The ubiquitin-proteasome system of intracellular proteolysis is essential f
or cell viability. We propose the concept that neurodegenerative diseases s
uch as Alzheimer's and Parkinson's, as well as other conditions including s
ome types of cancer, collectively represent a raft of 'ubiquitin protein ca
tabolic disorders' in which altered function of the ubiquitin-proteasome sy
stem can cause or directly contribute to disease pathogenesis. Genetic abno
rmalities within the ubiquitin pathway, either in ubiquitin-ligase (E3) enz
ymes or in deubiquitinating enzymes, cause disease because of problems asso
ciated with substrate recognition or supply of free ubiquitin, respectively
. In some cases, mutations in protein substrates of the ubiquitin-proteasom
e system may directly contribute to disease progression because of ineffici
ent substrate recognition. Mutations in transcripts for the ubiquitin prote
in itself (as a result of 'molecular misreading') also affect ubiquitin-dep
endent proteolysis with catastrophic consequences. This has been shown in A
lzheimer's disease and could apply to other age-associated neurodegenerativ
e conditions. Within the nervous system, accumulation of unwanted proteins
as a result of defective ubiquitin-dependent proteolysis may contribute to
aggregation events, which underlie the pathogenesis of several major human
neurodegenerative diseases.