implications in Health and Disease

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Liénard, Caroline, Pintart, Alexandre, Bomont, Pascale·2024·Cells

Abstract

Autophagy is a major degradative pathway that plays a key role in sustaining cell homeostasis, integrity, and physiological functions. Macroautophagy, which ensures the clearance of cytoplasmic components engulfed in a double-membrane autophagosome that fuses with lysosomes, is orchestrated by a complex cascade of events. Autophagy has a particularly strong impact on the nervous system, and mutations in core components cause numerous neurological diseases. We first review the regulation of autophagy, from autophagosome biogenesis to lysosomal degradation and associated neurodevelopmental/neurodegenerative disorders. We then describe how this process is specifically regulated in the axon and in the somatodendritic compartment and how it is altered in diseases. In particular, we present the neuronal specificities of autophagy, with the spatial control of autophagosome biogenesis, the close relationship of maturation with axonal transport, and the regulation by synaptic activity. Finally, we discuss the physiological functions of autophagy in the nervous system, during development and in adulthood.

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  • Genetic, biochemical, and imaging studies suggest that the autophagic defect in AD lies not in autophagosome formation but in their maturation and fusion with lysosomes, impairing cargo degradation.

    “Genetic, biochemical, and imaging studies suggest that the defect lies not in autophagosome formation but in their maturation and fusion with lysosomes, impairing cargo degradation [136].”

    From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [136]

    Section 3.1 reports immature autophagic vesicles in AD brain samples and says this suggests a defect in their maturation and/or transport. Section 2.3 explains that fusion with lysosomes enables cargo degradation, but the AD passage does not establish fusion failure specifically. Section 4.4 also mentions failed autophagosome formation in dementia symptoms present in AD, so the claim’s exclusion of formation defects is not supported. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • A hallmark observation in AD brains is accumulation of autophagic vacuoles in swollen dystrophic neurites, reflecting impaired clearance rather than upregulated initiation.

    “A hallmark observation in AD brains is the accumulation of autophagic vacuoles in swollen dystrophic neurites, reflecting impaired clearance rather than upregulated initiation [136].”

    From Toward a Unified Framework in Molecular Neurobiology of Alzheimer’s Disease: Revisiting the Pathophysiological Hypotheses (2026) · cites this paper as [136]

    Section 3.1 reports that AD brain samples have an abnormal accumulation of immature autophagic vacuoles in dystrophic neurites and says this suggests defective maturation and/or transport. It does not establish impaired clearance as the definitive cause or explicitly rule out upregulated initiation. The reference to swollen axons concerns AD mice, not the described human brain samples; page numbers are unavailable in our copy. (LLM, conf=0.84)

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Cited by

Sorted by citations

Authors
Liénard, C., Pintart, A., & Bomont, P.
Affiliations
Lyon 1 Université (FR)
Corresponding author
Bomont, Pascale
Venue
Cells
Publisher
MDPI AG
Published
2024-01-04
Volume
13
Issue
1
Pages
103
ISSN
2073-4409 (ISSN-L)
OpenAlex
W4390587267
Cited by
44
References
22
Citations by year
2026: 10 · 2025: 25 · 2024: 9
FWCI
2.68
Type
journal article
Language
en
Open access
Locations
  • Cells (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Institut National de la Santé et de la Recherche Médicale (INSERM)
  • Centre Hospitalo-Universitaire de Montpellier
Topics
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular transport and secretion
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
Keywords
neuronal autophagy, macroautophagy, autophagosome formation, lysosomal degradation, neurodevelopmental disorders, neurodegenerative diseases, axonal transport, synaptic activity, axons, brain development, autophagy regulation
MeSH terms
Autophagosomes, Macroautophagy, Autophagy, Axonal Transport, Lysosomes

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