Pitt researchers describe a pathway by which cells repair damaged lysosomes

Reviewed by Emily Henderson, B.Sc.Sep 8 2022

Today in Nature, University of Pittsburgh researchers describe for the first time a pathway by which cells repair damaged lysosomes, structures that contribute to longevity by recycling cellular trash. The findings are an important step towards understanding and treating age-related diseases driven by leaky lysosomes.

Lysosome damage is a hallmark of aging and many diseases, particularly neurodegenerative disorders such as Alzheimer's. Our study identifies a series of steps that we believe is a universal mechanism for lysosomal repair, which we named the PITT pathway as a nod to the University of Pittsburgh."

Jay Xiaojun Tan, Ph.D., lead author, assistant professor of cell biology at Pitt's School of Medicine and member of the Aging Institute, a partnership between Pitt and UPMC

As the cell's recycling system, lysosomes contain potent digestive enzymes that degrade molecular waste. These contents are walled off from damaging other parts of the cell with a membrane that acts like a chain link fence around a hazardous waste facility. Although breaks can occur in this fence, a healthy cell quickly repairs the damage. To learn more about this repair process, Tan teamed up with senior author Toren Finkel, M.D., Ph.D., director of the Aging Institute and distinguished professor of medicine at Pitt's School of Medicine.

First, Tan experimentally damaged lysosomes in lab-grown cells and then measured the proteins that arrived on the scene. He found that an enzyme called PI4K2A accumulated on damaged lysosomes within minutes and generated high levels of a signaling molecule called PtdIns4P.

"PtdIns4P is like a red flag. It tells the cell, 'Hey, we have a problem here,'" said Tan. "This alert system then recruits another group of proteins called ORPs."

ORP proteins work like tethers, Tan explained. One end of the protein binds to the PtdIns4P red flag on the lysosome, and the other end binds to the endoplasmic reticulum, the cellular structure involved in synthesis of proteins and lipids.

"The endoplasmic reticulum wraps around the lysosome like a blanket," added Finkel. "Normally, the endoplasmic reticulum and lysosomes barely touch each other, but once the lysosome was damaged, we found that they were embracing."

Through this embrace, cholesterol and a lipid called phosphatidylserine are shuttled to the lysosome and help patch up holes in the membrane fence.

Phosphatidylserine also activates a protein called ATG2, which acts like a bridge to transfer other lipids to the lysosome, the final membrane repair step in the newly described PITT -; or phosphoinositide-initiated membrane tethering and lipid transport -; pathway.

"What's beautiful about this system is that all of the components of the PITT pathway were known to exist, but they weren't known to interact in this sequence or for the function of lysosome repair," said Finkel. "I believe these findings are going to have many implications for normal aging and for age-related diseases."

The researchers suspect that in healthy people, small breaks in the lysosome membrane are quickly repaired through the PITT pathway. But if the damage is too extensive or the repair pathway is compromised -; due to age or disease -; leaky lysosomes accumulate. In Alzheimer's, leakage of tau fibrils from damaged lysosomes is a key step in progression of the disease.

When Tan deleted the gene encoding the first enzyme in the pathway, PI4K2A, he found that tau fibril spreading increased dramatically, suggesting that defects in the PITT pathway could contribute to Alzheimer's disease progression. In future work, the researchers plan to develop mouse models to understand whether the PITT pathway can protect mice from developing Alzheimer's disease.