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Proteasomal Pathway in Neurodegeneration

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Proteasomal Pathway in Neurodegeneration

Introduction

The ubiquitin-proteasome system (UPS) is the principal intracellular machinery for selective, targeted protein degradation, handling approximately 80% of all protein turnover in eukaryotic cells. In neurons, the UPS is indispensable for synaptic plasticity, axonal transport, cell cycle suppression, and clearance of misfolded or damaged proteins. Dysfunction of the UPS is a convergent pathological feature across virtually all neurodegenerative diseases — Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, Huntington's disease, and frontotemporal dementia — where the accumulation of ubiquitinated protein inclusions is a defining histopathological hallmark[@crispr].

The relationship between proteasome dysfunction and neurodegeneration is bidirectional: disease-associated proteins (amyloid-β, tau, α-synuclein, mutant huntingtin, TDP-43) directly impair proteasome activity, while proteasome inhibition accelerates the aggregation and toxicity of these same substrates, creating a self-amplifying proteotoxic cascade[@aberrant].

The Ubiquitin-Proteasome System: Architecture and Function

Ubiquitin Conjugation Cascade

Protein substrates are marked for proteasomal degradation by covalent attachment of ubiquitin chains through a hierarchical enzymatic cascade[@molecular]:

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