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The two faces of autophagy in oral squamous cell carcinoma
Aisling Anderson1, Jeff O'Sullivan1
1School of Dental Science, Dublin Dental University Hospital, Trinity College Dublin, Ireland.
Objective:
To undertake a comprehensive review of the current knowledge and understanding of autophagy in oral squamous cell carcinoma (OSCC), focusing on putative roles in tumour suppression and survival along with the influence of this cell death pathway on the development of resistance to chemotherapeutic treatment.
Design:
Several well utilised databases (PubMed, Medline, Google Scholar) were searched for the relevant literature using terms and keywords including but not limited too; autophagy and cancer, autophagy and OSCC, tumour survival, autophagy and oral microbiome, autophagy immunogenicity, OSCC chemoresistance.
Results:
Up-regulation of autophagy has been shown to promote tumour cell survival in the tumour microenvironment while in healthy cells, autophagy induction acts to prevent severe DNA mutations that can lead to cancer. Cancers utilise the autophagy pathway to promote survival during the stress of chemotherapeutic treatment and can induce resistance to chemotherapeutic drugs CONCLUSION: The ambiguous role of autophagy within cancers is still problematic in clinical fields. Within OSCC understanding whether autophagy plays a preventive or causative role is essential and may be beneficial in determining how modulation of this pathway may impact on OSSC and oral cancer patients.
Insights
Autophagy, a cellular process, has a dual role in oral squamous cell carcinoma (OSCC). While it can suppress tumors, it also promotes cancer cell survival and chemoresistance.
Area of Science:
- Molecular Biology
- Oncology
- Cell Death Pathways
Background:
- Autophagy plays a complex role in cancer development and progression.
- Understanding autophagy's function in oral squamous cell carcinoma (OSCC) is crucial for targeted therapies.
Purpose of the Study:
- To review current knowledge on autophagy in OSCC.
- To investigate autophagy's roles in tumor suppression and survival.
- To examine autophagy's influence on chemotherapeutic resistance in OSCC.
Main Methods:
- Comprehensive literature search of PubMed, Medline, and Google Scholar.
- Keywords included "autophagy", "OSCC", "tumor survival", "chemoresistance", and related terms.
- Review of existing research on autophagy's function in oral cancer.
Main Results:
- Autophagy up-regulation promotes tumor cell survival in the tumor microenvironment.
- In healthy cells, autophagy prevents DNA mutations.
- Cancer cells utilize autophagy for survival during chemotherapy, leading to drug resistance.
Conclusions:
- The role of autophagy in cancer remains ambiguous and clinically challenging.
- Clarifying autophagy's role (preventive vs. causative) in OSCC is essential.
- Modulating autophagy may impact OSCC patient outcomes.
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