Laboratory of Immunology and Ionic Transport Regulation, Biomedical Research Centre, University of Colima, Av. 25 de Julio #965, Villas de San Sebastián, Colima 28045, Mexico.
Cells. 2023 Oct 19;12(20):2486. doi: 10.3390/cells12202486.
Modulation of autophagy as an anticancer strategy has been widely studied and evaluated in several cell models. However, little attention has been paid to the metabolic changes that occur in a cancer cell when autophagy is inhibited or induced. In this review, we describe how the expression and regulation of various autophagy-related (ATGs) genes and proteins are associated with cancer progression and cancer plasticity. We present a comprehensive review of how deregulation of ATGs affects cancer cell metabolism, where inhibition of autophagy is mainly reflected in the enhancement of the Warburg effect. The importance of metabolic changes, which largely depend on the cancer type and form part of a cancer cell's escape strategy after autophagy modulation, is emphasized. Consequently, pharmacological strategies based on a dual inhibition of metabolic and autophagy pathways emerged and are reviewed critically here.
自噬作为一种抗癌策略已经在多种细胞模型中得到了广泛的研究和评估。然而,对于自噬被抑制或诱导时癌细胞中发生的代谢变化,关注甚少。在这篇综述中,我们描述了各种自噬相关(ATG)基因和蛋白的表达和调节如何与癌症进展和癌症可塑性相关。我们全面回顾了 ATG 的失调如何影响癌细胞代谢,其中自噬抑制主要反映在增强瓦博格效应上。强调了代谢变化的重要性,这些变化在很大程度上取决于癌症类型,并构成自噬调节后癌细胞逃避策略的一部分。因此,出现了基于代谢和自噬途径双重抑制的药理学策略,并在此进行了批判性评价。