Targeting autophagy: A promising approach for the treatment of breast cancer brain metastases

Author:

Nawrocki Steffan T.12ORCID,Espitia Claudia M.1,Espinoza Maria Janina Carrera1,Gamble Madison E.1,Sureshkumar Sruthi1,Chang Mengyang3,Wang Wei345,Carew Jennifer S.1

Affiliation:

1. Department of Medicine Division of Hematology and Oncology University of Arizona Cancer Center Tucson Arizona USA

2. Department of Urology University of Arizona Tucson Arizona USA

3. Department of Chemistry and Biochemistry University of Arizona Tucson Arizona USA

4. Department of Pharmacology and Toxicology University of Arizona Tucson Arizona USA

5. Arizona Center for Drug Discovery University of Arizona Tucson Arizona USA

Abstract

AbstractPatients with breast tumours that metastasise to the brain have limited treatment options and a very poor prognosis. More effective therapeutic strategies are desperately needed for this patient population. Recent evidence demonstrates that brain metastases arising from breast tumours display altered energy production that results in enhanced autophagy. Preclinical studies have shown that genetically or pharmacologically disrupting the autophagy pathway significantly decreases the brain metastatic burden, resulting in improved animal survival and increased sensitivity to lapatinib. These findings pave the way for the development of novel strategies targeting autophagy for breast cancer patients with brain metastatic disease.

Publisher

Wiley

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