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Autophagy in brain tumors: molecular mechanisms, challenges, and therapeutic opportunities
Jiarui Zhang1, Jinan Zhang2, Chen Yang3
1Department of Pathology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Abstract:
Autophagy is responsible for maintaining cellular balance and ensuring survival. Autophagy plays a crucial role in the development of diseases, particularly human cancers, with actions that can either promote survival or induce cell death. However, brain tumors contribute to high levels of both mortality and morbidity globally, with resistance to treatments being acquired due to genetic mutations and dysregulation of molecular mechanisms, among other factors. Hence, having knowledge of the role of molecular processes in the advancement of brain tumors is enlightening, and the current review specifically examines the role of autophagy. The discussion would focus on the molecular pathways that control autophagy in brain tumors, and its dual role as a tumor suppressor and a supporter of tumor survival. Autophagy can control the advancement of different types of brain tumors like glioblastoma, glioma, and ependymoma, demonstrating its potential for treatment. Autophagy mechanisms can influence metastasis and drug resistance in glioblastoma, and there is a complex interplay between autophagy and cellular responses to stress like hypoxia and starvation. Autophagy can inhibit the growth of brain tumors by promoting apoptosis. Hence, focusing on autophagy could offer fresh perspectives on creating successful treatments.
Insights
Autophagy, a cellular process, plays a dual role in brain tumor development, potentially suppressing or supporting tumor growth. Understanding autophagy offers new therapeutic avenues for brain cancers.
Area of Science:
- Cell Biology
- Oncology
- Neuroscience
Background:
- Autophagy is vital for cellular homeostasis and survival, influencing disease development, especially in cancers.
- Brain tumors cause significant mortality and morbidity, often developing treatment resistance through genetic and molecular alterations.
- Investigating molecular mechanisms like autophagy is crucial for understanding brain tumor progression.
Purpose of the Study:
- To review the role of autophagy in brain tumor development.
- To explore the molecular pathways regulating autophagy in brain tumors.
- To discuss the dual function of autophagy as a tumor suppressor and promoter of tumor survival.
Main Methods:
- Literature review focusing on autophagy mechanisms in brain tumors.
- Analysis of molecular pathways controlling autophagy.
- Examination of autophagy's impact on glioblastoma, glioma, and ependymoma.
Main Results:
- Autophagy exhibits a dual role in brain tumors, acting as both a tumor suppressor and a survival mechanism.
- Autophagy influences the progression of various brain tumors, including glioblastoma, glioma, and ependymoma.
- Autophagy impacts glioblastoma metastasis, drug resistance, and interacts with cellular stress responses like hypoxia.
Conclusions:
- Autophagy can inhibit brain tumor growth by inducing apoptosis, presenting a potential therapeutic target.
- Targeting autophagy may offer novel treatment strategies for brain tumors.
- Further research into the complex role of autophagy in brain tumors is warranted for therapeutic development.
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