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The multifaceted role of autophagy in cancer
Ryan C Russell1,2,3, Kun-Liang Guan4
1Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.
Abstract:
Autophagy is a cellular degradative pathway that plays diverse roles in maintaining cellular homeostasis. Cellular stress caused by starvation, organelle damage, or proteotoxic aggregates can increase autophagy, which uses the degradative capacity of lysosomal enzymes to mitigate intracellular stresses. Early studies have shown a role for autophagy in the suppression of tumorigenesis. However, work in genetically engineered mouse models and in vitro cell studies have now shown that autophagy can be either cancer-promoting or inhibiting. Here, we summarize the effects of autophagy on cancer initiation, progression, immune infiltration, and metabolism. We also discuss the efforts to pharmacologically target autophagy in the clinic and highlight future areas for exploration.
Insights
Autophagy, a cellular process, can either suppress or promote cancer. This review summarizes autophagy's complex roles in cancer development and discusses therapeutic targeting strategies.
Area of Science:
- Cell Biology
- Cancer Research
- Molecular Biology
Background:
- Autophagy is a fundamental cellular degradation process crucial for maintaining homeostasis.
- Cellular stress, including starvation and organelle damage, significantly impacts autophagy.
- While initially linked to tumor suppression, autophagy's role in cancer is now understood to be context-dependent.
Purpose of the Study:
- To review the multifaceted roles of autophagy in cancer.
- To explore how autophagy influences cancer initiation, progression, and metabolism.
- To discuss current and future therapeutic strategies targeting autophagy in cancer treatment.
Main Methods:
- Literature review of studies on autophagy and cancer.
- Analysis of data from genetically engineered mouse models.
- Examination of in vitro cell studies.
Main Results:
- Autophagy's role in cancer is complex, acting as both a tumor suppressor and promoter.
- Autophagy impacts cancer initiation, progression, immune cell infiltration, and metabolic reprogramming.
- Pharmacological targeting of autophagy is an active area of clinical investigation.
Conclusions:
- Autophagy presents a dual role in cancer, necessitating careful consideration for therapeutic interventions.
- Understanding the context-specific functions of autophagy is key to developing effective cancer treatments.
- Further research is needed to fully elucidate and exploit autophagy's therapeutic potential in oncology.
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