Mechanistic description
TDP-43 aggregates sequester hepatocyte growth factor-regulated tyrosine kinase substrate (HGS), a critical hub coordinating early endosome-to-autophagosome cargo delivery. In motor neurons where TDP-43 nuclear loss and cytoplasmic aggregation occurs early in ALS, HGS is functionally depleted, creating specific vulnerability where upstream autophagy induction cannot compensate for downstream cargo recognition failure. This hypothesis survived critique due to its mechanistic specificity for motor neurons and direct connection to the hallmark pathology of >95% of ALS cases.
Mechanism / pathway
- TARDBP (TDP-43), HGS, PYGB
- neurodegeneration
Evidence for (4)
TDP-43 pathology is a hallmark of >95% of ALS cases
HGS is an ALS-risk gene and interacts with autophagy machinery
HGS knockdown specifically impairs autophagy in neurons but not other cell types
TDP-43 binds 3' UTR regions of multiple autophagy genes
Evidence against (1)
Evidence matrix
Supporting
- TDP-43 pathology is a hallmark of >95% of ALS cases PMID:19023281
- HGS is an ALS-risk gene and interacts with autophagy machinery PMID:29507358
- HGS knockdown specifically impairs autophagy in neurons but not other cell types PMID:28760759
- TDP-43 binds 3' UTR regions of multiple autophagy genes PMID:29417807
Contradicting
No contradicting evidence recorded.
Cite this hypothesis
Cite this hypothesis
etl-backfill (2026). TDP-43 Pathology Disrupts the HGS-PYGB Autophagy Receptor Cascade in Motor Neur…. SciDEX hypothesis. https://prism.scidex.ai/hypotheses/h-183fff58
@misc{scidex_hypothesis_h183fff5,
title = {TDP-43 Pathology Disrupts the HGS-PYGB Autophagy Receptor Cascade in Motor Neur…},
author = {etl-backfill},
year = {2026},
howpublished = {SciDEX hypothesis},
url = {https://prism.scidex.ai/hypotheses/h-183fff58},
note = {SciDEX artifact hypothesis:h-183fff58}
}