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Published on: March 14, 2019
May autophagy be a novel biomarker and antitumor target in colorectal cancer?
Justyna Gil1, Karolina A Pesz1, Maria M Sąsiadek1
1Department of Genetics, Wroclaw Medical University, Wroclaw, Poland.
Abstract:
Autophagy is a catabolic process associated with intracellular self-digestion of damaged organelles or redundant proteins enabling maintenance of cell homeostasis. It is accepted that impaired autophagy is closely linked to cancer development and has been extensively studied in a variety of malignancies including colorectal cancer (CRC) to elucidate its influence on carcinogenesis, metastasis and antitumor therapy response. CRC remains a great epidemiological problem because of poor 5-year survival and treatment resistance. Many studies concerning autophagy in CRC gave inconsistent and contradictory results, illustrating a multifaceted nature of this process. In this review, we focus on current knowledge of autophagy in CRC development to determinate its role as a potential prognostic and predictive biomarker as well as target in antitumor therapy.
Insights
Autophagy, a cellular process, plays a complex role in colorectal cancer (CRC) development and treatment. Understanding autophagy is key for developing new biomarkers and therapies for CRC.
Area of Science:
- Cellular Biology
- Oncology
- Molecular Medicine
Background:
- Autophagy is a fundamental catabolic process crucial for maintaining cellular homeostasis through the degradation of damaged components.
- Impaired autophagy is increasingly recognized as a significant factor in the development and progression of various cancers, including colorectal cancer (CRC).
- Colorectal cancer (CRC) presents a major global health challenge due to its high incidence, poor survival rates, and resistance to current treatments.
Purpose of the Study:
- To review and synthesize current knowledge on the role of autophagy in colorectal cancer (CRC) development.
- To explore the potential of autophagy as a prognostic and predictive biomarker in CRC.
- To evaluate autophagy as a therapeutic target for novel antitumor strategies in CRC.
Main Methods:
- Comprehensive literature review of studies investigating autophagy in colorectal cancer.
- Analysis of research on autophagy's involvement in CRC carcinogenesis, metastasis, and response to therapy.
- Synthesis of findings to elucidate the multifaceted role of autophagy in CRC.
Main Results:
- Autophagy's role in CRC is complex and context-dependent, with studies yielding inconsistent results.
- Evidence suggests autophagy can act as both a tumor suppressor and a tumor promoter in CRC, depending on the stage and specific molecular context.
- Autophagy modulation impacts CRC cell behavior, including proliferation, survival, and resistance to chemotherapy.
Conclusions:
- Autophagy is a critical player in colorectal cancer, exhibiting dual roles throughout tumorigenesis.
- Further research is needed to clarify the precise mechanisms and context-specific functions of autophagy in CRC.
- Targeting autophagy presents a promising avenue for developing innovative diagnostic biomarkers and therapeutic interventions for colorectal cancer.
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