Table 1 Lysosome as the therapeutic target in various diseases.

From: Lysosomal quality control of cell fate: a novel therapeutic target for human diseases

Diseases

Lysosome associated alterations

Consequenses

Intervention and therapy

Tumor

PDA

Upregulation of lysosomal and autophagic function by activation of TFEB

Catabolic hyperactivity and prone to invasion and progression

ATG5 or ATG7 knock out, hydroxychloroquine and its derivatives alone or in combination with standard chemotherapy drugs

 

Breast cancer

Overexpression of cathepsin B

 

Downregulating the shRNA of cathepsin B

Neurodegenerative diseases

GD

Abnormal transport of glucosinolates to lysosomes

Neurological dysfunction

Enzyme replacement therapy (injecting glucosinolidase or its structural analog)

 

HSP

Damaged lysosomal biogenes caused by mutations in SPG11 and SPG15 genes, intracellular accumulation of gangliosides

Progressive spasm of the lower limbs caused by axial mutation of upper motor neurons

Alleviating the degradation pressure of lysosomes and improving lysosomal function

 

AD

Increased lysosomal pH and impaired lysosomal proteolytic function

AD-like pathologic change

 

Inflammatory diseases

Acute hyperuricemia

Lysosomal membrane destroyed and lysosomal rupture by uric acid crystals

Renal inflammation

 
 

AP

Activation of cell death pathway by cathepsin B leaked into the cytoplasm

Pancreatic injury mainly in the form of cellular apoptosis and necrosis

 
 

Sepsis

Upregulation of the key genes of lysosomes

Immunosuppression and multiple organ dysfunction

A variety of drugs used to reverse the immunosuppression of sepsis have been proved to be related to lysosomal and autophagic function

Cardiovascular diseases

AS

Decrease of LAL activity by excessive free cholesterol accumulated in lysosomes

Accumulation of cholesterol esters in lysosomes and cytoplasm in foam cells

Infusion of recombinant human LAL

 

Danon disease

Deletion of LAMP2 gene

Lysosomal and autophagosome fusion disorders, massive autophagosome deposition in the cytoplasm of myocardium and skeletal muscle

Enhancing lysosomal function by TFEB overexpression

  1. AD Alzheimer’s disease, AP acute pancreatitis, AS atherosclerosis, ATG autophagy-related gene, GD Gaucher disease, HSP hereditary spastic paraplegias, LAL lysosomal acid lipase, LAMP2 lysosome-associated membrane protein 2, PDA pancreatic ductal adenocarcinoma, SPG spastic paraplegia, TFEB transcription factor EB.