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Published on: January 31, 2025
Autophagy and metastasis: another double-edged sword
Candia M Kenific1, Andrew Thorburn, Jayanta Debnath
1Department of Pathology and Diller Comprehensive Cancer Center, University of California San Francisco, CA, United States. Candia.Kenific@ucsf.edu
Abstract:
In order to metastasize, tumor cells must adapt to untoward, stressful microenvironments as they disseminate into the systemic circulation and colonize distant organ sites. Autophagy, a tightly regulated lysosomal self-digestion process that is upregulated during cellular stress, has been demonstrated to suppress primary tumor formation, but how autophagy influences metastasis remains unknown. Autophagy may inhibit metastasis by promoting antitumor inflammatory responses or by restricting the expansion of dormant tumor cells into macrometastases. Conversely, self-eating may promote metastasis by enhancing tumor cell fitness in response to environmental stresses, such as anoikis, during metastatic progression. Because autophagy is titratable, it may serve both prometastatic and antimetastatic functions depending on the contextual demands placed on tumor cells throughout the metastatic process.
Insights
Autophagy, a cellular stress response, has a dual role in cancer metastasis. It can suppress tumor spread by aiding inflammation or restricting growth, but may also promote metastasis by increasing cancer cell survival under stress.
Area of Science:
- Oncology
- Cellular Biology
- Cancer Metastasis
Background:
- Tumor cells must adapt to stressful microenvironments for metastasis.
- Autophagy, a cellular self-digestion process, is upregulated during stress.
- The role of autophagy in metastasis is currently unknown.
Purpose of the Study:
- To investigate the influence of autophagy on cancer metastasis.
- To explore the potential prometastatic and antimetastatic roles of autophagy.
Main Methods:
- The study discusses the known functions and potential roles of autophagy in the context of cellular stress and metastasis.
- It reviews how autophagy might inhibit or promote tumor cell dissemination and colonization.
Main Results:
- Autophagy may inhibit metastasis by promoting anti-tumor immunity or limiting dormant tumor cell expansion.
- Autophagy may promote metastasis by enhancing tumor cell survival against stresses like anoikis.
- Autophagy's function in metastasis is context-dependent and titratable.
Conclusions:
- Autophagy exhibits a dual role in cancer metastasis, acting as both a prometastatic and antimetastatic factor.
- The specific function of autophagy depends on the cellular and environmental demands during the metastatic process.
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