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Emerging role of autophagy in pediatric neurodegenerative and neurometabolic diseases.
[alexander disease]
Pediatric
neurodegenerative
diseases
are
a
heterogeneous
group
of
diseases
that
result
from
specific
genetic
and
biochemical
defects
.
In
recent
years
,
studies
have
revealed
a
wide
spectrum
of
abnormal
cellular
functions
that
include
impaired
proteolysis
,
abnormal
lipid
trafficking
,
accumulation
of
lysosomal
content
,
and
mitochondrial
dysfunction
.
Within
neurons
,
elaborated
degradation
pathways
such
as
the
ubiquitin-proteasome
system
and
the
autophagy-lysosomal
pathway
are
critical
for
maintaining
homeostasis
and
normal
cell
function
.
Recent
evidence
suggests
a
pivotal
role
for
autophagy
in
major
adult
and
pediatric
neurodegenerative
diseases
.
We
herein
review
genetic
,
pathological
,
and
molecular
evidence
for
the
emerging
link
between
autophagy
dysfunction
and
lysosomal
storage
disorders
such
as
Niemann-
Pick
type
C
,
progressive
myoclonic
epilepsies
such
as
Lafora
disease
,
and
leukodystrophies
such
as
Alexander
disease
.
We
also
discuss
the
recent
discovery
of
genetically
deranged
autophagy
in
Vici
syndrome
,
a
multisystem
disorder
,
and
the
implications
for
the
role
of
autophagy
in
development
and
disease
.
Deciphering
the
exact
mechanism
by
which
autophagy
contributes
to
disease
pathology
may
open
novel
therapeutic
avenues
to
treat
neurodegeneration
.
To
this
end
,
an
outlook
on
novel
therapeutic
approaches
targeting
autophagy
concludes
this
review
.
Diseases
Validation
Diseases presenting
"pediatric neurodegenerative diseases"
symptom
alexander disease
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