Evidence map›Paper›PMID 33706671›Full record

ArticleAutophagy2021

Trehalose causes low-grade lysosomal stress to activate TFEB and the autophagy-lysosome biogenesis response.

Se-Jin Jeong, Jeremiah Stitham, Trent D Evans, Xiangyu Zhang, Astrid Rodriguez-Velez, Yu-Sheng Yeh, Joan Tao, Koki Takabatake, Slava Epelman, Irfan J Lodhi and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Autophagy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 125 citations in OpenAlex.

  1. Article
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  11. Enhanced lysosomal activity prevents infection with PrPThe Journal of biological chemistry · 2026
    Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Telomeric autophagy in human health, aging, and diseases.Frontiers in molecular biosciences · 2026
    Review
  17. Review
  18. Review
  19. Article
  20. Article

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 2 countries.

Se-Jin JeongDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Jeremiah StithamDepartment of Medicine, Division of Endocrinology, Metabolism, Lipid Research, Washington University School of Medicine, St. Louis, MO, USA.
Trent D EvansDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Xiangyu ZhangDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Astrid Rodriguez-VelezDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Yu-Sheng YehDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Joan TaoDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Koki TakabatakeDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Slava EpelmanPeter Munk Cardiac Center, Ted Rogers Centre for Heart Failure Research and the Toronto General Hospital Research Institute, University of Toronto, Toronto, ON, Canada.
Irfan J LodhiDepartment of Medicine, Division of Endocrinology, Metabolism, Lipid Research, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-6246-9862
Joel D SchillingDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Brian J DeBoschDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-9924-7921
Abhinav DiwanDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.
Babak RazaniDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-7172-9240
Washington University in St. Louis · USUniversity of Toronto · CA

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI James Alexander Fitzpatrick · 2013 to 2026
$27.1M
TrainingP41GM103422 · NIGMS · WASHINGTON UNIVERSITY · PI YARASHESKI, KEVIN E · 2012 to 2019
$12.0M
PRINCIPLES IN CARDIVASCULAR RESEARCH TRAINING PROGRAMT32HL007081 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan, Karen Ellen Joynt Maddox · 1985 to 2026
$10.6M
ROLE OF AUTOPHAGIC FLUX IN CARDIAC MYOCYTE VIABILITYR01HL107594 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan · 2011 to 2026
$5.9M
THE ROLE OF MACROPHAGE LYSOSOMAL BIOGENESIS IN ATHEROSCLEROSISR01HL125838 · NHLBI · WASHINGTON UNIVERSITY · PI RAZANI, BABAK · 2015 to 2025
$4.6M
Treating secondary cardiomyopathies by mimicking the adaptive hepatic glucose fasting responseR01HL147968 · NHLBI · WASHINGTON UNIVERSITY · PI DEBOSCH, BRIAN JESSE · 2020 to 2024
$3.2M
REGULATION OF ADIPOSE TISSUE REMODELING AND ENERGY HOMEOSTASISR01DK115867 · NIDDK · WASHINGTON UNIVERSITY · PI LODHI, IRFAN J · 2018 to 2022
$1.9M
Training in Integrative and Systems Biology of Cardiovascular DiseaseT32HL134635 · NHLBI · WASHINGTON UNIVERSITY · PI NERBONNE, JEANNE M. · 2017 to 2021
$1.8M
Leveraging glucose transport and the adaptive fasting response to modulate hepatic metabolismR01DK126622 · NIDDK · WASHINGTON UNIVERSITY · PI DEBOSCH, BRIAN JESSE · 2021 to 2024
$1.7M
Metabolic Link Between Peroxisomes and Mitochondria in the Regulation of ThermogenesisR01DK118333 · NIDDK · WASHINGTON UNIVERSITY · PI LODHI, IRFAN J · 2019 to 2021
$1.2M
Biological Effects and Mechanistic Actions of the Natural Disaccharide and Dietary Supplement, Trehalose.R21AT010520 · NCCIH · WASHINGTON UNIVERSITY · PI DEBOSCH, BRIAN JESSE · 2019 to 2020
$432k
BLRD VA I01 BX003415BLRD VA I01 BX004235NCCIH NIH HHS R21 AT010520NHLBI NIH HHS F31 HL132434NHLBI NIH HHS R01 HL107594NHLBI NIH HHS R01 HL125838NHLBI NIH HHS R01 HL147968NHLBI NIH HHS T32 HL007081NHLBI NIH HHS T32 HL134635NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS R01 DK115867NIDDK NIH HHS R01 DK118333NIDDK NIH HHS R01 DK126622NIDDK NIH HHS R56 DK115764NIGMS NIH HHS P41 GM103422
6 · The paper itself

Abstract

The autophagy-lysosome system is an important cellular degradation pathway that recycles dysfunctional organelles and cytotoxic protein aggregates. A decline in this system is pathogenic in many human diseases including neurodegenerative disorders, fatty liver disease, and atherosclerosis. Thus there is intense interest in discovering therapeutics aimed at stimulating the autophagy-lysosome system. Trehalose is a natural disaccharide composed of two glucose molecules linked by a ɑ-1,1-glycosidic bond with the unique ability to induce cellular macroautophagy/autophagy and with reported efficacy on mitigating several diseases where autophagy is dysfunctional. Interestingly, the mechanism by which trehalose induces autophagy is unknown. One suggested mechanism is its ability to activate TFEB (transcription factor EB), the master transcriptional regulator of autophagy-lysosomal biogenesis. Here we describe a potential mechanism involving direct trehalose action on the lysosome. We find trehalose is endocytically taken up by cells and accumulates within the endolysosomal system. This leads to a low-grade lysosomal stress with mild elevation of lysosomal pH, which acts as a potent stimulus for TFEB activation and nuclear translocation. This process appears to involve inactivation of MTORC1, a known negative regulator of TFEB which is sensitive to perturbations in lysosomal pH. Taken together, our data show the trehalose can act as a weak inhibitor of the lysosome which serves as a trigger for TFEB activation. Our work not only sheds light on trehalose action but suggests that mild alternation of lysosomal pH can be a novel method of inducing the autophagy-lysosome system.

Indexed as

AutophagyAnimalsBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBlotting, WesternEndocytosisFluorescent Antibody TechniqueGas Chromatography-Mass SpectrometryLysosomesMacrophages, PeritonealMechanistic Target of Rapamycin Complex 1MiceTrehaloseBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsMechanistic Target of Rapamycin Complex 1Tcfeb protein, mouseTrehaloseEndocytosislysosomeMTORC1TFEBtrehalose

Identifiers

PMID33706671
PMCPMC8632292
OpenAlexW3135372426

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.