Targeting Autophagy in Cancer: Recent Advances and Future Directions

Ravi K Amaravadi1, Alec C Kimmelman2, Jayanta Debnath3

  • 1Abramson Cancer Center and the Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Ravi.amaravadi@pennmedicine.upenn.edu.

Cancer Discovery
|August 23, 2019
PubMed

Insights

Autophagy (a cellular recycling process) plays a complex role in cancer. Inhibiting autophagy may effectively treat advanced cancers and improve therapeutic responses.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Biology

Background:

  • Autophagy is a fundamental cellular process involved in nutrient recycling and metabolic adaptation.
  • Its role in cancer is complex, with potential roles in both tumor suppression and promotion.
  • Understanding autophagy's function in the tumor microenvironment is crucial for developing new cancer therapies.

Purpose of the Study:

  • To review recent advances in the molecular regulation of autophagy.
  • To explore the role of selective autophagy in cancer development and progression.
  • To highlight current and future therapeutic strategies targeting autophagy in cancer treatment.

Main Methods:

  • Review of current scientific literature on autophagy and cancer.
  • Analysis of molecular mechanisms controlling autophagy.
  • Examination of preclinical and clinical studies on autophagy inhibitors.

Main Results:

  • Autophagy inhibition can limit tumor growth and enhance responses to cancer therapeutics in preclinical models.
  • Specific cancer genotypes may be particularly sensitive to autophagy inhibition.
  • Novel autophagy inhibitors are being developed, alongside repurposed drugs like hydroxychloroquine.

Conclusions:

  • Autophagy inhibition presents a promising therapeutic strategy for advanced cancers.
  • Targeting autophagy within the tumor microenvironment is a key area for developing novel inhibitors and clinical trials.
  • Identifying patient populations most likely to benefit from autophagy-targeted therapies remains a critical challenge.

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