A general hallmark of neurodegenerative disease is pathology associated with aberrant aggregates. Moreover, it has recently 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. Understanding of the basic mechanisms by which aggregates are extruded and handled by their cellular neighbors is thus a critical problem is neurodegenerative disease. We discovered a novel capacity of young adult C. elegans neurons to extrude large membrane-bound packets of cellular contents called exohers, which can include aggregated human neurodegenerative disease proteins, mitochondria, or lysosomes, but no nuclear DNA. Interestingly, exophers can selectively incorporate aggregation-prone proteins and oxidized mitochondria. Exophers extruded from touch neurons are initially taken up by the hypodermis, after which their fluorescent contents are either degraded, persist in a networked form we have called the "starry night" phenotype, or are thrown about again into the pseudocoloem and appear later in remote cells. The extruded exopher clearance in the hypodermis appears to be mediated by the
ced-1,
ced-6, and
ced-7engulfment pathway, but how exopher content is handled by the hypodermis is unknown. We have begun to track the molecular details by which the hypodermis addresses invading exopher contents. Our investigations into the hypodermal processing of exopher mCherry aggregates shows that the aggregates will colocalize with the hypodermal lysosome network, as visualized by the lysosome membrane protein SCAV-3::GFP. We also find that this touch neuron-derived cargo colocalizes with late endosome components RAB-7 and RAB-10. We will present these findings as well as current data on other phagocytosis, endocytosis and autophagic machinery that influence our working models of the fates of extruded cargoes derived from neurons that end up in other cells.