Autophagy in Cancer Therapy-Molecular Mechanisms and Current Clinical Advances

Ingo Ganzleben1,2, Markus F Neurath1,2, Christoph Becker1,2

  • 1Department of Medicine 1, University Hospital, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.

Cancers
|November 13, 2021
PubMed

Insights

Autophagy is a cellular recycling process vital for mammalian cell survival. This essential mechanism is a complex target in cancer therapy, offering potential for both increasing and decreasing its activity.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Oncology

Background:

  • Autophagy is a fundamental cellular process for survival in mammalian cells.
  • It involves the degradation and recycling of cellular components like damaged mitochondria.
  • Dysfunctional autophagy is implicated in various diseases, including neurodegeneration and cancer.

Purpose of the Study:

  • To explore the multifaceted role of autophagy in cellular survival and disease.
  • To investigate the implications of autophagy in both non-malignant and malignant conditions.
  • To analyze autophagy as a therapeutic target in cancer treatment.

Main Methods:

  • Literature review and synthesis of existing research on autophagy.
  • Analysis of the role of autophagy in different cellular contexts and disease states.
  • Examination of therapeutic strategies targeting autophagic flux.

Main Results:

  • Autophagy is critical for cell survival, particularly under stress conditions.
  • In cancer, autophagy promotes tumor cell survival but can also create dependencies.
  • The context of autophagy (cell type, proliferation) influences its overall impact.

Conclusions:

  • Autophagy is a double-edged sword in cancer, sustaining tumor growth while offering therapeutic vulnerabilities.
  • Modulating autophagic flux (increasing or decreasing activity) presents promising therapeutic strategies for cancer.
  • Understanding the specific context of autophagy is crucial for effective therapeutic targeting.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.9K
Autophagy01:27

Autophagy

Autophagy is a self-digesting process by which a cell protects itself from threats both within and outside the cell, ranging from abnormal proteins to invading bacteria. In this process, obsolete components of the cell and invading microbes are degraded by hydrolytic enzymes active in an acidic environment of the lysosomal lumen.
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
4.8K
Delivery Pathways to the Lysosome01:36

Delivery Pathways to the Lysosome

Eukaryotic cells use different mechanisms to eliminate toxic waste obsolete and worn-out substances. Lysosomes play a pivotal role in this, and hence, these substances are carried to the lysosome from other parts of the cell and extracellular space through different pathways. The most elaborately studied pathways to the lysosome are the endocytic pathways.
Endocytosis
In endocytosis, the cell membrane takes up macromolecules and particles from the surrounding medium. Clathrin-mediated...
8.1K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.9K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
8.1K
Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
2.2K