Protein aggregation is a hallmark of many neuronal disorders, including the polyglutamine disorder spinocerebellar ataxia 3 and peripheral neuropathies associated with the K141E and K141N mutations in the small heat shock protein HSPB8. In cells, HSPB8 cooperates with BAG3 to stimulate autophagy in an eIF2␣-dependent manner and facilitates the clearance of aggregate-prone proteins (Carra, S., Seguin, S. J., Lambert, H., and Landry, J. (2008) In vitro, both Dm-HSP67Bc and human HSPB8 protected against mutated ataxin-3-mediated toxicity and decreased the aggregation of a mutated form of HSPB1 (P182L-HSPB1) associated with peripheral neuropathy. Upregulation of both Dm-HSP67Bc and human HSPB8 protected and down-regulation of endogenous Dm-HSP67Bc significantly worsened SCA3-mediated eye degeneration in flies. The K141E and K141N mutated forms of human HSPB8 that are associated with peripheral neuropathy were significantly less efficient than wild-type HSPB8 in decreasing the aggregation of both mutated ataxin 3 and P182L-HSPB1. Our current data further support the link between the HSPB8-BAG3 complex, autophagy, and folding diseases and demonstrate that impairment or loss of function of HSPB8 might accelerate the progression and/or severity of folding diseases.Aggregation of misfolded mutated proteins and neuronal loss are hallmarks of many neurodegenerative disorders, including Alzheimer disease, Parkinson disease, and polyglutamine disorders (e.g. Huntington disease and spinocerebellar ataxia 3), which are often referred to as protein conformational disorders (1, 2). Moreover, aggregation of mutated proteins is also commonly observed in several types of neuromuscular and muscular disorders (e.g. Charcot-Marie-Tooth type 1A, desmin-related myopathy, and muscular dystrophy), thus further underscoring a causal role for protein misfolding in neuronal and muscular cell degeneration (3-6). Hence, suppression of protein aggregation and acceleration of protein removal are considered to be common therapeutic approaches to treat the protein conformational disorders (7,8). Both suppression of protein aggregation and degradation of misfolded proteins can be achieved through stimulation of the protein quality control system, which includes molecular chaperones of the heat shock protein (HSP) 3 families and degradation systems (proteasome, chaperone-mediated autophagy, and macroautophagy) (8). It has been shown that up-regulation of molecular chaperones and stimulation of autophagy can protect from the toxic effects of aggregating proteins both in cellular and animal (e.g. Drosophila melanogaster) models of protein conformation disorders (9 -12). Conversely, impairment of molecular chaperone function may have detrimental effects for cellular viability, and failure of the HSP system with age is a likely relevant factor to the age of onset of protein misfolding diseases and for the aging process itself (13). Intriguingly, mutations in several members of the human small HSP family, which includes 10 members (sHSP/HSPB; HSPB1-HSPB...