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2015 ; 6
(ä): 252
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Manipulating autophagic processes in autoimmune diseases: a special focus on
modulating chaperone-mediated autophagy, an emerging therapeutic target
#MMPMID26042127
Wang F
; Muller S
Front Immunol
2015[]; 6
(ä): 252
PMID26042127
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Autophagy, a constitutive intracellular degradation pathway, displays essential
role in the homeostasis of immune cells, antigen processing and presentation, and
many other immune processes. Perturbation of autophagy has been shown to be
related to several autoimmune syndromes, including systemic lupus erythematosus.
Therefore, modulating autophagy processes appears most promising for therapy of
such autoimmune diseases. Autophagy can be said non-selective or selective; it is
classified into three main forms, namely macroautophagy, microautophagy, and
chaperone-mediated autophagy (CMA), the former process being by far the most
intensively investigated. The role of CMA remains largely underappreciated in
autoimmune diseases, even though CMA has been claimed to play pivotal functions
into major histocompatibility complex class II-mediated antigen processing and
presentation. Therefore, hereby, we give a special focus on CMA as a therapeutic
target in autoimmune diseases, based in particular on our most recent
experimental results where a phosphopeptide modulates lupus disease by
interacting with CMA regulators. We propose that specifically targeting lysosomes
and lysosomal pathways, which are central in autophagy processes and seem to be
altered in certain autoimmune diseases such as lupus, could be an innovative
approach of efficient and personalized treatment.