Table I

Possible therapeutic goals and situations for application.

GoalSituations
Promote induction of autophagy
  • Lack of induction due to deficits in signaling or autophagic machinery
  • Lack of induction due to defective recognition of damaged proteins/organelles
  • Feedback inhibition of induction from chronic autophagic stress
Promote lysosomal function to prevent/alleviate autophagic stress
  • Age- and disease-associated decline in lysosomal function
  • Expansion of AV intermediates responsible for toxic species generation
  • Prolonged sequestration of essential components, making them unavailable for recycling
Blunt or slow autophagy induction
  • Autophagic stress due to high levels of induction
  • Autophagic/degradative stress overwhelming the capacity of cell to recycle membranes or to synthesize/regenerate important cellular components
  • Autophagy induced for cell death execution (will need to balance loss of irreplacable cell against benefit of ridding organism of defective cell)
Enhance degradation of specific cargo without increasing overall autophagic flux
  • Critical components degraded through bystander effect as result of autophagy induced for other reasons
  • Aggregate-prone proteins or damaged mitochondria in aging subject with less efficient biosynthetic capacity