Targeting mitochondrial metabolism by inhibiting autophagy in BRAF-driven cancers
Anne M Strohecker1, Eileen White2
1Authors' Affiliations:Rutgers Cancer Institute of New Jersey, New Brunswick; and.
Unlabelled:
Metabolomic analyses of human tumors and mouse models of cancer have identified key roles for autophagy in supporting mitochondrial metabolism and homeostasis. In this review, we highlight data suggesting that autophagy inhibition may be particularly effective in BRAF-driven malignancies. Catalytic BRAF inhibitors have profound efficacy in tumors carrying activating mutations in Braf but are limited by the rapid emergence of resistance due in part to increased mitochondrial biogenesis and heightened rates of oxidative phosphorylation. We suggest that combined inhibition of autophagy and BRAF may overcome this limitation.
Significance:
Braf(V600E)-driven tumors require autophagy and likely autophagy-provided substrates to maintain mitochondrial metabolism and to promote tumor growth, suggesting that autophagy ablation may improve cancer therapy.
Insights
Autophagy supports cancer cell metabolism and growth, especially in BRAF-driven tumors. Inhibiting autophagy alongside BRAF may overcome treatment resistance and improve cancer therapy outcomes.
Area of Science:
- Oncology
- Cell Biology
- Metabolic Research
Background:
- Autophagy plays a crucial role in maintaining mitochondrial metabolism and homeostasis in cancer.
- BRAF inhibitors are effective against BRAF-mutated cancers but resistance often emerges.
- Resistance to BRAF inhibitors is linked to increased mitochondrial biogenesis and oxidative phosphorylation.
Purpose of the Study:
- To review the role of autophagy in BRAF-driven malignancies.
- To explore the potential of combining autophagy inhibition with BRAF inhibition to overcome resistance.
- To highlight autophagy as a therapeutic target in BRAF-mutated cancers.
Main Methods:
- Review of existing metabolomic and cancer research data.
- Analysis of mechanisms underlying BRAF inhibitor resistance.
- Integration of findings on autophagy's role in mitochondrial function.
Main Results:
- Autophagy is essential for mitochondrial metabolism and homeostasis in cancer.
- BRAF-driven tumors rely on autophagy for growth and survival.
- Increased mitochondrial activity contributes to resistance against BRAF inhibitors.
Conclusions:
- Autophagy inhibition may be a potent strategy in BRAF-driven cancers.
- Combining BRAF and autophagy inhibition could overcome treatment resistance.
- Targeting autophagy presents a promising avenue for improving cancer therapy.
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