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Autophagy: an 'Achilles' heel of tumorigenesis in TSC and LAM
Jane Yu1, Andrey Parkhitko, Elizabeth Petri Henske
1Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Abstract:
Mammalian target of rapamycin (mTOR) complex 1 (mTORC1), which is activated in tuberous sclerosis complex (TSC) and lymphangioleiomyomatosis (LAM), is a master regulator of cell growth, cellular metabolism, and autophagy. Treatment of TSC and LAM patients with mTORC1 inhibitors partially decreases the size of brain and kidney tumors, and stabilizes pulmonary function. However, the tumors regrow and lung function continues to decline when treatment is discontinued. We hypothesized that dysregulation of autophagy plays a critical role in the pathogenesis of tumors with mTORC1 hyperactivation and in their response to mTORC1-targeted therapy. We found that cells lacking TSC2 have low levels of autophagy under basal and cellular stress conditions. Using genetic and pharmacological approaches, we discovered that the survival of Tsc2-deficient tumor cells is dependent on autophagy induction. Thus, autophagy inhibitors may have therapeutic potential in TSC and LAM, either as single agent therapy or in combination with mTORC1 inhibitors.
Insights
Autophagy is crucial for tumor cell survival in tuberous sclerosis complex (TSC) and lymphangioleiomyomatosis (LAM). Inhibiting autophagy may offer new therapeutic strategies for these rare diseases.
Area of Science:
- Cellular Biology
- Oncology
- Genetics
Background:
- Mammalian target of rapamycin (mTOR) complex 1 (mTORC1) is hyperactivated in tuberous sclerosis complex (TSC) and lymphangioleiomyomatosis (LAM), regulating cell growth, metabolism, and autophagy.
- Current mTORC1 inhibitor therapies offer partial benefits but face challenges with tumor regrowth and disease progression upon discontinuation.
Purpose of the Study:
- To investigate the role of autophagy dysregulation in the pathogenesis of TSC and LAM tumors.
- To explore the therapeutic potential of targeting autophagy in these conditions.
Main Methods:
- Analysis of autophagy levels in Tsc2-deficient cells under basal and stress conditions.
- Genetic and pharmacological manipulation of autophagy pathways.
- Assessment of tumor cell survival in response to autophagy modulation.
Main Results:
- Tsc2-deficient cells exhibit reduced autophagy under normal and stress conditions.
- Tumor cell survival is dependent on induced autophagy.
- Autophagy inhibition significantly impacts the viability of Tsc2-deficient tumor cells.
Conclusions:
- Autophagy plays a critical role in the survival of tumor cells in TSC and LAM.
- Autophagy inhibitors represent a promising therapeutic avenue, potentially as monotherapy or in combination with mTORC1 inhibitors for TSC and LAM.
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