What is autophagy?

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Last updated: February 8, 2025View editorial policy

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From the Guidelines

Autophagy is a complex cellular process involving the degradation and recycling of cellular components, such as damaged organelles and proteins, to maintain cellular homeostasis and adapt to stress conditions.

Key Steps of Autophagy

  • Induction: triggered by cellular stressors, such as nutrient deprivation, oxidative stress, or damaged proteins/organelles, activating signaling pathways like MTOR and AMPK 1
  • Nucleation: formation of a double-membraned phagophore, involving key complexes like ULK and phosphatidylinositol 3-kinase/PtdIns3K 1
  • Expansion and elongation: phagophore expansion and elongation, forming a complete autophagosome, requiring the ATG12-ATG5-ATG16L1 complex 1
  • Cargo recognition and sequestration: autophagosome recognizes and sequesters specific cargo, such as damaged organelles, protein aggregates, or invading pathogens, mediated by autophagy receptors 1
  • Fusion with a lysosome: mature autophagosome fuses with a lysosome, forming an autolysosome, enabling degradation of sequestered cargo by lysosomal hydrolases 1
  • Cargo degradation and recycling: cargo inside the autolysosome is degraded by lysosomal enzymes, and breakdown products are released into the cytoplasm for recycling and reuse by the cell 1

Types of Autophagy

  • Macroautophagy: non-specific autophagic sequestration of cytoplasm into a double-membrane-delimited compartment, followed by degradation by the lysosomal system 1
  • Chaperone-mediated autophagy (CMA): import and degradation of soluble cytosolic proteins by chaperone-dependent, direct translocation across the lysosomal membrane 1
  • Selective autophagy: includes processes like xenophagy (degradation of microbes) and reticulophagy (degradation of the ER) 1

From the Research

Definition of Autophagy

  • Autophagy is a highly conserved lysosomal degradation pathway active at basal levels in all cells 2, 3, 4, 5, 6
  • It is a catabolic process by which cells recycle cytoplasmic components and superfluous or damaged organelles to preserve metabolic homeostasis under normal conditions and promote survival under stress 3
  • Autophagy is an intracellular degradation system that delivers cytoplasmic constituents to the lysosome 4
  • It is a lysosomal degradation process and protective housekeeping mechanism to eliminate damaged organelles, long-lived misfolded proteins and invading pathogens 5
  • Autophagy is a highly conserved eukaryotic cellular recycling process that plays important roles in cell survival and maintenance 6

Role of Autophagy

  • Autophagy has critical roles in development and cell differentiation, immune function, organismal health and lifespan 3
  • It allows cells to adapt to stress and recycle building blocks and energy for cellular renovation and homeostasis 5
  • Autophagy is essential for maintaining cell homeostasis, particularly in post-mitotic cells such as neurons, to get rid of damaged and/or old organelles and misfolded or aggregated proteins 2
  • Dysfunctional autophagy contributes to the pathologies of many human diseases, including liver disease, cardiovascular, cerebrovascular diseases, neurodegenerative diseases, neoplastic diseases, cancers, and infectious diseases 2, 3, 6

Induction of Autophagy

  • Autophagy can be induced by stress stimuli, such as a lack of nutrients or trophic factors, and is highly active during differentiation and development 2
  • Fasting and calorie restriction are potent non-genetic autophagy stimulators that can induce autophagy in a wide variety of tissues and organs 5

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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