Regulation of autophagy by mTOR-dependent and mTOR-independent pathways: autophagy dysfunction in neurodegenerative diseases and therapeutic application of autophagy enhancers.
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1,432 citations
Cites background from "Regulation of autophagy by mTOR-dep..."
...There has been some interest in usingUS Food andDrug Administration [FDA]-approved mTOR inhibitors for the treatment of neurodegenerative disorders that may benefit from autophagy induction (Sarkar, 2013)....
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363 citations
Cites background from "Regulation of autophagy by mTOR-dep..."
...Althoughseveral othergroupshaveperformedhigh-throughput screening using previously available probes (summarized in Sarkar, 2013; Vakifahmetoglu-Norberg et al., 2015; Levine et al., 2015), we were able to identify 13 novel inducers and 18 novel inhibitors in addition to previously known modulators....
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355 citations
Cites background from "Regulation of autophagy by mTOR-dep..."
...Given that a number of neurodegenerative diseases are characterized by defective autophagy (4), it is reasonable to assume that autophagy inhibition could prove to be quite detrimental to normal tissue....
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...marker for detecting autophagy induction in patients' tumors and certainly noway to distinguish between the different forms of autophagy; (iv) given their known pharmacokinetics, it is highly uncertain as to whether chloroquine or hydroxychloroquine can actually achieve concentrations in the tumor cells that will effectively inhibit autophagy; in fact, we are inclined to argue that the reason that chloroquine and hydroxychloroquine have proven to be relatively nontoxic to patients is because of the fact that they do not actually suppress autophagy at concentrations that are achieved in normal clinical regimens; and (v) because it has been shown that deficiencies in autophagy are associated with human disease (4), any drug that actually is found to suppress autophagy in tumor cells is likely to be quite detrimental to normal tissue homeostasis because autophagy is clearly necessary for the routine elimination of damaged or misfunctional proteins....
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351 citations
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