Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment

As clinical efforts towards breast-conserving therapy and prolonging survival of those with metastatic breast cancer increase, innovative approaches with the use of biologics are on the rise. Two areas of current focus are cancer immunotherapy and autophagy, both of which have been well-studied inde...

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Main Authors: Spyridon Giannopoulos, Cansu Cimen Bozkus, Eleni Zografos, Aikaterini Athanasiou, Ann Marie Bongiovanni, Georgios Doulaveris, Chris N. Bakoyiannis, Georgios E. Theodoropoulos, Georgios C. Zografos, Steven S. Witkin, Theofano Orfanelli
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/10/966
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author Spyridon Giannopoulos
Cansu Cimen Bozkus
Eleni Zografos
Aikaterini Athanasiou
Ann Marie Bongiovanni
Georgios Doulaveris
Chris N. Bakoyiannis
Georgios E. Theodoropoulos
Georgios C. Zografos
Steven S. Witkin
Theofano Orfanelli
author_facet Spyridon Giannopoulos
Cansu Cimen Bozkus
Eleni Zografos
Aikaterini Athanasiou
Ann Marie Bongiovanni
Georgios Doulaveris
Chris N. Bakoyiannis
Georgios E. Theodoropoulos
Georgios C. Zografos
Steven S. Witkin
Theofano Orfanelli
author_sort Spyridon Giannopoulos
collection DOAJ
description As clinical efforts towards breast-conserving therapy and prolonging survival of those with metastatic breast cancer increase, innovative approaches with the use of biologics are on the rise. Two areas of current focus are cancer immunotherapy and autophagy, both of which have been well-studied independently but have recently been shown to have intertwining roles in cancer. An increased understanding of their interactions could provide new insights that result in novel diagnostic, prognostic, and therapeutic strategies. In this breast cancer-focused review, we explore the interactions between autophagy and two clinically relevant immune checkpoint pathways; the programmed cell death-1 receptor with its ligand (PD-L1)/PD-1 and the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)/CD80 and CD86 (B7-1 and B7-2). Furthermore, we discuss emerging preclinical and clinical data supporting targeting both immunotherapy and autophagy pathway manipulation as a promising approach in the treatment of breast cancer.
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spelling doaj.art-be54092aefcf47708ffa4c8af7712f812023-11-24T01:16:01ZengMDPI AGMetabolites2218-19892022-10-01121096610.3390/metabo12100966Targeting Both Autophagy and Immunotherapy in Breast Cancer TreatmentSpyridon Giannopoulos0Cansu Cimen Bozkus1Eleni Zografos2Aikaterini Athanasiou3Ann Marie Bongiovanni4Georgios Doulaveris5Chris N. Bakoyiannis6Georgios E. Theodoropoulos7Georgios C. Zografos8Steven S. Witkin9Theofano Orfanelli10Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USADepartment of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USADepartment of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10021, USADepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10021, USADepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10021, USAFirst Department of Surgery, Division of Vascular Surgery, Laikon General Hospital, National Kapodistrian University of Athens, 15772 Athens, GreeceFirst Department of Propaedeutic Surgery, Hippocration General Hospital, National and Kapodistrian University of Athens, 15772 Athens, GreeceFirst Department of Propaedeutic Surgery, Hippocration General Hospital, National and Kapodistrian University of Athens, 15772 Athens, GreeceDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10021, USAFirst Department of Propaedeutic Surgery, Hippocration General Hospital, National and Kapodistrian University of Athens, 15772 Athens, GreeceAs clinical efforts towards breast-conserving therapy and prolonging survival of those with metastatic breast cancer increase, innovative approaches with the use of biologics are on the rise. Two areas of current focus are cancer immunotherapy and autophagy, both of which have been well-studied independently but have recently been shown to have intertwining roles in cancer. An increased understanding of their interactions could provide new insights that result in novel diagnostic, prognostic, and therapeutic strategies. In this breast cancer-focused review, we explore the interactions between autophagy and two clinically relevant immune checkpoint pathways; the programmed cell death-1 receptor with its ligand (PD-L1)/PD-1 and the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4)/CD80 and CD86 (B7-1 and B7-2). Furthermore, we discuss emerging preclinical and clinical data supporting targeting both immunotherapy and autophagy pathway manipulation as a promising approach in the treatment of breast cancer.https://www.mdpi.com/2218-1989/12/10/966breast cancerautophagyimmunotherapyimmunoregulationimmune-checkpoint inhibitors
spellingShingle Spyridon Giannopoulos
Cansu Cimen Bozkus
Eleni Zografos
Aikaterini Athanasiou
Ann Marie Bongiovanni
Georgios Doulaveris
Chris N. Bakoyiannis
Georgios E. Theodoropoulos
Georgios C. Zografos
Steven S. Witkin
Theofano Orfanelli
Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
Metabolites
breast cancer
autophagy
immunotherapy
immunoregulation
immune-checkpoint inhibitors
title Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
title_full Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
title_fullStr Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
title_full_unstemmed Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
title_short Targeting Both Autophagy and Immunotherapy in Breast Cancer Treatment
title_sort targeting both autophagy and immunotherapy in breast cancer treatment
topic breast cancer
autophagy
immunotherapy
immunoregulation
immune-checkpoint inhibitors
url https://www.mdpi.com/2218-1989/12/10/966
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