Autophagy: An emerging target for cancer therapy
Open accessAbstract
Macroautophagy (hereafter referred to as autophagy) is a lysosomal catabolic pathway whereby cells recycle macromolecules and organelles. The capacity of autophagy to maintain cellular metabolism under starvation conditions and to remove damaged organelles under stress conditions improves the survival of cells. Yet, autophagy appears to suppress tumorigenesis. In this review we discuss recent data that begin to elucidate the molecular basis for this apparent controversy. First, we summarize our current knowledge on the autophagy-mediated control of both cell survival and cell death in general. Then, we highlight the common cancer-associated changes in autophagy induction, regulation and execution. And finally we discuss the potential of pro- as well as anti-autophagic signaling pathways as targets for future cancer therapy.
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HDAC10 is an emerging target for treatment of advanced-stage neuroblastoma.
“As the suppression of autophagy to sustain the cytotoxicity of chemotherapeutic drugs is a novel strategy for cancer chemotherapy3435, HDAC10 is an emerging target for the treatment of advanced-stage neuroblastoma32.”
From Histone deacetylase 10 structure and molecular function as a polyamine deacetylase (2017) · cites this paper as [34]
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BackgroundOrdered Organelle Degradation during Starvation-induced Autophagy
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“Autophagy is important in the prevention of tumor progression in vivo [118,119].”
BackgroundLysosomal–mitochondrial cross-talk during cell death
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“Based on this, anticancer therapies combining the induction of apoptosis and lysosomal destabilization would therefore not only amplify the pathway leading to the MOMP but also prevent cancer cells from rescue by autophagy (Groth-Pedersen et al., 2007; Hoyer-Hansen and Jäättelä, 2008; Turk and Turk, 2009).”
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“A second caveat is that autophagy is known to have dual functions: On one hand, it can serve as a cytoprotective mechanism, allowing tumor cells to survive under conditions of metabolic stress and hypoxia and to escape anticancer treatment–induced cell death; on the other hand, autophagy induced by therapeutic interve…”
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The role of autophagy induced by tumor microenvironment in different cells and stages of cancer
Yang, X. F., Yu, D., Yan, F., Jing, Y., Han, Z., Sun, K., Liang, L., Hou, J., & Wei, L. (2015) · Cell & Bioscience · doi:10.1186/s13578-015-0005-2 · Cited by 153 · see citing works
“Macromolecules are targeted to double-membrane vesicles called autophagosomes, and autolysosomes form by fusion with lysosomes [9].”
BackgroundLAMPs: Shedding light on cancer biology
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Malignant Precursor Cells Pre-Exist in Human Breast DCIS and Require Autophagy for Survival
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“Autophagy (self-eating) is a dynamic, catabolic process of organelle digestion that generates ATP during periods of nutrient limitation [11–13].”
BackgroundAutophagy and Cancer Metabolism
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“Readers are referred to several reviews for additional information (Amaravadi et al., 2011; Eisenberg-Lerner & Kimchi, 2009; Høyer-hansen & Jäättelä, 2008).”
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JNK protects Drosophila from oxidative stress by trancriptionally activating autophagy
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Lectin of Concanavalin A as an anti-hepatoma therapeutic agent
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“Cancer displays several altered autophagic processes from the induction, regulation and formation of autophagic vesicles, to the fusion and degradation with lysosomes [24].”
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“Although it serves a mainly cytoprotective function in cellular physiology, recent evidence suggests that in some cases it can also lead to an alternative caspase-independent cell death (6).”
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“Autophagy is implicated in various diseases, including cancer and neurodegenerative diseases [14-16].”
BackgroundApoptosis and autophagy: Targeting autophagy signalling in cancer cells –‘trick or treats’?
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“Recently, autophagy has become a potential and promising target in drug research for various diseases and also be implicated in the pathogenesis related to cancers and diseases (Shintani and Klionsky 2004; Kondo et al. 2005; Høyer-Hansen and Jäättelä 2008).”
BackgroundSGK1 inhibition induces autophagy-dependent apoptosis via the mTOR-Foxo3a pathway
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Oxidative injury triggers autophagy in astrocytes: The role of endogenous zinc
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“Although autophagy is a topic of increasing interest (Høyer-Hansen and J€a€attel€a, 2008; Uchiyama et al., 2008a,b), it has not been extensively studied in astrocytes (Martin et al., 2002; Tang et al., 2008).”
BackgroundAutophagy as a basis for the health-promoting effects of vitamin D
Høyer-Hansen, M. H., Nordbrandt, S. P. S., & Jäättelä, M. (2010) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2010.04.005 · Cited by 112 · see citing works
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Oncosuppressive Functions of Autophagy
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“A few recent studies suggested that autophagy represents another cell death mechanism that is activated in response to certain stimuli; thus, autophagic cell death is referred to as programmed cell death II [50].”
BackgroundSui, X., Kong, N., Wang, X., Fang, Y., Hu, X., Xu, Y., Chen, W., Wang, K., Li, D., Jin, W., et al. (2014) · Scientific Reports · doi:10.1038/srep04694 · Cited by 96 · see citing works
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“Its blockage can sensitise cancer cells to a number of different treatments [13], including radiotherapy [11].”
BackgroundTargeting Lysosomes in Cancer as Promising Strategy to Overcome Chemoresistance—A Mini Review
Geisslinger, F., Müller, M. J., Vollmar, A. M., & Bartel, K. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.01156 · Cited by 93 · see citing works
Resveratrol Arrests Cell Cycle and Induces Apoptosis in Human Hepatocellular Carcinoma Huh-7 Cells
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“12 It is regulated by the autophagy-related ( Atg ) genes that control the formation of autophagic vesicles.”
Identification of Small Molecule Inhibitors of Phosphatidylinositol 3-Kinase and Autophagy
Farkas, T., Daugaard, M., & Jäättelä, M. (2011) · Journal of Biological Chemistry · doi:10.1074/jbc.m111.269134 · Cited by 91 · see citing works
Self-citationCucurbitacin I Induces Protective Autophagy in Glioblastoma in Vitro and in Vivo
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A comprehensive siRNA screen for kinases that suppress macroautophagy in optimal growth conditions
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“Yet, human cancer cells are often deficient for autophagy-activating proteins while having autophagy-inhibiting proteins activated suggesting a role for autophagy as a barrier for the transformation process.(1,9,10) Accordingly, it is still unclear whether we should inhibit or activate autophagy in cancer treatment.”
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“Both apoptosis and autophagy are tightly associated with the efficiency of cancer therapy [24–28].”
BackgroundDifferential roles of miR‐199a‐5p in radiation‐induced autophagy in breast cancer cells
Yi, H., Liang, B., Jia, J., Liang, N., Xu, H., Ju, G., Ma, S., & Liu, X. (2013) · FEBS Letters · doi:10.1016/j.febslet.2012.12.027 · Cited by 83 · see citing works
“Therefore, achieving better molecular understanding of autophagy and the discovery of specific autophagy modulators suitable for in vivo use will help to dramatically improve cancer therapy [6].”
BackgroundYu, X., Han, Q., Wen, Z., Ma, L., Gao, J., & Zhou, G. (2012) · Cancer Letters · doi:10.1016/j.canlet.2012.03.004 · Cited by 83 · see citing works
“Studies show that PTEN downstream molecule AKT pathway plays an important role in autophagy [49].”
BackgroundIn Vitro Anti‐Tumour Activities of Quinolizidine Alkaloids Derived from Sophora Flavescens Ait
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Fibroblast autophagy in fibrotic disorders
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“mTORC1 can be inhibited by rapamycin, a potent inducer of autophagy in yeast and mammals, both in vitro and in vivo, even under nutrient-rich conditions [70].”
BackgroundMaddodi, N., Huang, W., Havighurst, T., Kim, K., Jack Longley, B., & Setaluri, V. (2010) · Journal of Investigative Dermatology · doi:10.1038/jid.2010.26 · Cited by 80 · see citing works
“Although it has been proposed that the inhibition of autophagy could be used as the treatment of cancer, the role of autophagy in tumor progression and the benefit of induction of autophagy in cancer therapy remain to be settled (Høyer-Hansen and Jäättelä, 2008).”
Tsai, S.-C., Yang, J., Peng, S., Lu, C., Chiang, J., Chung, J., Lin, M.-W., Lin, J.-K., Amagaya, S., CHUNG, C. W.-S., et al. (2012) · International Journal of Oncology · doi:10.3892/ijo.2012.1579 · Cited by 80 · see citing works
“When the cells undergo starvation, endoplasmic reticulum (ER) stress stimulation, ROS production and hypoxia, autophagy protects cells from the damage, which leads to cell survival (63).”
Targeting mitochondria as a potential therapeutic strategy against chemoresistance in cancer
Mukherjee, S., Bhatti, G. K., Chhabra, R., Reddy, P. H., & Bhatti, J. S. (2023) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2023.114398 · Cited by 79 · see citing works
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“Recent studies have shown that autophagy might be another type of programmed cell death.(23) To further explore the role of survivin inhibition in HNSCC autophagy, we measured LC3 dot punctate (Figures 2a and b), a gold standard in detecting autophagy, in CAL27 cells in response to YM155 treatment.”
BackgroundThe Multifaceted Roles of Autophagy in Tumors—Implications for Breast Cancer
Debnath, J. (2011) · Journal of Mammary Gland Biology and Neoplasia · doi:10.1007/s10911-011-9223-3 · Cited by 75 · see citing works
“Readers are referred to several recent reviews for additional information [2,21,34].”
Arsenic trioxide as a novel anti-glioma drug: a review
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“in glioma requires complete p53 protein function, autophagy may become the dominant form of programmed death when apoptosis is inhibited [22].”
BackgroundAutophagy, Warburg, and Warburg Reverse Effects in Human Cancer
González, C. D., Álvarez, S., Ropolo, A., Rosenzvit, C., Bagnes, M. F. G., & Vaccaro, M. I. (2014) · BioMed Research International · doi:10.1155/2014/926729 · Cited by 69 · see citing works
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“including melanoma, it promotes progression being also responsible of chemo- and radio-resistance.(35,36) A high”
Autophagy Contributes to the Death/Survival Balance in Cancer PhotoDynamic Therapy
Inguscio, V., Panzarini, E., & Dini, L. (2012) · Cells · doi:10.3390/cells1030464 · Cited by 70 · see citing works
“The balance and complex interplay between apoptosis and autophagy are not only intriguing intellectual curiosities for molecular researchers, but they also represent an exploitable topic in cancer research [85].”
BackgroundLong non-coding RNAs act as regulators of cell autophagy in diseases
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BNIP3 is degraded by ULK1-dependent autophagy via MTORC1 and AMPK
Park, C. W., Hong, S. M., Kim, E., Kwon, J. H., Kim, K., Nam, H. G., & Choi, K. Y. (2013) · Autophagy · doi:10.4161/auto.23072 · Cited by 66 · see citing works
“In physiological conditions, the tumor microenvironment is characterized by reduced oxygen and nutrient levels.(1) Significant regions of a tumor are located far from blood vessels, resulting in a gradient of O 2 and nutrients.”
BackgroundThe Role of Autophagy in Gastric Cancer Chemoresistance: Friend or Foe?
Xu, J., Li, Y., Tang, Y., Xu, Z., Xu, H.-D., Cheng, X., & Qin, J. (2020) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2020.621428 · Cited by 66 · see citing works
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The Drosophila effector caspase Dcp-1 regulates mitochondrial dynamics and autophagic flux via SesB
DeVorkin, L., Go, N. E., Hou, Y. C., Moradian, A., Morin, G. B., & Gorski, S. M. (2014) · The Journal of Cell Biology · doi:10.1083/jcb.201303144 · Cited by 66 · see citing works
“, 2004), chemotherapies (Bursch et al., 1996; Kanzawa et al., 2003; Høyer-Hansen and Jäättelä, 2008), and reactive oxygen species (Scherz-Shouval et al.”
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“Autophagy, degrading cellular macromolecules or organelles, is an evolutionarily highly conserved catabolic pathway [30].”
BackgroundVitamin D levels in Alzheimer's and Parkinson's diseases: a meta-analysis
Zhao, Y., Sun, Y., Ji, H.-F., & Shen, L. (2013) · Nutrition · doi:10.1016/j.nut.2012.11.018 · Cited by 61 · see citing works
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MIR506induces autophagy-related cell death in pancreatic cancer cells by targeting the STAT3 pathway
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Autophagy acts as a safeguard mechanism against G-quadruplex ligand-mediated DNA damage
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“Accumulating evidence suggests that autophagy has a primary cytoprotective role in response to different stimuli, including anticancer drugs.(14) This concept has led to test autophagy inhibitors, such as chloroquine, in clinical trials as sensitizers for radio- and chemotherapy in several malignancies.”
BackgroundRadiosensitization of solid tumors by Z-VAD, a pan-caspase inhibitor
Moretti, L., Kim, K. W., Jung, D. K., Willey, C. D., & Lu, J. (2009) · Molecular Cancer Therapeutics · doi:10.1158/1535-7163.mct-08-0893 · Cited by 53 · see citing works
Autophagic tumor stroma: Mechanisms and roles in tumor growth and progression
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“Autophagy is a major intracellular pathway for degradation and recycling of proteins, ribosomes and entire organelles.(5) Increasing evidence suggests that autophagy may be a cell”
BackgroundZoledronic Acid Induces Autophagic Cell Death in Human Prostate Cancer Cells
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Targeting Malignant Mitochondria With Therapeutic Peptides
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“It may also be associated with the process of autophagy, which involves the saving of energy by cells (20).”
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“Autophagy is a lysosomal degradation process whereby cells degrade and reutilize old organelles and proteins to maintain metabolic homeostasis [12].”
BackgroundAutophagy induction of reversine on human follicular thyroid cancer cells
Lu, C., Liu, Y., Hua, S., Yu, H.-I., Chang, Y., & Lee, Y. (2012) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2012.08.001 · Cited by 44 · see citing works
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- Authors
- Høyer-Hansen, M., & Jäättelä, M.
- Affiliations
- Danish Cancer Society (DK)
- ORCID
- Jäättelä, Marja
- Venue
- Autophagy
- Publisher
- Informa UK Limited
- Published
- 2008-04-08
- Volume
- 4
- Issue
- 5
- Pages
- 574-580
- ISSN
- 1554-8627 (ISSN-L)
- 1554-8635
- OpenAlex
- W2095386620
- Cited by
- 192
- References
- 0
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 8 · 2019: 5 · 2018: 6 · 2017: 16 · 2016: 8 · 2015: 10 · 2014: 16 · 2013: 18 · 2012: 19
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Autophagy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Kræftens Bekæmpelse
- Sundhed og Sygdom, Det Frie Forskningsråd
- National Research Foundation
- Danmarks Grundforskningsfond
- Novo Nordisk
- Novo Nordisk Fonden
- Medical Research Council
- Topics
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- macroautophagy, cancer therapy, lysosomal catabolism, carcinogenesis, cell survival, cell death, autophagy regulation, autophagy induction, organelle degradation
- MeSH terms
- Animals, Autophagy, Clinical Trials as Topic, Disease Models, Animal, Humans, Neoplasms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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