Mechanistic description
Hsp70 cochaperone BAG3-mediated Autophagy Activation for Synaptic Protein Quality Control
Evidence for (5)
BAG3 overexpression enhances clearance of ubiquitinated aggregates via selective autophagy
BAG3 directly interacts with p62/SQSTM1 to bridge Hsc70 clients to autophagosomes
BAG3 expression decreases with aging in neurons and in AD brain tissue
p62/SQSTM1 accumulates in AD synapses, suggesting upstream autophagy receptor saturation
BAG3-Hsc70-p62 axis directs substrates from proteasome to autophagy
Evidence against (6)
BAG3 is primarily a stress-response protein - elevating in non-stressed synapses may be counterproductive
Forced BAG3 overexpression causes Hsc70 sequestration, impairing general proteostasis
BAG3 implicated in propagating tau pathology through exosome secretion
p62 accumulation IS pathological - p62-positive inclusions are diagnostic of NBD and seen in ALS/FTLD
p62 knockout reduces tau aggregation - p62 is pathological, not therapeutic
p62 accumulates in AD synapses because lysosomal degradation is impaired - enhancing BAG3 won't fix lysosomes