1. The multifaceted role of autophagy in cancer and the microenvironment
- Author
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Valerie R. Wiersma, Hendrik Folkerts, Edo Vellenga, Susan Hilgendorf, and Edwin Bremer
- Subjects
Carcinogenesis ,Review Article ,medicine.disease_cause ,Mice ,NATURAL-KILLER-CELLS ,PHASE-I TRIAL ,0302 clinical medicine ,Chaperone-mediated autophagy ,Neoplasms ,Drug Discovery ,Tumor Microenvironment ,HYPOXIA-INDUCED AUTOPHAGY ,HMGB1 Protein ,OXIDATIVE MITOCHONDRIAL METABOLISM ,Hypoxia ,Review Articles ,Oncogene Proteins ,0303 health sciences ,Cell Transformation, Neoplastic ,Proto-Oncogene Proteins c-bcl-2 ,ADVANCED SOLID TUMORS ,030220 oncology & carcinogenesis ,Molecular Medicine ,Beclin-1 ,Female ,CHAPERONE-MEDIATED AUTOPHAGY ,EFFICIENT CROSS-PRESENTATION ,Signal Transduction ,autophagy ,Stromal cell ,Antigen presentation ,Breast Neoplasms ,Biology ,STRESS-INDUCED AUTOPHAGY ,03 medical and health sciences ,immune cells ,stroma ,medicine ,Animals ,Humans ,cancer ,HEMATOPOIETIC STEM-CELLS ,CHRONIC MYELOID-LEUKEMIA ,030304 developmental biology ,Pharmacology ,therapy ,Tumor microenvironment ,Autophagy ,Cancer ,Fibroblasts ,medicine.disease ,microenvironment ,Mutation ,Cancer cell ,Cancer research ,Stromal Cells ,Reactive Oxygen Species - Abstract
Autophagy is a crucial recycling process that is increasingly being recognized as an important factor in cancer initiation, cancer (stem) cell maintenance as well as the development of resistance to cancer therapy in both solid and hematological malignancies. Furthermore, it is being recognized that autophagy also plays a crucial and sometimes opposing role in the complex cancer microenvironment. For instance, autophagy in stromal cells such as fibroblasts contributes to tumorigenesis by generating and supplying nutrients to cancerous cells. Reversely, autophagy in immune cells appears to contribute to tumor‐localized immune responses and among others regulates antigen presentation to and by immune cells. Autophagy also directly regulates T and natural killer cell activity and is required for mounting T‐cell memory responses. Thus, within the tumor microenvironment autophagy has a multifaceted role that, depending on the context, may help drive tumorigenesis or may help to support anticancer immune responses. This multifaceted role should be taken into account when designing autophagy‐based cancer therapeutics. In this review, we provide an overview of the diverse facets of autophagy in cancer cells and nonmalignant cells in the cancer microenvironment. Second, we will attempt to integrate and provide a unified view of how these various aspects can be therapeutically exploited for cancer therapy.
- Published
- 2018