Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Review Article
  • Published:

The roles of intracellular protein-degradation pathways in neurodegeneration

Abstract

Many late-onset neurodegenerative diseases, including Parkinson's disease and Huntington's disease, are associated with the formation of intracellular aggregates by toxic proteins. It is therefore crucial to understand the factors that regulate the steady-state levels of these 'toxins', at both the synthetic and degradation stages. The degradation pathways acting on such aggregate-prone cytosolic proteins include the ubiquitin–proteasome system and macroautophagy. Dysfunction of the ubiquitin–proteasome or macroautophagy pathways might contribute to the pathology of various neurodegenerative conditions. However, enhancing macroautophagy with drugs such as rapamycin could offer a tractable therapeutic strategy for a number of these diseases.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Schematic diagram of the ubiquitin–proteasome system.
Figure 2: Macroautophagy as a default pathway for proteasome-inaccessible substrates.
Figure 3: Removal of aggregates can occur through removal of their precursors.

Similar content being viewed by others

References

  1. Taylor, J. P., Hardy, J. & Fischbeck, K. H. Toxic proteins in neurodegenerative disease. Science 296, 1991–1995 (2002).

    Article  ADS  CAS  Google Scholar 

  2. Ross, C. A. & Poirier, M. A. What is the role of protein aggregation in neurodegeneration? Nature Rev. Mol. Cell Biol. 6, 891–898 (2005).

    Article  CAS  Google Scholar 

  3. Perutz, M. F. & Windle, A. H. Cause of neural death in neurodegenerative diseases attributable to expansion of glutamine repeats. Nature 412, 143–144 (2001).

    Article  ADS  CAS  Google Scholar 

  4. Pangalos, M. N., Jacobsen, S. J. & Reinhart, P. H. Disease modifying strategies for the treatment of Alzheimer's disease targeted at modulating levels of the β-amyloid peptide. Biochem. Soc. Trans. 33, 553–558 (2005).

    Article  CAS  Google Scholar 

  5. Wellington, C. L. et al. Caspase cleavage of mutant huntingtin precedes neurodegeneration in Huntington's disease. J. Neurosci. 22, 7862–7872 (2002).

    Article  CAS  Google Scholar 

  6. Luo, S., Vacher, C., Davies, J. E. & Rubinsztein, D. C. Cdk5 phosphorylation of huntingtin reduces its cleavage by caspases: implications for mutant huntingtin toxicity. J. Cell Biol. 169, 647–656 (2005).

    Article  CAS  Google Scholar 

  7. Wellington, C. L. et al. Caspase cleavage of gene products associated with triplet expansion disorders generates truncated fragments containing the polyglutamine tract. J. Biol. Chem. 273, 9158–9167 (1998).

    Article  CAS  Google Scholar 

  8. Ciechanover, A. The ubiquitin proteolytic system: from a vague idea, through basic mechanisms, and onto human diseases and drug targeting. Neurology 66, S7–S19 (2006).

    Article  Google Scholar 

  9. Richly, H. et al. A series of ubiquitin binding factors connects CDC48/p97 to substrate multiubiquitylation and proteasomal targeting. Cell 120, 73–84 (2005).

    Article  CAS  Google Scholar 

  10. Weihl, C. C., Dalal, S., Pestronk, A. & Hanson, P. I. Inclusion body myopathy-associated mutations in p97/VCP impair endoplasmic reticulum-associated degradation. Hum. Mol. Genet. 15, 189–199 (2006).

    Article  CAS  Google Scholar 

  11. Ravikumar, B., Duden, R. & Rubinsztein, D. C. Aggregate-prone proteins with polyglutamine and polyalanine expansions are degraded by autophagy. Hum. Mol. Genet. 11, 1107–1117 (2002).

    Article  CAS  Google Scholar 

  12. Webb, J. L., Ravikumar, B., Atkins, J., Skepper, J. N. & Rubinsztein, D. C. α-Synuclein is degraded by both autophagy and the proteasome. J. Biol. Chem. 278, 25009–25013 (2003).

    Article  CAS  Google Scholar 

  13. Verhoef, L. G., Lindsten, K., Masucci, M. G. & Dantuma, N. P. Aggregate formation inhibits proteasomal degradation of polyglutamine proteins. Hum. Mol. Genet. 11, 2689–2700 (2002).

    Article  CAS  Google Scholar 

  14. Venkatraman, P., Wetzel, R., Tanaka, M., Nukina, N. & Goldberg, A. L. Eukaryotic proteasomes cannot digest polyglutamine sequences and release them during degradation of polyglutamine-containing proteins. Mol. Cell 14, 95–104 (2004).

    Article  CAS  Google Scholar 

  15. Holmberg, C. I., Staniszewski, K. E., Mensah, K. N., Matouschek, A. & Morimoto, R. I. Inefficient degradation of truncated polyglutamine proteins by the proteasome. EMBO J. 23, 4307–4318 (2004).

    Article  CAS  Google Scholar 

  16. Yorimitsu, T. & Klionsky, D. J. Autophagy: molecular machinery for self-eating. Cell Death Differ. 12, 1542–1552 (2005).

    Article  CAS  Google Scholar 

  17. Shibata, M. et al. Regulation of intracellular accumulation of mutant Huntingtin by Beclin 1. J. Biol. Chem. 281, 14474–14485 (2006).

    Article  CAS  Google Scholar 

  18. Iwata, A. et al. Increased susceptibility of cytoplasmic over nuclear polyglutamine aggregates to autophagic degradation. Proc. Natl Acad. Sci. USA 102, 13135–13140 (2005).

    Article  ADS  CAS  Google Scholar 

  19. Qin, Z. H. et al. Autophagy regulates the processing of amino terminal huntingtin fragments. Hum. Mol. Genet. 12, 3231–3244 (2003).

    Article  CAS  Google Scholar 

  20. Berger, Z. et al. Rapamycin alleviates toxicity of different aggregate-prone proteins. Hum. Mol. Genet. 15, 433–442 (2006).

    Article  CAS  Google Scholar 

  21. Ravikumar, B. et al. mTOR inhibition induces autophagy and reduces toxicity of the Huntington's disease mutation in Drosophila and mouse models. Nature Genet. 36, 585–595 (2004).

    Article  CAS  Google Scholar 

  22. Komatsu, M. et al. Impairment of starvation-induced and constitutive autophagy in Atg7-deficient mice. J. Cell Biol. 169, 425–434 (2005).

    Article  CAS  Google Scholar 

  23. Ravikumar, B. et al. Raised intracellular glucose concentrations reduce aggregation and cell death caused by mutant huntingtin exon 1 by decreasing mTOR phosphorylation and inducing autophagy. Hum. Mol. Genet. 12, 985–994 (2003).

    Article  CAS  Google Scholar 

  24. Rideout, H., Lang-Rollin, I. & Stefanis, L. Involvement of macroautophagy in the dissolution of neuronal inclusions. Int. J. Biochem. Cell Biol. 36, 2551–2562 (2004).

    Article  CAS  Google Scholar 

  25. Massey, A., Kiffin, R. & Cuervo, A. M. Pathophysiology of chaperone-mediated autophagy. Int. J. Biochem. Cell Biol. 36, 2420–2434 (2004).

    Article  CAS  Google Scholar 

  26. McNaught, K. S., Belizaire, R., Isacson, O., Jenner, P. & Olanow, C. W. Altered proteasomal function in sporadic Parkinson's disease. Exp. Neurol. 179, 38–46 (2003).

    Article  CAS  Google Scholar 

  27. Seo, H., Sonntag, K. C. & Isacson, O. Generalized brain and skin proteasome inhibition in Huntington's disease. Ann. Neurol. 56, 319–328 (2004).

    Article  CAS  Google Scholar 

  28. Bence, N. F., Sampat, R. M. & Kopito, R. R. Impairment of the ubiquitin–proteasome system by protein aggregation. Science 292, 1552–1555 (2001).

    Article  ADS  CAS  Google Scholar 

  29. Bowman, A. B., Yoo, S. Y., Dantuma, N. P. & Zoghbi, H. Y. Neuronal dysfunction in a polyglutamine disease model occurs in the absence of ubiquitin–proteasome system impairment and inversely correlates with a degree of nuclear inclusion formation. Hum. Mol. Genet. 14, 679–691 (2005).

    Article  CAS  Google Scholar 

  30. Diaz-Hernandez, M. et al. Neuronal induction of the immunoproteasome in Huntington's disease. J. Neurosci. 23, 11653–11661 (2003).

    Article  CAS  Google Scholar 

  31. Sun, X. M. et al. Caspase activation inhibits proteasome function during apoptosis. Mol. Cell 14, 81–93 (2004).

    Article  CAS  Google Scholar 

  32. Zhang, Y. et al. Parkin functions as an E2-dependent ubiquitin–protein ligase and promotes the degradation of the synaptic vesicle-associated protein, CDCrel-1. Proc. Natl Acad. Sci. USA 97, 13354–13359 (2000).

    Article  ADS  CAS  Google Scholar 

  33. Shimura, H. et al. Familial Parkinson disease gene product, parkin, is a ubiquitin–protein ligase. Nature Genet. 25, 302–305 (2000).

    Article  CAS  Google Scholar 

  34. Imai, Y., Soda, M. & Takahashi, R. Parkin suppresses unfolded protein stress-induced cell death through its E3 ubiquitin–protein ligase activity. J. Biol. Chem. 275, 35661–35664 (2000).

    Article  CAS  Google Scholar 

  35. Leroy, E. et al. The ubiquitin pathway in Parkinson's disease. Nature 395, 451–452 (1998).

    Article  ADS  CAS  Google Scholar 

  36. Moore, D. J., West, A. B., Dawson, V. L. & Dawson, T. M. Molecular pathophysiology of Parkinson's disease. Annu. Rev. Neurosci. 28, 57–87 (2005).

    Article  CAS  Google Scholar 

  37. Healy, D. G. et al. UCHL-1 is not a Parkinson's disease susceptibility gene. Ann. Neurol. 59, 627–633 (2006).

    Article  CAS  Google Scholar 

  38. Liu, Y., Fallon, L., Lashuel, H. A., Liu, Z. & Lansbury, P. T. The UCH-L1 gene encodes two opposing enzymatic activities that affect α-synuclein degradation and Parkinson's disease susceptibility. Cell 111, 209–218 (2002).

    Article  CAS  Google Scholar 

  39. Saigoh, K. et al. Intragenic deletion in the gene encoding ubiquitin carboxy-terminal hydrolase in gad mice. Nature Genet. 23, 47–51 (1999).

    Article  CAS  Google Scholar 

  40. Watts, G. D. et al. Inclusion body myopathy associated with Paget disease of bone and frontotemporal dementia is caused by mutant valosin-containing protein. Nature Genet. 36, 377–381 (2004).

    Article  CAS  Google Scholar 

  41. McNaught, K. S., Perl, D. P., Brownell, A. L. & Olanow, C. W. Systemic exposure to proteasome inhibitors causes a progressive model of Parkinson's disease. Ann. Neurol. 56, 149–162 (2004).

    Article  CAS  Google Scholar 

  42. Kuma, A. et al. The role of autophagy during the early neonatal starvation period. Nature 432, 1032–1036 (2004).

    Article  ADS  CAS  Google Scholar 

  43. Boya, P. et al. Inhibition of macroautophagy triggers apoptosis. Mol. Cell Biol. 25, 1025–1040 (2005).

    Article  CAS  Google Scholar 

  44. Ravikumar, B., Berger, Z., Vacher, C., O'Kane, C. J. & Rubinsztein, D. C. Rapamycin pre-treatment protects against apoptosis. Hum. Mol. Genet. 15, 1209–1216 (2006).

    Article  CAS  Google Scholar 

  45. Komatsu, M. et al. Loss of autophagy in the central nervous system causes neurodegeneration in mice. Nature 441, 880–884 (2006).

    Article  ADS  CAS  Google Scholar 

  46. Hara, T. et al. Suppression of basal autophagy in neural cells causes neurodegenerative disease in mice. Nature 441, 885–889 (2006).

    Article  ADS  CAS  Google Scholar 

  47. Ravikumar, B. et al. Dynein mutations impair autophagic clearance of aggregate-prone proteins. Nature Genet. 37, 771–776 (2005).

    Article  CAS  Google Scholar 

  48. Levy, J. R. et al. A motor neuron disease-associated mutation in p150Glued perturbs dynactin function and induces protein aggregation. J. Cell Biol. 172, 733–745 (2006).

    Article  CAS  Google Scholar 

  49. Puls, I. et al. Mutant dynactin in motor neuron disease. Nature Genet. 33, 455–456 (2003).

    Article  CAS  Google Scholar 

  50. Hafezparast, M. et al. Mutations in dynein link motor neuron degeneration to defects in retrograde transport. Science 300, 808–812 (2003).

    Article  ADS  CAS  Google Scholar 

  51. Kieran, D. et al. A mutation in dynein rescues axonal transport defects and extends the life span of ALS mice. J. Cell Biol. 169, 561–567 (2005).

    Article  CAS  Google Scholar 

  52. Ligon, L. A. et al. Mutant superoxide dismutase disrupts cytoplasmic dynein in motor neurons. Neuroreport 16, 533–536 (2005).

    Article  CAS  Google Scholar 

  53. Cuervo, A. M., Stefansi, L., Fredenburg, R., Lansbury, P. T. & Sulzer, D. Impaired degradation of mutant α-synuclein by chaperone-mediated autophagy. Science 305, 1292–1295 (2004).

    Article  ADS  CAS  Google Scholar 

  54. Harper, S. Q. et al. RNA interference improves motor and neuropathological abnormalities in a Huntington's disease mouse model. Proc. Natl Acad. Sci. USA 102, 5820–5825 (2005).

    Article  ADS  CAS  Google Scholar 

  55. Rodriguez-Lebron, E. & Paulson, H. L. Allele-specific RNA interference for neurological disease. Gene. Ther. 13, 576–581 (2006).

    Article  CAS  Google Scholar 

  56. Davies, J. E., Sarkar, S. & Rubinsztein, D. C. Trehalose reduces aggregate formation and delays pathology in a transgenic mouse model of oculopharyngeal muscular dystrophy. Hum. Mol. Genet. 15, 23–31 (2006).

    Article  CAS  Google Scholar 

  57. Sanchez, I., Mahlke, C. & Yuan, Y. Pivotal role of oligomerization in expanded polyglutamine neurodegenerative disorders. Nature 421, 373–379 (2003).

    Article  ADS  CAS  Google Scholar 

  58. Martin-Aparicio, E. et al. Proteasomal-dependent aggregate reversal and absence of cell death in a conditional mouse model of Huntington's disease. J. Neurosci. 21, 8772–8781 (2001).

    Article  CAS  Google Scholar 

  59. Yamamoto, A., Cremona, M. L. & Rothman, J. E. Autophagy-mediated clearance of huntingtin aggregates triggered by the insulin-signaling pathway. J. Cell Biol. 172, 719–731 (2006).

    Article  CAS  Google Scholar 

  60. DiFiglia, M. et al. Aggregation of huntingtin in neuronal intranuclear inclusions and dystrophic neurites in brain. Science 277, 1990–1993 (1997).

    Article  CAS  Google Scholar 

  61. Kiffin, R., Bandyopadhyay, U. & Cuervo, A. Oxidative stress and autophagy. Antioxid. Redox Signal. 8, 152–162 (2006).

    Article  CAS  Google Scholar 

  62. Arrasate, M., Mitra, S., Schweitzer, E. S., Segal, M. R. & Finkbeiner, S. Inclusion body formation reduces levels of mutant huntingtin and the risk of neuronal death. Nature 431, 805–810 (2004).

    Article  ADS  CAS  Google Scholar 

  63. Lee, V. W. & Chapman, J. R. Sirolimus: its role in nephrology. Nephrology (Carlton) 10, 606–614 (2005).

    Article  CAS  Google Scholar 

  64. Bjornsti, M. A. & Houghton, P. J. The TOR pathway: a target for cancer therapy. Nature Rev. Cancer 4, 335–348 (2004).

    Article  Google Scholar 

  65. Galanis, E. et al. Phase II trial of temsirolimus (CCI-779) in recurrent glioblastoma multiforme: a North Central Cancer Treatment Group Study. J. Clin. Oncol. 23, 5294–5304 (2005).

    Article  CAS  Google Scholar 

  66. Wullschleger, S., Loewith, R. & Hall, M. N. TOR signaling in growth and metabolism. Cell 124, 471–484 (2006).

    Article  CAS  Google Scholar 

  67. Sarkar, S. et al. Lithium induces autophagy by inhibiting inositol monophosphatase. J. Cell Biol. 170, 1101–1111 (2005).

    Article  CAS  Google Scholar 

  68. Murphy, M. P. How understanding the control of energy metabolism can help investigation of mitochondrial dysfunction, regulation and pharmacology. Biochim. Biophys. Acta 1504, 1–11 (2001).

    Article  CAS  Google Scholar 

  69. Pyo, J. et al. Essential roles of Atg5 and FADD in autophagic cell death: dissection of autophagic cell death into vacuole formation and cell death. J. Biol. Chem. 280, 20722–20728 (2005).

    Article  CAS  Google Scholar 

  70. Nasir, J. et al. Targeted disruption of the Huntington's disease gene results in embryonic lethality and behavioural and morphological changes in heterozygotes. Cell 81, 811–823 (1995).

    Article  CAS  Google Scholar 

  71. Zeitlin, S. et al. Increased apoptosis and early embryonic lethality in mice nullizygous for the Huntington's disease gene homolog. Nature Genet. 11, 155–163 (1995).

    Article  CAS  Google Scholar 

  72. Duyao, M. P. et al. Inactivation of the mouse Huntington's disease gene homolog Hdh. Science 269, 407–410 (1995).

    Article  ADS  CAS  Google Scholar 

  73. Harper, P. S. Huntington's Disease 2nd edn (WB Saunders, London, 1996).

    Google Scholar 

  74. Rubinsztein, D. C. Lessons from animal models of Huntington's disease. Trends Genet. 18, 202–209 (2002).

    Article  CAS  Google Scholar 

  75. Ordway, J. M. et al. Ectopically expressed CAG repeats cause intranuclear inclusions and a progressive late onset neurological phenotype in the mouse. Cell 91, 753–763 (1997).

    Article  CAS  Google Scholar 

  76. Cattaneo, E., Zuccato, C. & Tartari, M. Normal huntingtin function: an alternative approach to Huntington's disease. Nature Rev. Neurosci. 6, 919–930 (2005).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

I am grateful to B. Ravikumar and M. Futter for critical comments on the manuscript and L. Smith for help with manuscript preparation. The work in my laboratory covered by this review has been funded by a Wellcome Trust Senior Fellowship in Clinical Science, a Medical Research Council (MRC) Programme Grant, Wyeth, and European Union Framework VI (EUROSCA).

Author information

Authors and Affiliations

Authors

Ethics declarations

Competing interests

D.C.R. is an inventor on patents relating to the use of autophagy induction for treating neurodegenerative diseases. His laboratory has received grant funding from Wyeth, which makes rapamycins.

Additional information

Author Information Reprints and permissions information is available at npg.nature.com/reprintsandpermissions.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rubinsztein, D. The roles of intracellular protein-degradation pathways in neurodegeneration. Nature 443, 780–786 (2006). https://doi.org/10.1038/nature05291

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nature05291

This article is cited by

Comments

By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing