Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases

Abstract Lysosomal acidification dysfunction has been implicated as a key driving factor in the pathogenesis of neurodegenerative diseases, including Alzheimer’s disease and Parkinson’s disease. Multiple genetic factors have been linked to lysosomal de-acidification through impairing the vacuolar-ty...

Full description

Bibliographic Details
Main Authors: Chih Hung Lo, Jialiu Zeng
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Translational Neurodegeneration
Subjects:
Online Access:https://doi.org/10.1186/s40035-023-00362-0
_version_ 1797806532371415040
author Chih Hung Lo
Jialiu Zeng
author_facet Chih Hung Lo
Jialiu Zeng
author_sort Chih Hung Lo
collection DOAJ
description Abstract Lysosomal acidification dysfunction has been implicated as a key driving factor in the pathogenesis of neurodegenerative diseases, including Alzheimer’s disease and Parkinson’s disease. Multiple genetic factors have been linked to lysosomal de-acidification through impairing the vacuolar-type ATPase and ion channels on the organelle membrane. Similar lysosomal abnormalities are also present in sporadic forms of neurodegeneration, although the underlying pathogenic mechanisms are unclear and remain to be investigated. Importantly, recent studies have revealed early occurrence of lysosomal acidification impairment before the onset of neurodegeneration and late-stage pathology. However, there is a lack of methods for organelle pH monitoring in vivo and a dearth of lysosome-acidifying therapeutic agents. Here, we summarize and present evidence for the notion of defective lysosomal acidification as an early indicator of neurodegeneration and urge the critical need for technological advancement in developing tools for lysosomal pH monitoring and detection both in vivo and for clinical applications. We further discuss current preclinical pharmacological agents that modulate lysosomal acidification, including small molecules and nanomedicine, and their potential clinical translation into lysosome-targeting therapies. Both timely detection of lysosomal dysfunction and development of therapeutics that restore lysosomal function represent paradigm shifts in targeting neurodegenerative diseases.
first_indexed 2024-03-13T06:08:41Z
format Article
id doaj.art-aa266ef21cc34217b4ed526a56272f84
institution Directory Open Access Journal
issn 2047-9158
language English
last_indexed 2024-03-13T06:08:41Z
publishDate 2023-06-01
publisher BMC
record_format Article
series Translational Neurodegeneration
spelling doaj.art-aa266ef21cc34217b4ed526a56272f842023-06-11T11:23:44ZengBMCTranslational Neurodegeneration2047-91582023-06-0112111110.1186/s40035-023-00362-0Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseasesChih Hung Lo0Jialiu Zeng1Lee Kong Chian School of Medicine, Nanyang Technological UniversityLee Kong Chian School of Medicine, Nanyang Technological UniversityAbstract Lysosomal acidification dysfunction has been implicated as a key driving factor in the pathogenesis of neurodegenerative diseases, including Alzheimer’s disease and Parkinson’s disease. Multiple genetic factors have been linked to lysosomal de-acidification through impairing the vacuolar-type ATPase and ion channels on the organelle membrane. Similar lysosomal abnormalities are also present in sporadic forms of neurodegeneration, although the underlying pathogenic mechanisms are unclear and remain to be investigated. Importantly, recent studies have revealed early occurrence of lysosomal acidification impairment before the onset of neurodegeneration and late-stage pathology. However, there is a lack of methods for organelle pH monitoring in vivo and a dearth of lysosome-acidifying therapeutic agents. Here, we summarize and present evidence for the notion of defective lysosomal acidification as an early indicator of neurodegeneration and urge the critical need for technological advancement in developing tools for lysosomal pH monitoring and detection both in vivo and for clinical applications. We further discuss current preclinical pharmacological agents that modulate lysosomal acidification, including small molecules and nanomedicine, and their potential clinical translation into lysosome-targeting therapies. Both timely detection of lysosomal dysfunction and development of therapeutics that restore lysosomal function represent paradigm shifts in targeting neurodegenerative diseases.https://doi.org/10.1186/s40035-023-00362-0Neurodegenerative diseasesAlzheimer’s diseaseParkinson’s diseaseLysosomal de-acidificationAutophagy dysfunctionEarly detection
spellingShingle Chih Hung Lo
Jialiu Zeng
Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
Translational Neurodegeneration
Neurodegenerative diseases
Alzheimer’s disease
Parkinson’s disease
Lysosomal de-acidification
Autophagy dysfunction
Early detection
title Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
title_full Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
title_fullStr Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
title_full_unstemmed Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
title_short Defective lysosomal acidification: a new prognostic marker and therapeutic target for neurodegenerative diseases
title_sort defective lysosomal acidification a new prognostic marker and therapeutic target for neurodegenerative diseases
topic Neurodegenerative diseases
Alzheimer’s disease
Parkinson’s disease
Lysosomal de-acidification
Autophagy dysfunction
Early detection
url https://doi.org/10.1186/s40035-023-00362-0
work_keys_str_mv AT chihhunglo defectivelysosomalacidificationanewprognosticmarkerandtherapeutictargetforneurodegenerativediseases
AT jialiuzeng defectivelysosomalacidificationanewprognosticmarkerandtherapeutictargetforneurodegenerativediseases