Schematic presentation of endosomal pathways and possible αsyn secretory pathways. Membrane associated cargo proteins including αsyn or cytosolic αsyn are translocated to early endosomes. Invagination and final scission of the endosomal membrane contribute to MVB formation. MVB direct either for lysosomal degradation by fusion from the autophagosome with the lysosome or for secretion as exosomes by exocytic fusion with the plasma membrane. Under physiological conditions αsyn in the early endosome may be transferred to MVB and then targeted for lysosomal degradation. Alternatively, αsyn might be secreted into the extracellular milieu through the rab11a dependent recycling endosome (free αsyn) and MVB-exosome pathway (free and exosome associated αsyn). Exosomes can also enter in the extracellular interspace by outward budding of the plasma membrane.