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The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.

Strange attractors: DAMPs and autophagy link tumor cell death and immunity

Open access
Hou, W, Zhang, Q, Yan, Z, Chen, R, Zeh III, H J, Kang, R, Lotze, M T, Tang, D·2013·Cell Death & Disease

Abstract

Resistance to 'apoptotic' cell death is one of the major hallmarks of cancer, contributing to tumor development and therapeutic resistance. Damage-associated molecular patterns (DAMPs) are molecules released or exposed by dead, dying, injured, or stressed non-apoptotic cells, with multiple roles in inflammation and immunity. Release of DAMPs not only contributes to tumor growth and progression but also mediates skewing of antitumor immunity during so-called immunogenic tumor cell death (ICD). Autophagy is a lysosome-mediated homeostatic degradation process in which cells digest their own effete organelles and macromolecules to meet bioenergetic needs and enable protein synthesis. For tumor cells, autophagy is a double-edged sword. Autophagy, in balance with apoptosis, can function as a tumor suppressor; autophagy deficiency, associated with alterations in apoptosis, initiates tumorigenesis in many settings. In contrast, autophagy-related stress tolerance generally promotes cell survival, which enables tumor growth and promotes therapeutic resistance. Most anticancer therapies promote DAMP release and enhance autophagy. Autophagy not only regulates DAMP release and degradation, but also is triggered and regulated by DAMPs. This interplay between autophagy and DAMPs, serving as 'strange attractors' in the dynamic system that emerges in cancer, regulates the effectiveness of antitumor treatment. This interplay also shapes the immune response to dying cells upon ICD, culling the least fit tumor cells and promoting survival of others. Thus, DAMPs and autophagy are suitable emergent targets for cancer therapy, considering their more nuanced role in tumor progression.

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Metadata

Authors
Hou, W., Zhang, Q., Yan, Z., Chen, R., Zeh III, H. J., Kang, R., Lotze, M. T., & Tang, D.
Venue
Cell Death & Disease
Published
2013-12-12
Volume
4
Issue
12
Pages
e966-e966
ISSN
2041-4889 (ISSN-L)
OpenAlex
W2008906374
Cited by
193
References
23
FWCI
11.67
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Strange attractors: DAMPs and autophagy link tumor cell death and immunity. https://app.cochat.ai/papers/10.1038/cddis.2013.493
The paper
Hou, W., Zhang, Q., Yan, Z., Chen, R., Zeh III, H. J., Kang, R., Lotze, M. T., & Tang, D. (2013). Strange attractors: DAMPs and autophagy link tumor cell death and immunity. Cell Death & Disease. https://doi.org/10.1038/cddis.2013.493

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