Tilija Pun Nirmala, Jang Won-Jun, Jeong Chul-Ho
College of Pharmacy, Keimyung University, 1095 Dalgubeil-daero, Taegu, 42601, South Korea.
Arch Pharm Res. 2020 May;43(5):475-488. doi: 10.1007/s12272-020-01239-w. Epub 2020 May 26.
Autophagy is a self-degradation process in which the cytoplasmic cargoes are delivered to the lysosomes for degradation. As the cargoes are degraded/recycled, the autophagy process maintains the cellular homeostasis. Anti-cancer therapies induce apoptosis and autophagy concomitantly, and the induced autophagy normally prevents stress responses that are being induced. In such cases, the inhibition of autophagy can be a reasonable strategy to enhance the efficacy of anti-cancer therapies. However, recent studies have shown that autophagy induced by anti-cancer drugs causes cell death/apoptosis induction, indicating a controversial role of autophagy in cancer cell survival or death/apoptosis. Therefore, in the present review, we aimed to assess the signaling mechanisms involved in autophagy and cell death/apoptosis induction during anti-cancer therapies. This review summarizes the process of autophagy, autophagy flux and its blockade, and measurement and interpretation of autophagy flux. Further, it describes the signaling pathways involved in the blockade of autophagy flux and the role of signaling molecules accumulated by autophagy blockade in cell death/apoptosis in various cancer cells during anti-cancer therapies. Altogether, it implies that factors such as types of cancer, drug therapies, and characteristics of autophagy should be evaluated before targeting autophagy for cancer treatment.
自噬是一种自我降解过程,在此过程中细胞质中的物质被输送到溶酶体进行降解。随着这些物质被降解/再循环,自噬过程维持细胞内稳态。抗癌疗法会同时诱导细胞凋亡和自噬,而诱导产生的自噬通常会阻止正在被诱导的应激反应。在这种情况下,抑制自噬可能是提高抗癌疗法疗效的一种合理策略。然而,最近的研究表明,抗癌药物诱导的自噬会导致细胞死亡/诱导细胞凋亡,这表明自噬在癌细胞存活或死亡/凋亡方面的作用存在争议。因此,在本综述中,我们旨在评估抗癌治疗期间自噬以及细胞死亡/凋亡诱导过程中涉及的信号传导机制。本综述总结了自噬过程、自噬通量及其阻断,以及自噬通量的测量和解读。此外,它描述了抗癌治疗期间自噬通量阻断所涉及的信号通路,以及自噬阻断积累的信号分子在各种癌细胞的细胞死亡/凋亡中的作用。总之,这意味着在将自噬作为癌症治疗靶点之前,应评估癌症类型、药物治疗和自噬特征等因素。