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ESCRT-III Inhibition by Alpha-Synuclein

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ROCK Inhibitor Therapy

Introduction

The ESCRT (Endosomal Sorting Complex Required for Transport) machinery is a critical cellular system for membrane remodeling and cargo sorting within the endosomal-lysosomal pathway[@hanson2012]. ESCRT-III specifically mediates the final stages of multivesicular body (MVB) formation, facilitating the budding and release of intralumenal vesicles that carry cargo destined for lysosomal degradation[@mccullough2018]. In neurons, proper ESCRT function is essential for maintaining proteostasis, as the endosomal-lysosomal pathway serves as the primary route for degrading aggregated proteins and synaptic components.

Alpha-synuclein ([alpha-synuclein](/proteins/alpha-synuclein)) is a 140-amino acid protein encoded by the [SNCA](/genes/snca) gene, predominantly expressed in presynaptic terminals[@spillantini1997]. Under pathological conditions, alpha-synuclein misfolds and aggregates, forming toxic oligomers and fibrils that are the principal component of Lewy bodies[@braak2003]. Beyond accumulation as inclusions, pathological alpha-synuclein actively disrupts multiple cellular quality control pathways, including the ESCRT system.

This mechanism page describes how alpha-synuclein aggregates interfere with ESCRT-III function through two primary mechanisms: direct sequestration of ESCRT-III components and collateral degradation via autophagic-lysosomal impairment. The resulting disruption of endosomal trafficking creates a feedback loop that accelerates alpha-synuclein pathology in Parkinson's disease and related synucleinopathies.

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