Article ; Online: Inhibiting autophagy to prevent drug resistance and improve anti-tumor therapy.
2020 Volume 265, Page(s) 118745
Abstract: Cytotoxic drugs remain the first-line option for cancer therapy but the development of drug-resistance by tumor cells represents a primary obstacle for successful chemotherapy. Autophagy is a physiological mechanism of cell survival efficiently used by ... ...
Abstract | Cytotoxic drugs remain the first-line option for cancer therapy but the development of drug-resistance by tumor cells represents a primary obstacle for successful chemotherapy. Autophagy is a physiological mechanism of cell survival efficiently used by tumor cells to avoid cell death and to induce drug-resistance. It is a macromolecular process, in which cells degrade and recycle intracellular substrates and damaged organelles to alleviate cell stress caused by nutritional deprivation, hypoxia, irradiation, and cytotoxic agents, as well. There is evidence that autophagy prevents cancer during the early steps of carcinogenesis, but once transformed, these cells show enhanced autophagy capacity and use it to survive, grow, and facilitate metastasis. Current basic studies and clinical trials show the feasibility of using pharmacological or molecular blockage of autophagy to improve the anticancer therapy efficiency. In this review, we overviewed the pathways and molecular aspects of autophagy, its role in carcinogenesis, and the evidence for its role in cancer adaptation and drug-resistance. Finally, we reviewed the clinical findings on how the autophagy interference helps to improve conventional anticancer therapy. |
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MeSH term(s) | Antineoplastic Agents/pharmacology ; Autophagy/drug effects ; Autophagy/physiology ; Cell Death/drug effects ; Cell Survival/drug effects ; Drug Resistance, Neoplasm/drug effects ; Drug Resistance, Neoplasm/genetics ; Drug Resistance, Neoplasm/physiology ; Humans ; Neoplasms/drug therapy ; Signal Transduction/drug effects |
Chemical Substances | Antineoplastic Agents |
Language | English |
Publishing date | 2020-11-10 |
Publishing country | Netherlands |
Document type | Journal Article ; Review |
ZDB-ID | 3378-9 |
ISSN | 1879-0631 ; 0024-3205 |
ISSN (online) | 1879-0631 |
ISSN | 0024-3205 |
DOI | 10.1016/j.lfs.2020.118745 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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