HBOT (2.0 ATA, 60 min) activates TFEB-mediated autophagy-lysosome pathway to accelerate Aβ and p-tau clearance
🧪 Overview
HBOT increases mTORC1 inhibition, promoting TFEB nuclear translocation and enhancing autophagy flux to clear pathological proteins. However, autophagy markers are easily misinterpreted (increased LC3-II can mean blocked flux), and the direction of autophagy regulation by oxygen is context-dependent. Rigorous flux validation with insoluble Aβ/tau clearance endpoints is required.
🧬 Mechanism
Curated pathway from expert analysis
flowchart TD
A["mTORC1 Hyperactivation<br/>Nutrient/Growth Signals"]
B["TFEB Phosphorylation<br/>Ser211 by mTORC1"]
C["14-3-3 Sequestration<br/>Cytoplasmic Retention"]
D["Lysosomal Biogenesis<br/>Blocked"]
E["Autophagic Flux<br/>Impaired"]
F["Tau/Amyloid Aggregate<br/>Accumulation"]
G["TFEB Activation<br/>Rapamycin or MCOLN1"]
H["Nuclear TFEB<br/>CLEAR Gene Expression"]
G --> H
H -.->|"rescues"| D
A --> B
B --> C
C --> D
D --> E
E --> F
style A fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
style F fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
style G fill:#1a237e,stroke:#4fc3f7,color:#4fc3f7
style H fill:#1b5e20,stroke:#81c784,color:#81c784⚖️ Evidence
No linked papers recorded for this hypothesis yet.
🏥 Translation
🧬 3D Protein Structure — TFEB
No curated PDB or AlphaFold mapping for TFEB yet. Search RCSB →
🧠 GTEx v10 Brain ExpressionJSON
Median TPM across 13 brain regions for TFEB (TFE2) from GTEx v10.
💉 Clinical Trials
No clinical trials data linked to this hypothesis yet.
No curated ClinVar variants loaded for this hypothesis.
Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.
No DepMap CRISPR Chronos data found for TFEB (TFE2).
Run python3 scripts/backfill_hypothesis_depmap.py to populate.
🏆 Tournament
🏆 Arenas / Elo
📊 Market Indicators
💾 Resource Usage
🔮 Predictions
| Prediction | Predicted | Observed | Status | Conf |
|---|---|---|---|---|
| IF APP/PS1 transgenic mice receive HBOT (2.0 ATA, 60 min per session, 5 sessions/week for 4 weeks), THEN cortical insoluble Aβ42 levels will decrease by ≥30% compared to sham-treated littermate contro | ≥30% reduction in cortical insoluble Aβ42; TFEB nuclear localization increase ≥1.8-fold in cortical neurons; LC3-II/p62 ratio increased ≥1.5-fold indicating enh | — no observation — | pending | 0.62 |
| IF SH-SY5Y neuroblastoma cells with doxycycline-inducible TFEB overexpression are subjected to HBOT (2.0 ATA, 60 min) in a hyperbaric chamber, THEN lysosomal protease activity (Cathepsin D) will incre | Cathepsin D activity ≥2-fold; BODIPY-casein cleavage rate ≥40% increase; TFEB nuclear/cytosol ratio ≥2.5-fold; p62 half-life decreased by ≥50% indicating active | — no observation — | pending | 0.58 |
▸Metadatasource: v1_phase_c_backfill · origin_type: debate_synthesizer
| source | v1_phase_c_backfill |
| origin_type | debate_synthesizer |
| _schema_version | 1 |