Autophagy in breast cancer and its implications for therapy

Kirti Jain1, Krishna S Paranandi, Savitha Sridharan

  • 1Department of Molecular Biology & Immunology, University of North Texas Health Science Center and Institutes for Cancer Research and Focused on Resources for her Health Education and Research Fort Worth, Texas, 76107, USA.

Insights

Autophagy, a cellular recycling process, plays a dual role in breast cancer. While initially thought to suppress tumors, it now appears crucial for cancer cell survival and resistance to therapy.

Area of Science:

  • Cellular Biology
  • Oncology
  • Molecular Medicine

Background:

  • Autophagy is a fundamental cellular process for degrading and recycling damaged components.
  • Its role in cancer is complex, with evidence suggesting both tumor suppressive and tumor promoting functions.
  • The autophagy-related gene BECN1's deletion in breast tumors initially pointed to a tumor suppressive role.

Purpose of the Study:

  • To review the current literature on autophagy's role in breast cancer development and progression.
  • To discuss the potential of targeting autophagy for breast cancer treatment strategies.

Main Methods:

  • Comprehensive review of existing scientific literature.
  • Analysis of studies investigating autophagy's involvement in various cancer-related cellular stresses.
  • Evaluation of preclinical and clinical data on autophagy modulators in breast cancer models.

Main Results:

  • Tumor cells frequently exploit autophagy to survive oncogenic stress, hypoxia, and detachment.
  • Autophagy induction by cancer cells contributes to tumor dormancy and resistance to therapies.
  • BECN1's role is more nuanced than initially suggested, with autophagy often supporting tumor progression.

Conclusions:

  • Autophagy is increasingly recognized as a key player in breast cancer progression and therapeutic resistance.
  • Autophagy inhibitors represent a promising therapeutic avenue for breast cancer treatment.
  • Further research is essential to fully elucidate autophagy's precise role and optimize therapeutic targeting.

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