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. 2021 Feb 26;11(10):3015–3034. doi: 10.1016/j.apsb.2021.02.016

Table 1.

Autophagy-modulating compounds in PD.

Target Origin No. Agent Main effect PD model Reported year in PD Ref.
AMPK Natural product 2 Resveratrol Prevented loss of DA neurons; rescued TH and DA levels; improved behavioral abnormalities MPTP treated mice 2008 43
8 Caffeine Reduced p129-α-syn; apoptosis; microglial activation; astrogliosis; increased LC3II/I ratio A53T α-syn transgenic C57BL/6J mice 2001 76
Chemical synthesis 1 Metformin Reduced levels of p-Ser129 α-syn in vivo and in vitro, increased striatal dopaminergic levels α-Syn overexpressing
SH-SY5Y cells and C57BL/6J mice
2014 44
3 A769662 Reduced levels of α-syn inclusions α-Syn overexpressing SH-SY5Y cells 2019 75
4 GSK621 Reduced levels of α-syn inclusions α-Syn overexpressing SH-SY5Y cells 2019 75
5 Rosuvastatin Increased cell viability; increased α-syn clearance Rotenone-exposed SH-SY5Y cells 2017 55
6 FCPR16 Protected neuronal cells against MPP+-induced toxicity and oxidative stress SH-SY5Y cells treated with MPP+ 2018 66
7 Temozolomide Increased α-syn clearance and protected α-syn-induced cytotoxicity α-Syn overexpressing LUHMES cells 74
mTORC1 Natural product 9−11 Rapamycin and Rp analogues (CCI-779 and AP23573) Increased the clearance of WT, A30P and A53T α-syn α-Syn expressing PC12 cells 2010 77
Prevented neuronal death in mice; reduced α-syn accumulation, improved motor function MPTP treated mice; α-syn transgenic mice 50,51
12 Corynoxine Promoted the clearance of wild-type and mutant α-syn via autophagy α-Syn overexpressing PC12 cells 2014 78
13 Loganin Decreased MPTP-induced neurotoxicity MPTP treated PC12 cells 2017 79
Chemical synthesis 14 PI-103 Increased α-syn clearance and protected α-syn-induced cytotoxicity α-Syn overexpressing Lund human mesencephalic (LUHMES) cells 74
ULK1 Chemical synthesis 15 BL-918 Protected against MPTP-induced motor dysfunction and loss of dopaminergic neurons MPP+-treated SH-SY5Y cells 45
IMPase Chemical synthesis 16 Sodium valproate Enhanced autophagy, reduced mitochondrial membrane potential, reduced production of reactive oxygen species and enhanced cell viability Rotenone-induced SH-SY5Y cells 46
17 Carbamazepine Enhanced autophagy, reduced mitochondrial membrane potential, reduced production of reactive oxygen species and enhanced cell viability Rotenone-induced SH-SY5Y cells 46
18 L-690,330 Increased α-syn clearance and protected α-syn-induced cytotoxicity α-Syn overexpressing LUHMES cells 2019 74
LRRK2 Chemical synthesis 19 LRRK2-IN-1 Rescued Lrrk2 G2019S mutant motor injury Drosophila 48
23 GNE-7915 Enhanced DA release and recovery R1441G transgenic mice 47
25 PF-06447475 Reduced neuronal apoptosis and alleviated neurological deficit Weight-drop Sprague–Dawley rats after traumatic brain injury 130
DNL151a 49
DNL201a 49
Beclin-1 Natural product 29 Isorhynchophylline Promoted clearance of wild-type, A53T and A30P α-syn Differentiated human dopaminergic neurons 2014 53
30 Corynoxine B Reversed reduction in LC3-II and BECN1; restored the deficient autophagy induced by SNCA α-Syn overexpressing
PC12 cells
2019 54
31 Glycyrrhizic acid Increased cell viability; up-regulated LC3-II/I and beclin-1 6-OHDA and crticosterone treated SH-SY5Y cells 2018 56
Chemical synthesis 28 KYP-2047 Enhanced autophagy and α-syn clearance; increased in striatal dopamine levels A30P α-syn transgenic mice 52
TFEB Natural product 32−35 Curcumin and Cur analogues (CNB001, C1 and E4) Inhibited the accumulation of α-syn and prevented the accumulation of LB α-Syn overexpressing SH-SY5Y cells 57, 58, 59, 60, 61, 62
36 Trehalose Reduced the loss of SNpc DA neurons and produced a neuroprotective effect Multiple PD related models 2004 63
GCase Chemical synthesis 37 Ambroxola Increased GCase activity and reduced oxidative stress PD fibroblasts with Gba1 mutations 2014 64,65,158
38 Isofagomine Increased GCase levels and activity; lowered ER stress and prevented the loss of motor function PD fibroblasts with Gba1 mutations; Drosophila 67
39 NCGC607 Restored GCase activity and protein levels; reduced
α-syn levels
iPSC-derived macrophages and dopaminergic neurons 68
ERRα Chemical synthesis 40 XCT790 Alleviated dopaminergic neuronal loss; cleared toxic protein aggregates; ameliorated behavioral impairments MPTP treated mice 2018 69,70
c-ABL Chemical synthesis 41 PD180970 Cleared toxic α-syn protein aggregates; alleviated behavioral impairments α-Syn overexpressing SH-SY5Y cells and MPTP induced mice 2019 71
42 Imatinib Reduced expression of c-ABL and p-GSK3β; restored ALP and decreased cells death MPP+-induced SN4741 cells 2014 72
43 Nilotiniba Reduced c-ABL activation, prevented dopamine (DA) neuron loss and behavioral deficits; induced α-syn degradation in vivo and in vitro MPTP-induced mice; α-syn overexpressing primary cultures of mouse cortical neurons and mice 2014 72,73
a

Drugs which have already entered clinical trials. DNL151 (NCT03710707) and DNL201 (NCT04056689) in phase Ⅰ trial while nilotinib (NCT02954978; NCT03205488) and ambroxol (NCT02941822) are in phase Ⅱ trail. Data source: http//clinicaltrials.gov; November 2020.