2019
DOI: 10.3389/fonc.2019.01232
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Insight Into the Role of Autophagy in Osteosarcoma and Its Therapeutic Implication

Abstract: Osteosarcoma is an aggressive bone cancer that frequently metastasizes to the lungs. The cytotoxicity of most chemotherapeutics and targeted drugs in the treatment of osteosarcoma is partially lessened. Furthermore, there is a poor response to current chemo- and radiotherapy for both primary lesions and pulmonary metastases of osteosarcoma. There is a clear need to explore promising drug candidates that could improve the efficacy of osteosarcoma treatment. Autophagy, a dynamic and highly conserved catabolic pr… Show more

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Cited by 47 publications
(32 citation statements)
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References 102 publications
(98 reference statements)
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“…In cancer, autophagy is often used to promote cancer cell survival and sustains chemotherapy and radiotherapy resistance through multiple mechanisms. Autophagy can be a fine balance within a cancer cell–too little autophagy leads to accumulating cytotoxicity, and too much autophagy leads to metabolic depletion and cell death [ 44 , 45 ]. Disrupting this balance has promising implications in novel therapeutic approaches in osteosarcoma, especially by means of overcoming therapy resistance.…”
Section: Autophagymentioning
confidence: 99%
See 2 more Smart Citations
“…In cancer, autophagy is often used to promote cancer cell survival and sustains chemotherapy and radiotherapy resistance through multiple mechanisms. Autophagy can be a fine balance within a cancer cell–too little autophagy leads to accumulating cytotoxicity, and too much autophagy leads to metabolic depletion and cell death [ 44 , 45 ]. Disrupting this balance has promising implications in novel therapeutic approaches in osteosarcoma, especially by means of overcoming therapy resistance.…”
Section: Autophagymentioning
confidence: 99%
“…In their reviews, Liao et al and Niu et al illustrate the molecular mechanisms of autophagy as it applies to osteosarcoma [ 44 , 45 ]. In summary, autophagy is thoroughly regulated at the molecular level, driven by multiple extracellular activators and intracellular signal transduction pathways.…”
Section: Autophagymentioning
confidence: 99%
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“…So, HIF-2α was mostly described as a major driver in OTS cells with specific metabolic switch [ 40 ]. mTOR was frequently involved in direct links with autophagic processes and was associated with Pi3K/AKT upstream signaling stimulated by different tyrosine kinase receptors [ 62 , 63 , 64 ], combining an OTS cell and tumor microenvironment effect. Nevertheless, it is for instance not so clear how all those biomarkers specifically interact during OTS progression and metastatic propension, as hypoxia is present since the OTS cell initiation.…”
Section: Presence Of Hypoxic Biomarkers In Osteosarcomas Is Relatementioning
confidence: 99%
“… 2 However, the prognosis is still dissatisfactory because of the high rates of drug resistance, relapse, and metastasis. 3 Thus, more researches are urgently needed to clarify the molecular mechanisms and highlight the potential therapeutic targets of OS.…”
Section: Introductionmentioning
confidence: 99%