The organic pesticide rotenone impairs mitochondrial activity and prolonged exposure limits the efficacy of autophagy. A: Rotenone (5 to 50 nmol/L) induces autophagy in wild-type (WT) and (to a lesser degree) A53T α-synuclein-transfected cells within 24 hours, but chronic exposure (7 days) of rotenone, dramatically reduces the levels of LC3-II. B: At the same time, lactate dehydrogenase levels were only significantly different in 7-day treated A53T (P < 0.05) cells relative to controls, whereas cellular activity, as determined by MTT assay, was reduced by 10% in WT cells (P < 0.05) and 22% (P < 0.01) in the A53T cells after 24 hours. Following 7 days of treatment, the decrease was 32% (P < 0.01) and 70% (P < 0.001), respectively. Cytochrome C was also significantly reduced after 7 days of rotenone treatment in both cell lines, although the change was more apparent the mutant cells. Immunochemistry of cytochrome c oxidase activity in the mutant cells showed a clear decline in diaminobenzidine immunoreactivity after 7 days of rotenone treatment. This decline in metabolic levels was even greater at 7 days in the mutant cells as determined ATP levels. C: Whereas 50 nmol/L rotenone induced autophagy, as indicated by LC3-II levels, at a similar rate to 10 nmol/L rapamycin at 24 hours, prolonged exposure to this level of rotenone depressed the levels of LC3-II/tubulin. Densitometry results are shown for the samples (n = 6; **P < 0.01, ***P < 0.001). D: At 24 hours, rapamycin (added at the 20-hour point) was competent in removing most of the oligomeric α-synuclein in both the WT and A53T α-synuclein-transfected cells treated with 50 nmol/L rotenone. This clearance mechanism was not as effective after 7 days of exposure in the cell lines, though there was a minor reduction in 3× α-syn in the WT cells. Densitometry results (n = 6) are shown for levels of oligomers (*** P < 0.001). E: Confocal images of WT and A53T cells treated for 24 hours with 50 nmol/L rotenone and colabeled with LC3 (green) and α-synuclein (red). Although there was significant colocalization (yellow, white arrow) between LC3 and α-synuclein in punctate structures indicating AVs, there were also numerous green puncta of AVs without α-synuclein (green arrow) in the A53T cells, and red puncta (red arrow) that identify α-synuclein aggregates not being degraded via autophagy. All values are expressed as mean ± SEM; *P < 0.05; **P < 0.01; ***P < 0.001.