Abstract
Insoluble protein deposits are hallmarks of neurodegenerative disorders and common forms of dementia. The aberrant aggregation of misfolded proteins involves a complex cascade of events that occur over time, from the cellular to the clinical phase of neurodegeneration. Declining neuronal health through increased cell stress and loss of protein homeostasis (proteostasis) functions correlate with the accumulation of aggregates. On the cellular level, increasing evidence supports that misfolded proteins may undergo liquid-liquid phase separation (LLPS), which is emerging as an important process to drive protein aggregation. Studying the reverse process of aggregate disassembly and degradation has only recently gained momentum, following reports of enzymes with distinct aggregate-disassembly activities. In this review, we will discuss how the ubiquitin-proteasome system and disaggregation machineries such as VCP/p97 and HSP70 system may disassemble and/or degrade protein aggregates. In addition to their canonically associated functions, these enzymes appear to share a common feature: reversibly assembling into liquid droplets in an LLPS-driven manner. We review the role of LLPS in enhancing the disassembly of aggregates through locally increasing the concentration of these enzymes and their co-proteins together within droplet structures. We propose that such activity may be achieved through the concerted actions of disaggregase machineries, the ubiquitin-proteasome system and their co-proteins, all of which are condensed within transient aggregate-associated droplets (TAADs), ultimately resulting in aggregate clearance. We further speculate that sustained engagement of these enzymatic activities within TAADs will be detrimental to normal cellular functions, where these activities are required. The possibility of facilitating endogenous disaggregation and degradation activities within TAADs potentially represents a novel target for therapeutic intervention to restore protein homeostasis at the early stages of neurodegeneration.
Introduction
Protein aggregates are observed in a range of neurodegenerative disorders, including Alzheimer’s, Parkinson’s, Huntington’s disease and amyotrophic lateral sclerosis ALS (ALS). Alzheimer’s disease is the most common form of dementia and is characterized by the presence of amyloid-β (Aβ) plaques (Knopman et al., 2021) and tau-containing neurofibrillary tangles (). Parkinson’s disease is a movement disorder, hallmarked by insoluble neuronal protein deposits called Lewy bodies that mainly consist of aggregated α-synuclein (αS) (Poewe et al., 2017). Huntington’s disease is typically characterized by chorea and psychiatric symptoms, in which expansion of repeat sequences (poly-glutamine or poly-Q) in the huntingtin protein (HTT) drives its aggregation (Tabrizi et al., 2020). The aggregation of several other proteins, such as TDP-43 and C9orf72, has been associated with ALS, a rare progressive neuromuscular disorder (). Interestingly, although these neurodegenerative disorders have distinct clinical presentations and are associated with specific proteins, the aggregation of misfolded proteins appears to be a common pathological mechanism (Soto and Pritzkow, 2018).
Compared with protein aggregation, the reverse process of aggregate disassembly by disaggregases and proteasomes has only recently gained attention. In this review, we will discuss the function of disaggregases and the ubiquitin (Ub)-proteasome system in restricting protein aggregation. We will examine how these components may assemble into liquid droplets, through a physical phenomenon called liquid phase condensation or liquid-liquid phase separation (LLPS), to potentially enhance their local activity. We propose that these enzymes and their co-proteins participate in the formation of putative “transient aggregate-associated droplets” (TAADs) which function as disaggregating/proteolytic centers to drive the disassembly of misfolded protein deposits. Enhancing the activity in such centers at the early stages of protein aggregation may represent a novel route to impede the progression of neurodegenerative disorders.
Protein Aggregation
Misfolded proteins lack defined tertiary structures and tend to accumulate together, leading to protein aggregation. For example, both tau and αS are inherently disordered and lack defined tertiary structural features upon dissociation from their physiological binding partners (Vasili et al., 2019). Similarly, the expansion of repeat sequences, such as poly-Q in the HTT and poly-GA in the C9orf72 gene, introduces unfolded protein sequences that form a critical feature in enabling their respective aggregation (Nonaka et al., 2018; ). Other proteins, such as TDP-43 assemble into aggregates only upon specifically altered cellular conditions leading to protein misfolding, including LLPS-driven mechanisms (Watanabe et al., 2020).
The aggregation process has been extensively studied for a range of misfolded proteins (Figure 1). Usually, misfolded protein monomers are thought to interact with each other and form globular oligomers that remain soluble (). Oligomers can further aggregate and through structural rearrangements assemble into stable and highly organized filamentous aggregates (fibrils) or form amorphous aggregates that have no distinct higher-order structure (Figure 1A). Critically, these misfolded proteins and oligomers may act as templates or “seeds” for further aggregation to occur inside the cell (; Vasili et al., 2019). These aggregate seeds can also pass on to naïve cells, thus contributing to the spreading of pathology through the brain (Pecho-Vrieseling et al., 2014; Rauch et al., 2018, 2020). Studies in cellular and mouse models of pathology suggest that, compared with stable aggregates and fibrils, oligomers may be the more toxic aggregate species (Wegmann et al., 2016; ), which easily penetrate lipid bilayers and cause cell stress (; Klenerman et al., 2021; Lobanova et al., 2021). The formation of aggregated fibrils, such as in neurofibrillary tangles and Lewy bodies, is reasoned likewise to be a potentially protective cellular mechanism to sequester the toxic oligomers (Kopeikina et al., 2012; Li and Haney, 2020).
FIGURE 1
In many cases, the aggregation of misfolded proteins is associated with post-translational modifications including phosphorylation and ubiquitination (Figure 1B). The role of phosphorylation, ubiquitination and many other post-translational modifications on tau and αS, such as sumoylation, nitration, O-GlcNacylation, acetylation and methylation, have been reviewed extensively for their roles in regulating the function of misfolded proteins through altering their physiochemical properties, turnover, structural conformation or interaction with their binding partners (reviewed in e.g., Zhang et al., 2019; ). Alterations in the phosphorylation status of misfolded proteins is believed to contribute to aggregate pathology. For example, hyperphosphorylation can cause tau to dissociate from microtubules, leading to microtubule destabilization and loss of neuronal cytoskeletal structure (). Additionally, tau phosphorylation at residues S202/T205 is considered a key pathological event of its aggregation (Simic et al., 2016). In Parkinson’s disease, αS is heavily phosphorylated at residue S129 () and this modification is thought to accelerate aggregation of the protein (Karampetsou et al., 2017). Recent high-resolution cryo-EM studies have further found a high level of both ubiquitination and phosphorylation events on fibrils derived from post-mortem tauopathy and synucleinopathy donor samples (; Schweighauser et al., 2020), suggesting that both types of modifications are associated with aggregates.
A second aspect that may influence protein aggregation is LLPS, which describes a physical process whereby a macromolecular solution assumes a dense phase that resembles liquid droplets coexisting within a more dilute phase (). Demixing of intracellular macromolecules and assembly of liquid droplets may be influenced by the concentration and nature of the macromolecules and of the solution, all of which are factors that may determine whether phase separation occurs (principles of LLPS reviewed in ). The phase state of droplets ranges from the “liquid-like” phase that readily fuse, coalesce and disassemble, to denser “gel-like” phases that are limited in exchange with the dilute phase but remain reversible. This phase can further progress into solid-like phases of hydrogels containing amyloid-like fibrils (review of phases in Peran and Mittag, 2020 and LLPS-relevant investigation techniques in ). These hydrogels can be difficult to reverse without changes to the surrounding environment or interventions from other substrates. Droplets that do not readily exchange with the dilute phase or that are irreversible have been associated with a range of diseases (reviewed in Shin and Brangwynne, 2017; ). LLPS allows for the formation of membrane-less compartments (such as the nucleolus or centrosome) and enables cells to concentrate biomolecules at regions of interest, thus bringing relevant proteins in contact in a fluid and dynamic way (; ). This process can also reduce variability and noise in protein concentration in cells (Klosin et al., 2020) and influence protein functions—for example, being in a more liquid phase would allow for increased molecular interactions while being in a more solid-like phase, although difficult to reverse, would sequester proteins from the cytosol (; Olzmann and Carvalho, 2019). Emerging roles of LLPS in RNA processing and translation and neuroinflammation suggest that this physical process has important regulatory functions in biology (reviewed in Wolozin and Ivanov, 2019; Zbinden et al., 2020; Pakravan et al., 2021; Wang et al., 2021).
The formation of tau droplets is favored by hyperphosphorylation and pathological mutations such as P301S, P301L and A152T, which increase the likelihood of liquid-to-gel-like transition (Wegmann et al., 2018). While liquid droplets formed from tau proteins could sometimes be a physiological process to assist with microtubule polymerization in neurons (), the increased density of tau also facilitates its aberrant aggregation (). For HTT, it was shown that its aggregation-prone exon 1 fragment forms liquid droplets that became progressively resistant to 1,6-hexanediol, a compound that disrupts LLPS over time, indicative of the transition to a gel-like aggregate structure (Peskett et al., 2018). For αS-containing liquid droplets, a similar liquid-to-gel-like transition has been observed both in vitro and in vivo. The familial Parkinson’s disease mutations A53T and E46K in αS and S129-phosphorylated αS accelerate this transition, suggesting that LLPS may be a critical step in aggregation (Ray et al., 2020). The important next step is to unveil the molecular features of LLPS-driven aggregation of misfolded proteins in a physiological context.
Reversing Protein Aggregation
Disaggregases, such as the metazoan VCP (also known as p97), and the 70 kDa heat shock proteins (HSP70) disaggregase machinery, are a group of enzymes that utilize ATP to reverse protein aggregation, refolding aggregates back into monomers in their native conformations (). These enzymes may target aggregates alone or associate with additional co-proteins that assist with enzymatic functions. VCP/p97 belongs to the AAA+ ATPase superfamily (Puchades et al., 2020), which form characteristic hexameric ring complexes that couple ATP hydrolysis with mechanical work (Figure 2A). Other members of this superfamily include subunits Rpt1-6 of the 19S proteasome regulatory particle, prokaryotic ClpB and its yeast ortholog Hsp104 (Figure 2B), whose disaggregation activity was reported nearly three decades ago (Parsell et al., 1994). A recent report further reveals a metazoan AAA+ ATPase disaggregase, Skd3, a mitochondrial protein that is able to solubilize αS aggregates and is distantly related to ClpB (). The ability to restrict and reverse protein aggregation appears to be an activity that has been conserved in evolution.
FIGURE 2
VCP/p97 and Disaggregation
VCP/p97 was found to associate with the HSP70 disaggregase machinery (discussed below) and engage with tau and HTT aggregates in post-mortem brain tissues (
Previous studies found a very high level of expression of VCP/p97 in mammalian cells, underscoring its importance in proteostasis functions (Peters et al., 1990; Zeiler et al., 2012). Compared with other members of the AAA+ ATPase superfamily, VCP/p97 lacks motifs within the catalytic domain that facilitate binding and guidance of substrates through the central pore (
The VCP/Ufd1/Npl4 machinery targets ubiquitinated substrates and is linked with proteasomal responses to aggregated proteins. For instance, knocking out components of the VCP/p97 machinery shows impeded degradation of ubiquitinated HTT (
70 kDa Heat Shock Proteins Family and Disaggregases
The 13-member HSP70-family of molecular chaperones participates in the folding of newly synthesized proteins, assists with the translocation of polypeptides into organelles, and the disassembly of stable complex structures. Many of the cellular homeostatic protein folding functions are thought to be carried out by the constitutively expressed HSP70-family member HSC70, while expression of the HSP70 protein is induced by stress and accumulation of misfolded proteins (Rosenzweig et al., 2019). HSP70 recognizes misfolded proteins by binding to hydrophobic protein stretches such as the tetra-repeat domain of tau (Kundel et al., 2018) or the N-terminal region of αS (Tao et al., 2021), inhibiting their aggregation propensity (Klucken et al., 2004;
Chaperones of the HSP70-family form a disaggregase system in metazoans by recruiting additional co-chaperones called J-proteins and a nucleotide exchange factor (NEF), such as Apg2 and HSP110 (Rosenzweig et al., 2019). This HSP70/J-protein/NEF combination is hereafter referred to as the HSP70 disaggregation machinery (Figure 2C). By engaging different classes of J-proteins, the HSP70 chaperone forms transient complexes that disassemble aggregates of a range of sizes with assistance from the NEF (Nillegoda et al., 2015). Similarly, the HSC70 chaperone could disassemble αS fibrils in vitro by associating with a J-protein (DNAJB1) and a NEF (Apg2), decreasing aggregate toxicity by ∼10% (
C-Terminus of Hsc70-Interacting Protein and Aggregate Degradation
The HSP70 system interacts with C-terminus of Hsc70-interacting protein (CHIP), a Ub E3 ligase (see Figure 3A), and targets aggregates for proteasomal degradation. CHIP facilitates substrate ubiquitination through its C-terminal catalytic domain, while its N-terminal domain enables interactions with HSP70 (Zhang et al., 2020). Interactions with the disaggregation machinery appears critical for CHIP activity, as aggregate-bound chaperones are required for efficient ubiquitination (Qian et al., 2006; Tetzlaff et al., 2008; Kalia et al., 2011). Our recent in vitro study further suggests that the binding of misfolded proteins such as tau may directly enhance the activity of CHIP (Zuo et al., 2020). Whether misfolded proteins and aggregates are refolded or degraded is thought to be dependent on the ratio of the disaggregation machinery to CHIP. HSP70 and other heat shock proteins are expressed at much higher levels than CHIP (Meacham et al., 2001), suggesting a potential cellular preference for refolding over degradation. However, upon elevated CHIP expression or prolonged substrate-HSP70 interactions, a larger fraction of substrates become ubiquitinated by CHIP, tagging them for degradation (Qian et al., 2006).
FIGURE 3

The ubiquitin-proteasome system. (A) Protein ubiquitination is initiated by an E1 activating enzyme, which charges Ub to its active site cysteine residue in an ATP-dependent manner. This activated Ub is then transferred to the active site cysteine of an E2 conjugating enzyme, which with support from an E3 ligating enzyme, results in protein ubiquitination. Ubiquitinated proteins are recognized by proteasomes, leading to the unfolding and degradation of the substrate. (B) Schematic representation of the 26S proteasome holoenzyme. This enzyme complex consists of a 20S core particle (CP), capped by 19S regulatory particles (RP). Both the CP and RP may exist as free particles or assembled into a holoenzyme. Rpt1-6 of the RP are colored in shades of green as in Figure 2A. A number of proteins interact reversibly to assist with various proteasomal functions as required by the host cell. (C) In addition to protein degradation, the proteasome holoenzyme is also able to fragment stable fibrils into smaller fragments (< 500 nm) such as oligomers (
Many misfolded proteins and their aggregates are substrates of CHIP. It was shown that CHIP ubiquitinates HSP70-bound αS and accelerates the degradation of αS aggregates, leading to reduced aggregate toxicity (Shin et al., 2005; Tetzlaff et al., 2008). CHIP-mediated tau ubiquitination and degradation could be augmented in HeLa cells and in a mouse model of tauopathy, upon induced endogenous HSP70 expression through inhibition of HSP90 (Petrucelli et al., 2004;
The UB-Proteasome System in Reversing Protein Aggregation
The Proteasome System
Aberrant loss of proteasomal degradation activity is observed in Alzheimer’s, Parkinson’s and Huntington’s disease (Keller et al., 2000;
Early works found that aggregates impaired protein degradation via the UPS in HEK293 cells (
Proteasome-Interacting Proteins in Mediating Aggregate Degradation
Several studies have indicated that the proteasome interacts with components of HSP70 and VCP disaggregase machineries (
UBQLN2 is a proteasome shuttling factor, which contains an N-terminal domain that interacts with the proteasome, and a C-terminal domain to which ubiquitinated and misfolded proteins may bind (
Interactions between protein aggregates and HSP70 are facilitated by UBQLN2. Previous studies show that UBQLN2 is activated by HTT or poly-GA aggregates binding to HSP70 (
UBE3C is a Ub E3 ligase that is recruited to the proteasome when protein misfolding is induced (
Perhaps with some redundancy, UBE3A and UBE3B are also members of the UBE3 ligase family and interact reversibly with the proteasome to assist its function. UBE3A mutations affecting proteasomal binding or activity have been linked to Angelman syndrome (Yi et al., 2017; Kuhnle et al., 2018). In neurons, UBE3A is found at axon terminals and dendritic spines (
Cross-Talk Between Proteasomal and Autophagosomal Degradation
A second route for degradation of eukaryotic proteins is through the autophagy-lysosome pathway, which shares links to the UPS (
The scaffold protein p62 is known to mediate cross-talk between the UPS and the autophagy-lysosome pathway (
The Role of Liquid-Liquid Phase Separation in Protein Aggregation
The Proteasome System and Disaggregases Are Involved in Liquid Droplets
Proteasomes are highly abundant in mammalian cells and are distributed throughout the cytosol and the nucleus (e.g.,
Molecular chaperones and components of the disaggregase machinery also appear to assemble into or associate with cellular bodies that act under LLPS principles. UBQLN2 co-localizes with stress granules and undergoes LLPS under in vitro conditions as well as in HeLa cells, where its HSP70 interaction domain is critical for liquid droplet formation (
A recent study showed that proteasome particles, Ub E1, E2, E3 enzymes and deubiquitinases are found in liquid droplets in the nucleus, as was p62, the essential component of these droplets (
Could Liquid-Liquid Phase Separation Be a Novel Mechanism to Concentrate Disaggregation and Degradation Activities?
Given that components of the disaggregase machineries, proteasomes and their co-proteins have all been found in liquid droplets, it is tempting to speculate that a “transient aggregate-associated droplet” (TAAD) is assembled in response to accumulating misfolded proteins (Figure 4). These TAADs may be initiated through the presence of misfolded protein condensates, to which chaperones, proteasomes or their co-proteins would nucleate. Additional components and interacting partners of disaggregase and proteasome systems would also be recruited. The existence of such droplets would facilitate the concerted actions of ubiquitination, disaggregation, refolding/unfolding and degradation to take place locally, ensuring a high density of disassembly- and proteolytic activity to occur without compromising homeostatic cellular processes outside the TAAD. An elegant cryo-electron tomography study in nematodes reports that poly-GA aggregates recruit proteasomes to form foci structures with aggregates (
FIGURE 4

A model for disaggregation and degradation reactions mediated by liquid droplets. (A) Proteins that misfold inside a cell begin to accumulate and form liquid droplets through LLPS principles. (B) Recruitment of the ubiquitin-proteasome system, VCP and HSP70 disaggregation machineries and co-proteins that support their functions enable locally concentrated enzymatic activities in liquid droplets to prevent further accumulation of misfolded proteins. (C) Formation of such “transient aggregate-associated droplets” (TAADs) enable concerted actions of fibril disassembly, ubiquitination and unfolding of aggregates and substrate degradation to occur within a dedicated environment. (D) Prolonged stalling of the various enzymes in the TAADs through disassembly- and degradation-resistant aggregation mechanisms may be associated with gradual phase shift towards a more gel-like state that could be relevant to pathology.
The TAADs may only assemble briefly as a result of stress-related emergencies, since the prolonged engagement of disaggregases and proteasomes would neglect their canonical roles in proteostasis. As mentioned in the second section, aggresomes and other large, end-stage aggregates and fibrils may be neuroprotective and less toxic than oligomers. However, it is possible that fibrils could indirectly affect disaggregases and the proteasome system by depleting their enzymatic activity from elsewhere in the cell, so that they cannot fulfill their normal function in proteostasis. It may further be possible that a phase change to a more gel-like state could trap these enzymes in the TAADs, which would further aggravate protein aggregation. Current methods using fluorescence recovery after photobleaching (FRAP) to determine how rapidly proteins found within the droplet exchange with those outside, combined with determining droplet fluidity by measuring how stable they are in the presence of 1,6-hexanediol treatment, will enable examination of the phase of TAADs.
Concluding Remarks
We have discussed the ability of the disaggregase and the proteasome systems to assemble into liquid droplets, proposing the concept of TAADs to allow these systems to act in a concerted manner to remove aggregates. These putative droplets may provide an “emergency solution” to cell stress, temporarily redistributing enzymes needed for proteostasis in the cell. Aggregation-prone proteins and disaggregases appear to act in an LLPS-driven manner, enabling cells to enhance the disassembly of aggregates within droplet structures. A critical next step is to quantitatively examine the early stages of neurodegeneration for changes in droplet size, fluidity, composition and the local disaggregase/degradation activity.
Recent technical developments such as “optoDroplet,” takes advantage of optogenetics to precisely control and study phase transitions within cells (Shin et al., 2017). The construct in optoDroplet consists of an intrinsically disordered protein region fused to a light-sensitive protein that self-interacts upon light exposure, thus enabling light intensity to tune droplet formation in cells. Potentially, a protein of interest acting under LLPS principles may be fused to the optoDroplet construct and brought into droplet formation in a photo-controllable manner. This technique adequately complements the canonical methods for assessing LLPS in cells such as 1,6-hexanediol (McSwiggen et al., 2019), FRAP (
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Statements
Author contributions
EMH and LS performed the literature review. YY conceptualized the manuscript and supervised the project. EMH and YY wrote the original draft. All authors contributed manuscript writing and editing.
Funding
This work was supported by the UK Dementia Research Institute (to YY), which receives its funding from DRI Ltd., funded by the UK Medical Research Council, Alzheimer’s Society and Alzheimer’s Research UK. The funders were not involved in the study design, collection, analysis, interpretation of data, the writing of this article or the decision to submit it for publication. All authors declare no other competing interests.
Acknowledgments
We thank Michael Morten and Alexi Nott for helpful discussions and comments on the manuscript.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
liquid droplet, protein aggregation, ubiquitin proteasome pathway, disaggregase machinery, neurodegenaration, liquid-liquid phase separation, protein misfolding
Citation
Mee Hayes E, Sirvio L and Ye Y (2022) A Potential Mechanism for Targeting Aggregates With Proteasomes and Disaggregases in Liquid Droplets. Front. Aging Neurosci. 14:854380. doi: 10.3389/fnagi.2022.854380
Received
13 January 2022
Accepted
18 February 2022
Published
06 April 2022
Volume
14 - 2022
Edited by
Changning Wang, Harvard Medical School, United States
Reviewed by
Andrii Domanskyi, Orion Corporation, Finland; Prajwal Ciryam, Columbia University, United States
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Copyright
© 2022 Mee Hayes, Sirvio and Ye.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Yu Ye, yu.ye1@imperial.ac.uk
This article was submitted to Cellular and Molecular Mechanisms of Brain-aging, a section of the journal Frontiers in Aging Neuroscience
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