Neurotoxic Protein Removal is the essential biological process of identifying, clearing, and eliminating misfolded, aggregated, or otherwise harmful protein species from the brain’s interstitial and intracellular compartments. This mechanism is a fundamental aspect of neuroprotection and longevity, as the accumulation of such proteins, including Tau and amyloid-beta, is a major contributor to age-related neurodegeneration. Effective removal is vital for maintaining synaptic function.
Origin
The term is rooted in the molecular pathology of neurodegenerative diseases, where the failure of cellular quality control mechanisms leads to the accumulation of toxic protein species. The clinical focus shifted to active removal strategies following the identification of the ubiquitin-proteasome system and the glymphatic system as the brain’s primary mechanisms for protein degradation and clearance.
Mechanism
At the cellular level, removal relies on the ubiquitin-proteasome system and autophagy-lysosomal pathways for intracellular protein degradation. Extracellularly, the glymphatic system plays a dominant role, flushing soluble and interstitial proteins into the cerebrospinal fluid for systemic elimination. The efficiency of both intracellular and extracellular clearance pathways is highly dependent on cellular energy status and is significantly enhanced during deep sleep cycles.
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