Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related death worldwide, and prognosis remains unsatisfactory since the disease is often diagnosed at the advanced stages. Currently, the multikinase inhibitor sorafenib is the only drug approved for the treatment of advanced HCC....

Full description

Bibliographic Details
Main Authors: Ting Sun, Hongchun Liu, Liang Ming
Format: Article
Language:English
Published: Cell Physiol Biochem Press GmbH & Co KG 2017-11-01
Series:Cellular Physiology and Biochemistry
Subjects:
Online Access:https://www.karger.com/Article/FullText/485285
_version_ 1811267110433718272
author Ting Sun
Hongchun Liu
Liang Ming
author_facet Ting Sun
Hongchun Liu
Liang Ming
author_sort Ting Sun
collection DOAJ
description Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related death worldwide, and prognosis remains unsatisfactory since the disease is often diagnosed at the advanced stages. Currently, the multikinase inhibitor sorafenib is the only drug approved for the treatment of advanced HCC. However, primary or acquired resistance to sorafenib develops, generating a roadblock in HCC therapy. Autophagy is an intracellular lysosomal pathway involved in protein and organelle degradation, with an astonishing number of connections to human disease and physiology. Current understanding of the role of autophagy in the progression of cancer and the response to cancer therapy remains controversial. Sorafenib is able to induce autophagy in HCC, but the effect of autophagy is indistinct. Some studies established that sorafenib-induced autophagy serves as a pro-survival response. However, other studies found that sorafenib-induced autophagy improves the lethality of sorafenib against HCC cells. The mechanisms underlying autophagy and sorafenib resistance remain elusive. The purpose of this review is to summarize the progress of research focused on autophagy and sorafenib resistance and to update current knowledge of how cellular autophagy impacts sorafenib sensitivity in HCC treatment.
first_indexed 2024-04-12T20:56:32Z
format Article
id doaj.art-044ea62ab9294db2bcaa42c0913f65a6
institution Directory Open Access Journal
issn 1015-8987
1421-9778
language English
last_indexed 2024-04-12T20:56:32Z
publishDate 2017-11-01
publisher Cell Physiol Biochem Press GmbH & Co KG
record_format Article
series Cellular Physiology and Biochemistry
spelling doaj.art-044ea62ab9294db2bcaa42c0913f65a62022-12-22T03:16:58ZengCell Physiol Biochem Press GmbH & Co KGCellular Physiology and Biochemistry1015-89871421-97782017-11-0144271672710.1159/000485285485285Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular CarcinomaTing SunHongchun LiuLiang MingHepatocellular carcinoma (HCC) is the second leading cause of cancer-related death worldwide, and prognosis remains unsatisfactory since the disease is often diagnosed at the advanced stages. Currently, the multikinase inhibitor sorafenib is the only drug approved for the treatment of advanced HCC. However, primary or acquired resistance to sorafenib develops, generating a roadblock in HCC therapy. Autophagy is an intracellular lysosomal pathway involved in protein and organelle degradation, with an astonishing number of connections to human disease and physiology. Current understanding of the role of autophagy in the progression of cancer and the response to cancer therapy remains controversial. Sorafenib is able to induce autophagy in HCC, but the effect of autophagy is indistinct. Some studies established that sorafenib-induced autophagy serves as a pro-survival response. However, other studies found that sorafenib-induced autophagy improves the lethality of sorafenib against HCC cells. The mechanisms underlying autophagy and sorafenib resistance remain elusive. The purpose of this review is to summarize the progress of research focused on autophagy and sorafenib resistance and to update current knowledge of how cellular autophagy impacts sorafenib sensitivity in HCC treatment.https://www.karger.com/Article/FullText/485285Hepatocellular carcinomaSorafenibAutophagyDrug resistance
spellingShingle Ting Sun
Hongchun Liu
Liang Ming
Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
Cellular Physiology and Biochemistry
Hepatocellular carcinoma
Sorafenib
Autophagy
Drug resistance
title Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
title_full Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
title_fullStr Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
title_full_unstemmed Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
title_short Multiple Roles of Autophagy in the Sorafenib Resistance of Hepatocellular Carcinoma
title_sort multiple roles of autophagy in the sorafenib resistance of hepatocellular carcinoma
topic Hepatocellular carcinoma
Sorafenib
Autophagy
Drug resistance
url https://www.karger.com/Article/FullText/485285
work_keys_str_mv AT tingsun multiplerolesofautophagyinthesorafenibresistanceofhepatocellularcarcinoma
AT hongchunliu multiplerolesofautophagyinthesorafenibresistanceofhepatocellularcarcinoma
AT liangming multiplerolesofautophagyinthesorafenibresistanceofhepatocellularcarcinoma