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Dualistic role of autophagy in cancer progression

Journal

ADVANCES IN CLINICAL AND EXPERIMENTAL MEDICINE
Volume 30, Issue 12, Pages 1303-1314

Publisher

WROCLAW MEDICAL UNIV
DOI: 10.17219/acem/141191

Keywords

oncogenes; cancer progression; autophagy; chaperons

Funding

  1. Statutory Subsidy Funds of the Department of Molecular and Cellular Biology, Faculty of Pharmacy, Wroclaw Medical University, Poland [SUB.D.260.21.095]

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Autophagy plays a dualistic role in carcinogenesis by regulating cell survival and death. While it can suppress cancer in early stages by maintaining genomic integrity, it may also promote tumor progression once cancer has developed. Furthermore, autophagy can affect the response of tumor cells to therapy, leading to resistance and reduced susceptibility to anticancer drugs. Further research is needed to understand the molecular mechanisms of autophagy and its potential applications in cancer treatment and prevention.
This review aims to characterize the dualistic role of autophagy in both the suppression and propagation of carcinogenesis. The process of autophagy is responsible for maintaining the delicate balance between the survival and death of a cell, and in the past years it has been studied profoundly. It has been proven that the role of autophagy in maintaining genomic and structural integrity can lead to the suppression of carcinogenesis in its early stages. However, once carcinogenesis has occurred, the process of autophagy may contribute to the survival of tumor cells and, consequently, lead to tumor progression. Additionally, autophagy can modulate the response of the tumor cells to therapy, leading to radiotherapy and chemo-therapy resistance or reduced susceptibility to anticancer drugs that propagate autophagy-related cell death. Although the role and course of autophagy are not yet fully known, the essence of it seems to be within our grasp. We have observed the identification of an increasing number of autophagy-related genes (ATG). Therefore, more research concerning its molecular course and potential applications in cancer treatment and prevention needs to be conducted.

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