The multifaced role and therapeutic regulation of autophagy in ovarian cancer

Clin Transl Oncol. 2023 May;25(5):1207-1217. doi: 10.1007/s12094-022-03045-w. Epub 2022 Dec 19.

Abstract

Ovarian cancer (OC) is one of the tumors that occurs most frequently in women. Autophagy is involved in cell homeostasis, biomolecule recycling, and survival, making it a potential target for anti-tumor drugs. It is worth noting that growing evidence reveals a close link between autophagy and OC. In the context of OC, autophagy demonstrates activity as both a tumor suppressor and a tumor promoter, depending on the context. Autophagy's exact function in OC is greatly reliant on the tumor microenvironment (TME) and other conditions, such as hypoxia, nutritional deficiency, chemotherapy, and so on. However, what can be concluded from different studies is that autophagy-related signaling pathways, especially PI3K/AKT/mTOR axis, increase in advanced stages and malignant phenotype of the disease reduces autophagy and ultimately leads to tumor progression. This study sought to present a thorough understanding of the role of autophagy-related signaling pathways in OC and existing therapies targeting these signaling pathways.

Keywords: Autophagy; Cancer therapy; Ovarian cancer; Signaling pathway.

Publication types

  • Review

MeSH terms

  • Autophagy
  • Cell Line, Tumor
  • Cell Proliferation
  • Female
  • Humans
  • Ovarian Neoplasms* / pathology
  • Phosphatidylinositol 3-Kinases* / metabolism
  • Proto-Oncogene Proteins c-akt / metabolism
  • Signal Transduction
  • Tumor Microenvironment

Substances

  • Phosphatidylinositol 3-Kinases
  • Proto-Oncogene Proteins c-akt