Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer

Oral cancer is a highly malignant disease characterized by recurrence, metastasis, and poor prognosis. Autophagy, a catabolic process induced under stress conditions, has been shown to play a dual role in oral cancer development and therapy. Recent studies have identified that autophagy activation i...

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Main Authors: Xiaoli Zeng, Yue Chen, Jing Wang, Miao He, Junyao Qiu, Yun Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1535649/full
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author Xiaoli Zeng
Xiaoli Zeng
Xiaoli Zeng
Yue Chen
Yue Chen
Jing Wang
Jing Wang
Miao He
Miao He
Junyao Qiu
Yun Huang
author_facet Xiaoli Zeng
Xiaoli Zeng
Xiaoli Zeng
Yue Chen
Yue Chen
Jing Wang
Jing Wang
Miao He
Miao He
Junyao Qiu
Yun Huang
author_sort Xiaoli Zeng
collection DOAJ
description Oral cancer is a highly malignant disease characterized by recurrence, metastasis, and poor prognosis. Autophagy, a catabolic process induced under stress conditions, has been shown to play a dual role in oral cancer development and therapy. Recent studies have identified that autophagy activation in oral epithelial cells suppresses cancer cell survival by inhibiting key pathways such as the mammalian target of rapamycin (mTOR) and mitogen-activated protein kinase (MAPK), while activating the adenosine monophosphate-activated protein kinase (AMPK) pathway. Inducing autophagy promotes degradation of eukaryotic initiation factor 4E, thus reducing metastasis and enhancing the efficacy of chemotherapy, radiotherapy, and immunotherapy. Furthermore, autophagy induction can modulate the tumor immune microenvironment and enhance antitumor immunity. This review comprehensively summarizes the relationship between autophagy and oral cancer, focusing on its mechanisms and therapeutic potential when combined with conventional treatments. While promising, the precise mechanisms and clinical applications of autophagy inducers in oral cancer therapy remain to be elucidated, offering new directions for future research to improve treatment outcomes and reduce recurrence.
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institution Kabale University
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-33ca9a8a20454f0588626cd645145a7b2025-01-07T06:48:16ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15356491535649Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancerXiaoli Zeng0Xiaoli Zeng1Xiaoli Zeng2Yue Chen3Yue Chen4Jing Wang5Jing Wang6Miao He7Miao He8Junyao Qiu9Yun Huang10Department of Oncology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaJiangxi "Flagship" Oncology Department of Synergy for Chinese and Western Medicine, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, Jiangxi Clinical Medical Research Center for Cancer, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, Jiangxi Clinical Medical Research Center for Cancer, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, Jiangxi Clinical Medical Research Center for Cancer, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Oncology, Jiangxi Clinical Medical Research Center for Cancer, The First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, ChinaDepartment of Gastroenterology, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, Jiangxi, ChinaDepartment of Otolaryngology, The Affiliated Ganzhou Hospital of Nanchang University, Ganzhou, Jiangxi, ChinaOral cancer is a highly malignant disease characterized by recurrence, metastasis, and poor prognosis. Autophagy, a catabolic process induced under stress conditions, has been shown to play a dual role in oral cancer development and therapy. Recent studies have identified that autophagy activation in oral epithelial cells suppresses cancer cell survival by inhibiting key pathways such as the mammalian target of rapamycin (mTOR) and mitogen-activated protein kinase (MAPK), while activating the adenosine monophosphate-activated protein kinase (AMPK) pathway. Inducing autophagy promotes degradation of eukaryotic initiation factor 4E, thus reducing metastasis and enhancing the efficacy of chemotherapy, radiotherapy, and immunotherapy. Furthermore, autophagy induction can modulate the tumor immune microenvironment and enhance antitumor immunity. This review comprehensively summarizes the relationship between autophagy and oral cancer, focusing on its mechanisms and therapeutic potential when combined with conventional treatments. While promising, the precise mechanisms and clinical applications of autophagy inducers in oral cancer therapy remain to be elucidated, offering new directions for future research to improve treatment outcomes and reduce recurrence.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1535649/fullautophagyoral cancerapoptosischemotherapyradiotherapyimmunotherapy
spellingShingle Xiaoli Zeng
Xiaoli Zeng
Xiaoli Zeng
Yue Chen
Yue Chen
Jing Wang
Jing Wang
Miao He
Miao He
Junyao Qiu
Yun Huang
Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
Frontiers in Immunology
autophagy
oral cancer
apoptosis
chemotherapy
radiotherapy
immunotherapy
title Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
title_full Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
title_fullStr Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
title_full_unstemmed Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
title_short Targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
title_sort targeting autophagy to enhance chemotherapy and immunotherapy in oral cancer
topic autophagy
oral cancer
apoptosis
chemotherapy
radiotherapy
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1535649/full
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