Objective To explore the neuroprotective effects and autophagy regulation of 4-aminopyridine (4-AP) as a transmembrane protein 175 (TMEM175) inhibitor in Parkinson disease (PD) mice. Methods A 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model was used, involving 60 C57BL/6 mice, which were randomly divided into four groups, including control group, MPTP group, 4-AP group and 4-AP+MPTP group, with 15 mice in each group. The effects of 4-AP on dopamine neurons, TMEM175 expression and autophagy levels were assessed by behavioral testing, molecular docking, immunohistochemistry, Western blot, RT-qPCR and ELISA. Results Behavioral analysis showed that the speed of mice in MPTP group was (5.4±1.1) cm/s, which was lower than that of (6.8±0.6) cm/s in control group and (6.4±0.9) cm/s in 4-AP+MPTP group, and the difference was statistically significant (all P< 0.05). The free movement time and forelimb grip strength of mice in MPTP group were (155.1±9.0) s and (173.8±13.5) g,respectively, which were lower than those of 4-AP+MPTP group (164.2±9.2) s and (191.3±16.1) g, respectively, and the differences were statistically significant (all P < 0.05). Compared with MPTP group, the expression of TMEM175 protein (P < 0.001) and mRNA (P < 0.01) was decreased, and the levels of TH protein (P < 0.05) and mRNA (P < 0.01) were elevated in 4-AP+MPTP group of mice, and the differences were statistically significant. The levels of autophagy markers LC3A (P< 0.01) and Beclin-1 (P< 0.001) were increased in MPTP group, whereas the expression was reduced in 4-AP+MPTP group (P < 0.05), and the differences were statistically significant. Conclusions 4-AP improves motor function and reduces dopamine neuron loss in PD mice by targeting TMEM175 channels and regulating autophagy-related protein levels.