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Table 1 Small molecule compounds targeting TDP-43, mitochondria, and autophagy

From: Maintaining the balance of TDP-43, mitochondria, and autophagy: a promising therapeutic strategy for neurodegenerative diseases

Target

Drug

Mechanism

Reference

TDP-43

Mitoxantrone

Reduces the recruitment of TDP-43 from SGs and prevents the formation of TDP-43 aggregates

[142]

Trimethylamine N-oxide (TMAO)

Enhances TDP-43 LLPS but prevents protein fibrillation in vitro

[143]

rTRD01

Prevents RNA or DNA from binding to TDP-43 to reduce neuronal toxicity

[144]

PF 670462

Inhibits casein kinases 1 to reduce TDP-43 phosphorylation and aggregation

[145, 146]

D4476

Olomoucine

Inhibits cyclin-dependent kinase 2 (CDK2) to reduce TDP-43 accumulation in SGs

[147, 148]

SB 415286

Inhibits glycogen synthase kinase 3β (GSK3β) to reduce TDP-43 accumulation in SGs

IGS2.7

Inhibits CK1 to reduce TDP-43 phosphorylation and restores nuclear protein localization to restore TDP-43 homeostasis

[149]

IGS3.27

Mitochondria

MitoQ

Mitochondria-targeting antioxidant

[150]

AICAR

Activates AMPK, which then acts on PGC-1α

[151]

Nicotinamide mononucleotide (NMN)

Increases NAD+ pools and activates mitochondrial unfolded protein response

[152,153,154]

Resveratrol

Activates SIRT1, which then acts on PGC-1α

[155, 156]

Rimonabant

Activates eNOS; increases mitochondrial mtDNA and mRNA

[157]

Fibrates

Activates AMPK and PGC-1α

[158]

Recombinant TFAM

Increases respiration and mitochondrial biogenesis

[159, 160]

Autophagy/ Mitophagy

Melatonin

Counteracts oxidative stress, and prevents collapse of mitochondrial membrane potential; accumulates within mitochondria to prevent cardiolipin peroxidation in order to maintain cardiolipin interaction with autophagosomes via LC3II

[161,162,163]

Urolithin A

Induces expression of mitophagy proteins, including full-length PINK1, Parkin, OPTN; p-ULK1, LC3B-II, Beclin1, Bcl2L13, AMBRA1, and FUNDC1 in SH-SY5Y cells; induces expression of full-length PINK1 in brain tissues of mice

[164, 165]

Actinonin

Induces expression of mitophagy proteins, including full-length PINK1, Parkin, OPTN; p-ULK1, LC3B-II, Beclin1, Bcl2L13, AMBRA1, and FUNDC1 in SH-SY5Y cells; induces expression of full-length PINK1 in brain tissues of mice

[164, 166]

Rapamycin

Induces macro-autophagy by direct binding and inhibition of mTOR; stimulates AMPK; extends lifespan in mice in an ULK1-dependent manner

[167,168,169]

Metformin

Induces autophagy/mitophagy via SIRT1, IGF-1, and mTORC1, or via Parkin-mediated mitophagy

[167, 170,171,172]

Spermidine

Induces mitophagy through multiple pathways, involving the ATM-PINK1-Parkin pathway, the Nrf2-SKN-1 pathway, and through activation of AMPK and inhibition of mTOR; inhibits EP300; induces BNIP3, CTSL, and ATGs

[173,174,175]

Torin1

Induces autophagy by inhibiting the kinase domains of two TORC complexes

[176, 177]

Lithium

Removes altered mitochondria and protein aggregates

[178]