Abstract

Autophagy (self-eating) is a conserved cellular degradation process that plays important roles in maintaining homeostasis and preventing nutritional, metabolic, and infection-mediated stresses. Autophagy dysfunction can have various pathological consequences, including tumor progression, pathogen hyper-virulence, and neurodegeneration. This review describes the mechanisms of autophagy and its associations with other cell death mechanisms, including apoptosis, necrosis, necroptosis, and autosis. Autophagy has both positive and negative roles in infection, cancer, neural development, metabolism, cardiovascular health, immunity, and iron homeostasis. Genetic defects in autophagy can have pathological consequences, such as static childhood encephalopathy with neurodegeneration in adulthood, Crohn’s disease, hereditary spastic paraparesis, Danon disease, X-linked myopathy with excessive autophagy, and sporadic inclusion body myositis. Further studies on the process of autophagy in different microbial infections could help to design and develop novel therapeutic strategies against important pathogenic microbes. This review on the progress and prospects of autophagy research describes various activators and suppressors, which could be used to design novel intervention strategies against numerous diseases and develop therapeutic drugs to protect human and animal health.

Highlights

  • Autophagy is a conserved catabolic process that is involved in cellular homeostasis and is required to maintain normal cellular physiology under stressful conditions [1]

  • Bacterial sensing inside the cell either by NLRs or sequestosome-1-like receptors (SLRs) recruits autophagy proteins including unc-51-like kinase (ULK) 1/2 with lipid kinase complexed with Beclin 1 and Atg16L1 to initiate membrane nucleation of the phagophore to engulf invading bacteria

  • Knockdown of nuclear receptor co-activator 4 (NCOA4), which is responsible for directing ferritin to autophagosome, increases iron-responsive element-binding protein 2 (IRP2)- prevent cell death by exogenous reactive oxygen species Iron storage protein called ferritin is degraded in the lysosome; resulting in a form of selective macroautophagy Reduction in tumor necrosis factor (TNF)-α induced apoptosis in gut epithelium Goblet cell function, cytokine production or NOD2, ATG16L1, and immunity-related GTPase M (IRGM) gene regulation affect pathogenesis of inflammatory bowel disease Causes biochemical disturbance, endoplasmic reticulum (ER) stress, mitochondrial dysfunction induces obesity-cardiac disorders Affects beta-cells of pancreas, insulin target tissues, glucose metabolism Perturbations in autophagic machinery in cardiomyocytes and other cardiovascular cell types Autophagy through PARP1 modulation of FoxO3a transcription in cardiomyocytes

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Summary

Introduction

Autophagy is a conserved catabolic process that is involved in cellular homeostasis and is required to maintain normal cellular physiology under stressful conditions [1]. The disruption of mitochondrial membrane potentials by the non-structural protein of Crimean-Congo hemorrhagic fever (CCHF) virus results in apoptosis, whereas paramyxovirus V proteins inhibit constitutively active MDA5 proteins to induce autophagy All of these viral events are related to autophagy and can provide directions for future therapies for Chikungunya (CHIKV), DENV, and Zika virus (ZIKV) infections. The processes of autophagy and apoptosis are interwoven and have been implicated in both microbial infections [54,75] and cancers [26,76] Autophagy might play both physiological and pathological roles since it is involved in overcoming cell stresses [19,77,78]. This review details the important functions of autophagy in health and disease and its key roles in disease prevention and treatment

Autophagy: A Brief Overview
Macroautophagy
Microautophagy
Molecular Mechanisms of Autophagy
Autosis: A Novel Form of Autophagy
Links between Autophagy and Apoptosis
Autophagy and Necroptosis
Autophagy and Necrosis
Anti-Bacterial Role of Autophagy
Anti-Viral Role of Autophagy
Proviral Role of Autophagy
Autophagy in Tumor Suppreesssiioonn
Autophagy in Tumor Progression
Autophagy in Brain Development
Autophagy in Neurodegeneration
Autophagy in the Immune System
Autophagy and Autoimmunity
Autophagy in Cardiovascular Diseases
Autophagy in Iron Homeostasis
Autophagy in Obesity and Diabetes
Methods for reducing neurodegeneration
3.10. Diseases Caused by Autophagy Gene Defects
3.10.2. Crohn’s Disease
3.10.4. Danon Disease
Strategies to Inhibit Autophagy
Cycloheximide
Lysosome Alkalizers
Acidic Protease Inhibitors
Genetic Modifications
Rapamycin
Trehalose
Epigenetic Changes
Other Molecules
Findings
Concluding Remarks and Future Perspectives
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