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HDAC6 Inhibition Extinguishes Autophagy in Cancer: Recent Insights
Eugenia Passaro1, Chiara Papulino1, Ugo Chianese1
1Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Abstract:
Autophagy is an essential intracellular catabolic mechanism involved in the degradation and recycling of damaged organelles regulating cellular homeostasis and energy metabolism. Its activation enhances cellular tolerance to various stresses and is known to be involved in drug resistance. In cancer, autophagy has a dual role in either promoting or blocking tumorigenesis, and recent studies indicate that epigenetic regulation is involved in its mechanism of action in this context. Specifically, the ubiquitin-binding histone deacetylase (HDAC) enzyme HDAC6 is known to be an important player in modulating autophagy. Epigenetic modulators, such as HDAC inhibitors, mediate this process in different ways and are already undergoing clinical trials. In this review, we describe current knowledge on the role of epigenetic modifications, particularly HDAC-mediated modifications, in controlling autophagy in cancer. We focus on the controversy surrounding their ability to promote or block tumor progression and explore the impact of HDAC6 inhibitors on autophagy modulation in cancer. In light of the fact that targeted drug therapy for cancer patients is attracting ever increasing interest within the research community and in society at large, we discuss the possibility of using HDAC6 inhibitors as adjuvants and/or in combination with conventional treatments to overcome autophagy-related mechanisms of resistance.
Insights
Autophagy, a cellular recycling process, plays a dual role in cancer. Epigenetic regulation, especially via HDAC6, influences autophagy and drug resistance, offering potential therapeutic targets.
Area of Science:
- Cell Biology
- Molecular Oncology
- Epigenetics
Background:
- Autophagy is a key cellular process for homeostasis and stress response.
- Autophagy's role in cancer is complex, potentially promoting or inhibiting tumor growth.
- Epigenetic modifications, particularly histone deacetylase (HDAC) activity, are increasingly recognized as regulators of autophagy in cancer.
Purpose of the Study:
- To review the role of epigenetic modifications in controlling cancer autophagy.
- To explore the dual role of autophagy in cancer progression.
- To discuss the impact of HDAC6 inhibitors on autophagy modulation and their potential as cancer therapeutics.
Main Methods:
- Literature review of current knowledge on epigenetic regulation of autophagy in cancer.
- Focus on HDAC-mediated modifications and the specific role of HDAC6.
- Analysis of HDAC6 inhibitors' effects on autophagy and potential clinical applications.
Main Results:
- Epigenetic regulation, especially by HDACs, significantly influences autophagy in cancer.
- HDAC6 is a critical modulator of autophagy, with implications for tumor progression.
- HDAC inhibitors are emerging as potential therapeutic agents targeting cancer autophagy.
Conclusions:
- Epigenetic modifications, particularly via HDAC6, are crucial in regulating cancer autophagy.
- HDAC6 inhibitors show promise in modulating autophagy and overcoming drug resistance in cancer.
- Targeting HDAC6-mediated autophagy modulation could offer novel therapeutic strategies for cancer treatment.
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