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 |
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.