2017
DOI: 10.1186/s13014-017-0795-y
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Influence of autophagy on the efficacy of radiotherapy

Abstract: Autophagy is an important catabolic process in which cells digest and recycle their own cytoplasmic contents for maintaining cellular homeostasis. Interestingly, autophagy could play both pro-death and pro-survival roles in influencing the development of cancer via various signal pathways. As radiotherapy is one of the main treatment modalities for cancer, we reviewed the effect of autophagy modulations on radiosensitivity and radiotherapy efficacy in various cancer types. The future development of autophagy m… Show more

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Cited by 89 publications
(58 citation statements)
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“…In many tumors, there is altered expression and/or subcellular localization of autophagy-regulatory proteins [22][23][24][25][26]. As apoptosis contributes to only 20% or less of radiation-induced cell death, there is a great deal of interest in understanding the role of autophagy in regulating IR-induced cell death [27,28]. However, those studies have yielded conflicting results.…”
Section: Introductionmentioning
confidence: 99%
“…In many tumors, there is altered expression and/or subcellular localization of autophagy-regulatory proteins [22][23][24][25][26]. As apoptosis contributes to only 20% or less of radiation-induced cell death, there is a great deal of interest in understanding the role of autophagy in regulating IR-induced cell death [27,28]. However, those studies have yielded conflicting results.…”
Section: Introductionmentioning
confidence: 99%
“…Autophagy plays a cytoprotective or pro-survival role in cancer cells and can be induced by most cancer treatments including radiation therapy [254][255][256], chemotherapy [257,258], histone deacetylase inhibitors in colon cancer cells [259], arsenic trioxide (As2O3) in malignant glioma cells [260,261], Temozolomide (TMZ) in malignant glioma cells [262], γ-irradiation in breast cancer, prostate cancer, colon cancer and malignant glioma [263][264][265], resveratrol in ovarian cancer [266], TNFα in breast cancer cells [267], IFNγ in Hepatocellular carcinoma (HCC) [268], imatinib lung carcinoma cell [269], rapamycin in malignant glioma cells [270], and tamoxifen in breast cancer and Glioblastoma [271,272], and the autophagy, in turn, functions as a cellular defense and protection mechanism to prevent cancer cell death upon treatment, enable a state of dormancy in residual cancer cells post treatment, contribute to cancer recurrence and metastasis, and inhibit cancer therapy and tumor cell killing [246,273].…”
Section: Autophagy Inhibit Cancer Therapymentioning
confidence: 99%
“…It is usually a cytoprotective process, but autophagic cell death occurs when the autophagic response is excessive (Kroemer and Levine, 2008). The autophagic machinery is a highly regulated pathway involving the ATG genes and is known to be triggered by irradiation, likely via the endoplasmic stress module and mTOR pathway, although the exact mechanisms are unclear (Tam et al, 2017). Autophagy observed after irradiation may be a mechanism of treatment resistance or of cell death, being likely context-dependent (Levy et al, 2017;Dikic and Elazar, 2018).…”
Section: Autophagymentioning
confidence: 99%