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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.
Abstract:
Autophagy is an evolutionarily conserved process of cellular self-digestion that serves as a mechanism to clear damaged organelles and recycle nutrients. Since autophagy can promote cell survival as well as cell death, it has been linked to different human pathologies, including cancer. Although mono-allelic deletion of autophagy-related gene BECN1 in breast tumors originally indicated a tumor suppressive role for autophagy in breast cancer, the intense research during the last decade suggests a role for autophagy in tumor progression. It is now recognized that tumor cells often utilize autophagy to survive various stresses, such as oncogene-induced transformation, hypoxia, endoplasmic reticulum (ER) stress and extracellular matrix detachment. Induction of autophagy by tumor cells may also contribute to tumor dormancy and resistance to anticancer therapies, thus making autophagy inhibitors promising drug candidates for breast cancer treatment. The scientific endeavors continue to define a precise role for autophagy in breast cancer. In this article, we review the current literature on the role of autophagy during the development and progression of breast cancer, and discuss the potential of autophagy modulators for breast cancer treatment.
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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