Ivanova Tsvetomira, Sbirkov Yordan, Kazakova Maria, Sarafian Victoria
Department of Medical Biology, Medical University-Plovdiv, 4000 Plovdiv, Bulgaria.
Research Division of Molecular and Regenerative Medicine, Research Institute at Medical University-Plovdiv, 4000 Plovdiv, Bulgaria.
Cells. 2025 Apr 11;14(8):574. doi: 10.3390/cells14080574.
Colorectal cancer (CRC) is among the most malignant pathologies worldwide. A major factor contributing to the poor prognosis of neoplastic diseases is the development of drug resistance. It significantly reduces the utility of most therapeutic protocols and necessitates the search for novel biomarkers and treatment strategies to combat cancer. An evolutionarily conserved catabolic mechanism, autophagy maintains nutrient recycling and metabolic adaptation and is also closely related to carcinogenesis, playing a dual role. Autophagy inhibition can limit the growth of tumors and improve the response to cancer therapeutics. Lysosomes, key players in autophagy, are also considered promising targets for anticancer treatment. There are still insufficient data on the role of poorly studied glycoproteins related to autophagy, such as the lysosome-associated membrane glycoproteins (LAMPs). They can act as multifunctional molecules involved in a multitude of processes like autophagy and cancer development. In the current review, we summarize the recent data on the double-faceted role of autophagy in cancer with a focus on drug resistance in CRC and on the roles of lysosomes and LAMPs in these interconnected processes. Several lysosomotropic drugs are discussed as options to overcome cancer cell chemoresistance. The complex networks that underline defined autophagic pathways in the context of CRC carcinogenesis and the role of autophagy, especially of LAMPs as drivers of drug resistance, are outlined.
结直肠癌(CRC)是全球最恶性的疾病之一。肿瘤性疾病预后不良的一个主要因素是耐药性的产生。这显著降低了大多数治疗方案的效用,因此有必要寻找新的生物标志物和治疗策略来对抗癌症。自噬是一种进化上保守的分解代谢机制,维持营养物质循环和代谢适应,也与致癌作用密切相关,发挥着双重作用。抑制自噬可以限制肿瘤生长并提高对癌症治疗的反应。溶酶体是自噬的关键参与者,也被认为是抗癌治疗的有希望的靶点。关于与自噬相关的研究较少的糖蛋白,如溶酶体相关膜糖蛋白(LAMPs)的作用,目前的数据仍然不足。它们可以作为多功能分子参与自噬和癌症发展等多种过程。在本综述中,我们总结了自噬在癌症中的双重作用的最新数据,重点是CRC中的耐药性以及溶酶体和LAMPs在这些相互关联的过程中的作用。讨论了几种溶酶体亲和性药物作为克服癌细胞化疗耐药性的选择。概述了在CRC致癌过程中构成特定自噬途径基础的复杂网络以及自噬的作用,特别是LAMPs作为耐药驱动因素的作用。