Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive disease characterized by early metastasis, late detection, and poor prognosis. Progress towards effective therapy has been slow despite significant efforts. Novel treatment approaches are desperately needed and autophagy, an evolutionary conse...

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Autores principales: Alexander G. Raufi, Nicholas R. Liguori, Lindsey Carlsen, Cassandra Parker, Liz Hernandez Borrero, Shengliang Zhang, Xiaobing Tian, Anna Louie, Lanlan Zhou, Attila A. Seyhan, Wafik S. El-Deiry
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/9e013afab8844e3382a6ba0292407a29
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spelling oai:doaj.org-article:9e013afab8844e3382a6ba0292407a292021-12-01T19:21:48ZTherapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma1663-981210.3389/fphar.2021.751568https://doaj.org/article/9e013afab8844e3382a6ba0292407a292021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.751568/fullhttps://doaj.org/toc/1663-9812Pancreatic ductal adenocarcinoma (PDAC) is an aggressive disease characterized by early metastasis, late detection, and poor prognosis. Progress towards effective therapy has been slow despite significant efforts. Novel treatment approaches are desperately needed and autophagy, an evolutionary conserved process through which proteins and organelles are recycled for use as alternative energy sources, may represent one such target. Although incompletely understood, there is growing evidence suggesting that autophagy may play a role in PDAC carcinogenesis, metastasis, and survival. Early clinical trials involving autophagy inhibiting agents, either alone or in combination with chemotherapy, have been disappointing. Recently, evidence has demonstrated synergy between the MAPK pathway and autophagy inhibitors in PDAC, suggesting a promising therapeutic intervention. In addition, novel agents, such as ONC212, have preclinical activity in pancreatic cancer, in part through autophagy inhibition. We discuss autophagy in PDAC tumorigenesis, metabolism, modulation of the immune response, and preclinical and clinical data with selected autophagy modulators as therapeutics.Alexander G. RaufiAlexander G. RaufiAlexander G. RaufiAlexander G. RaufiNicholas R. LiguoriNicholas R. LiguoriLindsey CarlsenLindsey CarlsenLindsey CarlsenLindsey CarlsenCassandra ParkerCassandra ParkerLiz Hernandez BorreroLiz Hernandez BorreroShengliang ZhangShengliang ZhangShengliang ZhangShengliang ZhangXiaobing TianXiaobing TianXiaobing TianXiaobing TianAnna LouieAnna LouieLanlan ZhouLanlan ZhouLanlan ZhouLanlan ZhouAttila A. SeyhanAttila A. SeyhanAttila A. SeyhanAttila A. SeyhanWafik S. El-DeiryWafik S. El-DeiryWafik S. El-DeiryWafik S. El-DeiryWafik S. El-DeiryWafik S. El-DeiryFrontiers Media S.A.articleautophagypancreatic cancerMEK inhibitorsONC212chloroquineAtg5Therapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic autophagy
pancreatic cancer
MEK inhibitors
ONC212
chloroquine
Atg5
Therapeutics. Pharmacology
RM1-950
spellingShingle autophagy
pancreatic cancer
MEK inhibitors
ONC212
chloroquine
Atg5
Therapeutics. Pharmacology
RM1-950
Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Nicholas R. Liguori
Nicholas R. Liguori
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Cassandra Parker
Cassandra Parker
Liz Hernandez Borrero
Liz Hernandez Borrero
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Anna Louie
Anna Louie
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
description Pancreatic ductal adenocarcinoma (PDAC) is an aggressive disease characterized by early metastasis, late detection, and poor prognosis. Progress towards effective therapy has been slow despite significant efforts. Novel treatment approaches are desperately needed and autophagy, an evolutionary conserved process through which proteins and organelles are recycled for use as alternative energy sources, may represent one such target. Although incompletely understood, there is growing evidence suggesting that autophagy may play a role in PDAC carcinogenesis, metastasis, and survival. Early clinical trials involving autophagy inhibiting agents, either alone or in combination with chemotherapy, have been disappointing. Recently, evidence has demonstrated synergy between the MAPK pathway and autophagy inhibitors in PDAC, suggesting a promising therapeutic intervention. In addition, novel agents, such as ONC212, have preclinical activity in pancreatic cancer, in part through autophagy inhibition. We discuss autophagy in PDAC tumorigenesis, metabolism, modulation of the immune response, and preclinical and clinical data with selected autophagy modulators as therapeutics.
format article
author Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Nicholas R. Liguori
Nicholas R. Liguori
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Cassandra Parker
Cassandra Parker
Liz Hernandez Borrero
Liz Hernandez Borrero
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Anna Louie
Anna Louie
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
author_facet Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Alexander G. Raufi
Nicholas R. Liguori
Nicholas R. Liguori
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Lindsey Carlsen
Cassandra Parker
Cassandra Parker
Liz Hernandez Borrero
Liz Hernandez Borrero
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Shengliang Zhang
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Xiaobing Tian
Anna Louie
Anna Louie
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Lanlan Zhou
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Attila A. Seyhan
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
Wafik S. El-Deiry
author_sort Alexander G. Raufi
title Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
title_short Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
title_full Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
title_fullStr Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
title_full_unstemmed Therapeutic Targeting of Autophagy in Pancreatic Ductal Adenocarcinoma
title_sort therapeutic targeting of autophagy in pancreatic ductal adenocarcinoma
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/9e013afab8844e3382a6ba0292407a29
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