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Updated: Jan 4, 2026

Modeling Oral-Esophageal Squamous Cell Carcinoma in 3D Organoids
Published on: December 23, 2022
Roles for Autophagy in Esophageal Carcinogenesis: Implications for Improving Patient Outcomes
Reshu Saxena1, Alena Klochkova2, Mary Grace Murray3
1Fels Institute for Cancer Research & Molecular Biology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA 19140, USA. tuj81303@temple.edu.
Abstract:
Esophageal cancer is among the most aggressive forms of human malignancy with five-year survival rates of <20%. Autophagy is an evolutionarily conserved catabolic process that degrades and recycles damaged organelles and misfolded proteins to maintain cellular homeostasis. While alterations in autophagy have been associated with carcinogenesis across tissues, cell type- and context-dependent roles for autophagy have been reported. Herein, we review the current knowledge related to autophagy in esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC), the two most common subtypes of esophageal malignancy. We explore roles for autophagy in the development and progression of ESCC and EAC. We then continue to discuss molecular markers of autophagy as they relate to esophageal patient outcomes. Finally, we summarize current literature examining roles for autophagy in ESCC and EAC response to therapy and discuss considerations for the potential use of autophagy inhibitors as experimental therapeutics that may improve patient outcomes in esophageal cancer.
Insights
Autophagy plays a complex role in esophageal cancer development and progression. Understanding its mechanisms may lead to new esophageal cancer therapies targeting autophagy.
Area of Science:
- Oncology
- Cell Biology
Background:
- Esophageal cancer, including esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC), has poor survival rates.
- Autophagy is a cellular process crucial for maintaining homeostasis by degrading damaged components.
- Autophagy's role in cancer is context-dependent, with varied implications in different malignancies.
Purpose of the Study:
- To review the current understanding of autophagy in ESCC and EAC.
- To explore autophagy's involvement in esophageal cancer development and progression.
- To discuss autophagy's potential as a therapeutic target in esophageal cancer.
Main Methods:
- Literature review of studies on autophagy in esophageal cancer.
- Analysis of autophagy's role in ESCC and EAC pathogenesis.
- Examination of autophagy markers and their correlation with patient outcomes.
- Synthesis of research on autophagy modulation in esophageal cancer treatment.
Main Results:
- Autophagy exhibits dual roles in esophageal cancer, potentially promoting or suppressing tumor growth depending on the context.
- Specific autophagy molecular markers are associated with patient prognosis in ESCC and EAC.
- Autophagy influences response to various therapies in esophageal cancer.
- Inhibiting autophagy shows promise as a therapeutic strategy.
Conclusions:
- Autophagy is a critical factor in esophageal cancer biology and patient outcomes.
- Targeting autophagy pathways offers a potential avenue for novel esophageal cancer treatments.
- Further research into autophagy modulation is warranted for improving esophageal cancer therapy.
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