Misfolded proteins and damaged organelles generate a toxic burden for cells that promote age-associated functional decline. We have discovered that C. elegans neurons can distinguish, package, and literally throw out cellular debris for remote degradation. We call such large ~.4um garbage-containing membrane-surrounded extrusions "exophers" and speculate that exopher production complements known intracellular protein and organelle degradation pathways to maintain homeostasis. Key unanswered questions in this "extracellular garbage elimination" process of exopher-genesis include the nature of the cellular conditions that promote high levels of exopher production. We have shown that multiple treatments that increase proteo-stress (including expression of aggregating human disease proteins, autophagy knockdown via RNAi, disruption of
hsf-1, and proteasome inhibition can increase the production of exophers from touch neurons. Likewise, conditions that impair mitochondrial quality (mito-upr and mitophagy) can increase the numbers of exophers that include mitochondria). In general, exophers are produced at a low frequency in basal growth conditions, but stresses that impact known exopher cargoes (protein aggregates and dysfunctional mitochondria) can increase exopher production. We have found that varying nutrient conditions can significantly alter the frequency of exopher production. For instance, high peptone agar culture dramatically decreases exophers and different bacterial food sources can perturb adult exopher production patterns. Strikingly, we note that short periods of fasting can more than double exopher rates. The addition of fasting synergizes with other challenges that themselves do not greatly increase exophers, such as high temperatures or osmotic stress, to elicit even greater levels of exopher production. Our observations underscore that the ejection of exophers from neurons may be a relatively general response to stress and implicate animal-wide physiological conditions in the initiation of neuronal trash elimination. We will present data on how other metabolic perturbations impact exopher-genesis and we speculate on signaling pathways that might mediate whole animal neuroprotective exopher production.