Combating late-onset neurodegenerative disease and age associated functional decline in brain are major health challenges of our time. For the effective design of interventions that protect the nervous system from disease-induced and/or age-associated deterioration, we must fully understand endogenous mechanisms for neuronal protection and how they might fail to enable disease promotion. Recently, it has come to be appreciated that neurodegenerative disease proteins/aggregates can be found outside of mammalian neurons, and when outside can actually be taken up by neighboring cells. Transfer of offending molecules has been suggested to be a mechanism of pathogenesis spread for multiple neurodegenerative diseases, including the prevalent Alzheimer's and Parkinson diseases. We discovered a novel capacity of young adult C. elegans neurons - neurons can extrude substantial packets of cellular contents, which can include aggregated human neurodegenerative disease proteins, mitochondria, or lysosomes, but no nuclear DNA1. We call these extrusions "exophers". The ability to jettison cell contents is first evident about day 2-3 of adult life, coincident with the documented changes to adult proteostasis2,3, is then minimal until 9-10 days of adult life. Extrusion is increased when protein turnover or autophagy is inhibited. Moreover, exophers can selectively incorporate aggregation-prone proteins and oxidized mitochondria. Exopher contents can appear later in remote cells, and their clearance is mediated by the
ced-1,
ced-6, and
ced-7 engulfment pathway. Neurons that have made exophers appear to maintain functionality longer than non-exopher producing neurons. Thus, this pathway may constitute a novel neuronal protection mechanism that serves to maintain protein/organelle homeostasis when other systems are compromised. We propose that the neuronal extrusion phenomenon constitutes a significant but currently unknown conserved pathway by which healthy neurons maintain their functions, and speculate that, in diseases, this pathway may malfunction to promote spread of pathology. We will present the basic characterization of neuronal exopher production, structural findings as revealed through EM, and our latest data on genetic influences on exopher generation and clearance. 1 Melentijevic, I. et al. C. elegans neurons jettison protein aggregates and mitochondria Into the extracellular environment in response to proteotoxic stress, under revision. 2 Labbadia, J. & Morimoto, R. I. Repression of the Heat Shock Response Is a Programmed Event at the Onset of Reproduction. Mol Cell 59, 639-650, doi:10.1016/j.molcel.2015.06.027 (2015). 3 Labbadia, J. & Morimoto, R. I. Proteostasis and longevity: when does aging really begin? F1000prime reports 6, 7, doi:10.12703/P6-7 (2014).