The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells

Lysosomal dysfunction and endoplasmic reticulum (ER) stress play essential roles in cancer cell survival, growth, and stress adaptation. Among the various stressors in the tumor microenvironment, oxidative stress (OS) is a central driver that exacerbates both lysosomal and ER dysfunction. In healthy...

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Main Authors: Mariapia Vietri, Maria Rosaria Miranda, Giuseppina Amodio, Tania Ciaglia, Alessia Bertamino, Pietro Campiglia, Paolo Remondelli, Vincenzo Vestuto, Ornella Moltedo
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/7/930
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author Mariapia Vietri
Maria Rosaria Miranda
Giuseppina Amodio
Tania Ciaglia
Alessia Bertamino
Pietro Campiglia
Paolo Remondelli
Vincenzo Vestuto
Ornella Moltedo
author_facet Mariapia Vietri
Maria Rosaria Miranda
Giuseppina Amodio
Tania Ciaglia
Alessia Bertamino
Pietro Campiglia
Paolo Remondelli
Vincenzo Vestuto
Ornella Moltedo
author_sort Mariapia Vietri
collection DOAJ
description Lysosomal dysfunction and endoplasmic reticulum (ER) stress play essential roles in cancer cell survival, growth, and stress adaptation. Among the various stressors in the tumor microenvironment, oxidative stress (OS) is a central driver that exacerbates both lysosomal and ER dysfunction. In healthy cells, the ER manages protein folding and redox balance, while lysosomes regulate autophagy and degradation. Cancer cells, however, are frequently exposed to elevated levels of reactive oxygen species (ROS), which disrupt protein folding in the ER and damage lysosomal membranes and enzymes, promoting dysfunction. Persistent OS activates the unfolded protein response (UPR) and contributes to lysosomal membrane permeabilization (LMP), leading to pro-survival autophagy or cell death depending on the context and on the modulation of pathways like PERK, IRE1, and ATF6. Cancer cells exploit these pathways by enhancing their tolerance to OS and shifting UPR signaling toward survival. Moreover, lysosomal impairment due to ROS accumulation compromises autophagy, resulting in the buildup of damaged organelles and further amplifying oxidative damage. This vicious cycle of ROS-induced ER stress and lysosomal dysfunction contributes to tumor progression, therapy resistance, and metabolic adaptation. Thus, targeting lysosomal and ER stress responses offers potential as cancer therapy, particularly in increasing oxidative stress and promoting apoptosis. This review explores the interconnected roles of lysosomal dysfunction, ER stress, and OS in cancer, focusing on the mechanisms driving their crosstalk and its implications for tumor progression and therapeutic resistance.
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spelling doaj-art-172aaa0c873f4fd194779957c1aa32df2025-08-20T03:58:27ZengMDPI AGBiomolecules2218-273X2025-06-0115793010.3390/biom15070930The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer CellsMariapia Vietri0Maria Rosaria Miranda1Giuseppina Amodio2Tania Ciaglia3Alessia Bertamino4Pietro Campiglia5Paolo Remondelli6Vincenzo Vestuto7Ornella Moltedo8Department of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”/DIPMED, Via S. Allende, 84081 Baronissi, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”/DIPMED, Via S. Allende, 84081 Baronissi, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyDepartment of Pharmacy, University of Salerno, Via G. Paolo II, 84084 Fisciano, SA, ItalyLysosomal dysfunction and endoplasmic reticulum (ER) stress play essential roles in cancer cell survival, growth, and stress adaptation. Among the various stressors in the tumor microenvironment, oxidative stress (OS) is a central driver that exacerbates both lysosomal and ER dysfunction. In healthy cells, the ER manages protein folding and redox balance, while lysosomes regulate autophagy and degradation. Cancer cells, however, are frequently exposed to elevated levels of reactive oxygen species (ROS), which disrupt protein folding in the ER and damage lysosomal membranes and enzymes, promoting dysfunction. Persistent OS activates the unfolded protein response (UPR) and contributes to lysosomal membrane permeabilization (LMP), leading to pro-survival autophagy or cell death depending on the context and on the modulation of pathways like PERK, IRE1, and ATF6. Cancer cells exploit these pathways by enhancing their tolerance to OS and shifting UPR signaling toward survival. Moreover, lysosomal impairment due to ROS accumulation compromises autophagy, resulting in the buildup of damaged organelles and further amplifying oxidative damage. This vicious cycle of ROS-induced ER stress and lysosomal dysfunction contributes to tumor progression, therapy resistance, and metabolic adaptation. Thus, targeting lysosomal and ER stress responses offers potential as cancer therapy, particularly in increasing oxidative stress and promoting apoptosis. This review explores the interconnected roles of lysosomal dysfunction, ER stress, and OS in cancer, focusing on the mechanisms driving their crosstalk and its implications for tumor progression and therapeutic resistance.https://www.mdpi.com/2218-273X/15/7/930lysosomal dysfunctionoxidative stressER stressautophagyLMPcancer
spellingShingle Mariapia Vietri
Maria Rosaria Miranda
Giuseppina Amodio
Tania Ciaglia
Alessia Bertamino
Pietro Campiglia
Paolo Remondelli
Vincenzo Vestuto
Ornella Moltedo
The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
Biomolecules
lysosomal dysfunction
oxidative stress
ER stress
autophagy
LMP
cancer
title The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
title_full The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
title_fullStr The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
title_full_unstemmed The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
title_short The Link Between Endoplasmic Reticulum Stress and Lysosomal Dysfunction Under Oxidative Stress in Cancer Cells
title_sort link between endoplasmic reticulum stress and lysosomal dysfunction under oxidative stress in cancer cells
topic lysosomal dysfunction
oxidative stress
ER stress
autophagy
LMP
cancer
url https://www.mdpi.com/2218-273X/15/7/930
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