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Autophagosome–lysosome fusion process

Molecular classification
Other (cellular process; not a single molecule, protein, or canonical drug target)
01

Overview

The autophagosome–lysosome fusion process is a key stage in macroautophagy, where mature double-membrane autophagosomes fuse with lysosomes to create autolysosomes, enabling lysosomal hydrolases to degrade sequestered cytoplasmic material. This step is regulated by multiple molecules, including small GTPases (notably RAB7), SNARE proteins (Syntaxin 17, SNAP29, VAMP8), various tethering complexes (e.g., HOPS complex), actin cytoskeleton, phosphoinositides, and additional factors (e.g., ATG14)[1][2][3][4][5]. Disruption of this fusion step impairs autophagic clearance, contributing to the pathogenesis of a range of human diseases, particularly neurodegeneration and cancer. Certain small molecules and drugs, such as EACC and bafilomycin A1, can experimentally or therapeutically target this process, though it is not a drug target in the traditional, molecule-specific sense. This entry is not a canonical therapeutic target as typically defined, but rather a crucial biological process composed of multiple molecular participants whose disruption or modulation impacts cellular and disease biology[2][5].

Other names
Autophagosome–lysosome fusionAutophagosome–endolysosome fusionAutolysosome formationAutophagic vesicle–lysosome fusion
02

Mechanism of action

Inhibition of SNARE-mediated membrane fusion. Lysosomal pH neutralization (impairs degradation post-fusion, sometimes also impairs fusion itself). Disruption of cytoskeletal trafficking leading to failed organelle apposition/fusion.

03

Biological functions

Cellular homeostasisDegradation of cytoplasmic contentsAutophagic fluxOrganelle turnover
04

Disease associations

Neurodegenerative diseaseCancerInfectionLysosomal storage disordersOther (broadly implicated in diseases with disrupted autophagy)
05

Safety considerations

Inhibition of autophagosome–lysosome fusion can cause cell stress and death, particularly in tissues reliant on protein/organelle turnover (e.g., neurons, hepatocytes)Chronic blockade may contribute to neurodegeneration or hepatic injury
06

Interacting drugs

EACC (inhibits by blocking SNARE-dependent fusion)

2 more in the full profile.

07

Biomarkers

Accumulation of LC3-II on autophagosomes (when fusion is blocked)Increased numbers of autophagosomes by electron microscopy or immunofluorescence (reflecting stalled fusion)Decreased autolysosome content

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