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Strange attractors: DAMPs and autophagy link tumor cell death and immunity
1Department of Surgery-DAMP Laboratory, University of Pittsburgh Cancer Institute, 5117 Centre Avenue, Pittsburgh 15213, PA, USA.
Abstract:
Resistance to 'apoptotic' cell death is one of the major hallmarks of cancer, contributing to tumor development and therapeutic resistance. Damage-associated molecular patterns (DAMPs) are molecules released or exposed by dead, dying, injured, or stressed non-apoptotic cells, with multiple roles in inflammation and immunity. Release of DAMPs not only contributes to tumor growth and progression but also mediates skewing of antitumor immunity during so-called immunogenic tumor cell death (ICD). Autophagy is a lysosome-mediated homeostatic degradation process in which cells digest their own effete organelles and macromolecules to meet bioenergetic needs and enable protein synthesis. For tumor cells, autophagy is a double-edged sword. Autophagy, in balance with apoptosis, can function as a tumor suppressor; autophagy deficiency, associated with alterations in apoptosis, initiates tumorigenesis in many settings. In contrast, autophagy-related stress tolerance generally promotes cell survival, which enables tumor growth and promotes therapeutic resistance. Most anticancer therapies promote DAMP release and enhance autophagy. Autophagy not only regulates DAMP release and degradation, but also is triggered and regulated by DAMPs. This interplay between autophagy and DAMPs, serving as 'strange attractors' in the dynamic system that emerges in cancer, regulates the effectiveness of antitumor treatment. This interplay also shapes the immune response to dying cells upon ICD, culling the least fit tumor cells and promoting survival of others. Thus, DAMPs and autophagy are suitable emergent targets for cancer therapy, considering their more nuanced role in tumor progression.
Insights
Cancer cells resist cell death, promoting tumor growth. Damage-associated molecular patterns (DAMPs) and autophagy, a cellular recycling process, interact to influence cancer progression and treatment effectiveness.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- Resistance to apoptosis is a key hallmark of cancer, driving tumor development and therapeutic resistance.
- Damage-associated molecular patterns (DAMPs) are released by stressed or dying cells, influencing inflammation, immunity, and tumor progression.
- Autophagy, a cellular degradation process, plays a dual role in cancer, acting as a tumor suppressor or promoting survival and therapeutic resistance.
Purpose of the Study:
- To investigate the interplay between damage-associated molecular patterns (DAMPs) and autophagy in cancer.
- To understand how this interplay influences tumor progression and the effectiveness of anticancer therapies.
- To explore the role of DAMPs and autophagy in shaping the immune response during immunogenic tumor cell death (ICD).
Main Methods:
- The study reviews existing literature on DAMPs, autophagy, apoptosis, and cancer.
- It analyzes the molecular mechanisms underlying the interaction between DAMPs and autophagy.
- It discusses the implications of this interplay for tumor immunity and therapeutic strategies.
Main Results:
- Anticancer therapies often induce DAMP release and enhance autophagy.
- Autophagy regulates DAMP release and degradation, while DAMPs can trigger and modulate autophagy.
- This complex interplay influences antitumor immunity and treatment outcomes, impacting which tumor cells survive.
Conclusions:
- The interaction between DAMPs and autophagy is a critical factor in cancer progression and therapeutic response.
- Targeting DAMPs and autophagy presents a promising strategy for novel cancer therapies.
- Understanding this interplay is crucial for developing treatments that effectively eliminate cancer cells while stimulating antitumor immunity.
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