Abstract
Chaperone-mediated autophagy (CMA) is a selective form of protein degradation in lysosomes that declines with age. Besides protein quality control, CMA also regulates several cellular processes through timely proteome remodeling. We previously demonstrated the importance of CMA in the activation of helper T cells. In this work, we analyzed the role of CMA in the generation and function of regulatory T cells (Tregs), a specialized type of T cells that suppress immune responses. We found that the basal CMA activity of Tregs further increases upon their activation. Using a Treg-specific CMA-deficient mouse model, we show that CMA is crucial for maintenance of peripheral tolerance by Tregs. Mice with CMA-defective Tregs display signs of chronic inflammation, which results in reduced survival as they age. We demonstrate that CMA-deficient Tregs have reduced suppressive activity in vivo using an experimental model of inflammatory bowel disease and a second model of tumor-induced immune response. Comparative quantitative proteomic analysis enabled us to identify the subproteome degraded by CMA and, consequently, the cellular pathways modulated by this type of autophagy to sustain Treg homeostasis and function. Collectively, our findings uncover a previously unknown role for CMA in regulating Treg function.
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Acknowledgements
We thank all the members of our laboratories for their guidance, assistance, and feedback. Special thanks to Dr. Xingxing Zang for kindly providing MC38 cells, Khushbu Patel, Antonio Diaz, and Marc Pulanco for assistance in specific experiments, and to the staff and directors of the Flow Cytometry, Animal Physiology, and Stable Isotope and Metabolomics Cores of the Albert Einstein College of Medicine for assistance with flow cytometry and cell sorting, analysis of body composition of mice, and seahorse analysis, respectively. This work was supported by grants from the National Institutes of Health, AI113919 (to F.M.), AG031782 (to F.M. and A.M.C.), Hevolution Foundation (to A.M.C. and S.S.), Grace Science Foundation (S.K.), and Freedom Together Foundation (formerly known as JPB) (A.M.C.). Core facilities used at Einstein are supported by center grants P30CA013330, P30DK020541, and P30AG038072, the Einstein-Mount Sinai Diabetes center, and the NIH Office of the Director (S10OD030286 to S.S.). AMG was supported by a Margarita Salas contract for young PhD training, S.P. by T32GM007288, F.G. by T32GM007491, and RRK by an IRACDA-BETTR grant K12 GM102779.
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At the time of some of these studies AMC served in the Scientific Board of Selphagy (a former program under LifeBioscience). The rest of the authors declare no competing interest in relation to this work.
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Harrison, R., Gjergjova, F., Pelka, S. et al. Chaperone-mediated autophagy is required for regulatory T cell function. Nat Commun (2026). https://doi.org/10.1038/s41467-026-73417-1
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DOI: https://doi.org/10.1038/s41467-026-73417-1


