Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective

Topoisomerase I inhibitors represent a widely used class of antineoplastic agents that promote both single-stranded and double-stranded breaks in the DNA of tumor cells, leading to tumor cell death. Topotecan and irinotecan are the clinically relevant derivatives of the parent drug, camptothecin. As...

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Main Authors: Ahmed M. Elshazly, Polina A. Wright, Jingwen Xu, David A. Gewirtz
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Autophagy Reports
Subjects:
Online Access:http://dx.doi.org/10.1080/27694127.2022.2155904
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author Ahmed M. Elshazly
Polina A. Wright
Jingwen Xu
David A. Gewirtz
author_facet Ahmed M. Elshazly
Polina A. Wright
Jingwen Xu
David A. Gewirtz
author_sort Ahmed M. Elshazly
collection DOAJ
description Topoisomerase I inhibitors represent a widely used class of antineoplastic agents that promote both single-stranded and double-stranded breaks in the DNA of tumor cells, leading to tumor cell death. Topotecan and irinotecan are the clinically relevant derivatives of the parent drug, camptothecin. As is the case with many if not most anticancer agents, irinotecan and topotecan promote autophagy. However, whether the autophagy is cytotoxic, cytoprotective, or non-protective is not clearly defined, and may depend largely upon the genetic background of the tumor cell being investigated. This review explores the available literature regarding the nature of the autophagy induced by these clinically utilized topoisomerase I inhibitors in preclinical tumor models with the goal of determining whether the targeting of autophagy might have potential as a therapeutic strategy to enhance the antitumor response and/or overcome drug resistance.
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spelling doaj.art-f71762f0db744e1ca5af4fc997ccbde92023-09-14T13:24:40ZengTaylor & Francis GroupAutophagy Reports2769-41272023-12-012111610.1080/27694127.2022.21559042155904Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protectiveAhmed M. Elshazly0Polina A. Wright1Jingwen Xu2David A. Gewirtz3Virginia Commonwealth University, Massey Cancer CenterVirginia Commonwealth University, Massey Cancer CenterSchool of Pharmacy, Guangdong Pharmaceutical UniversityVirginia Commonwealth University, Massey Cancer CenterTopoisomerase I inhibitors represent a widely used class of antineoplastic agents that promote both single-stranded and double-stranded breaks in the DNA of tumor cells, leading to tumor cell death. Topotecan and irinotecan are the clinically relevant derivatives of the parent drug, camptothecin. As is the case with many if not most anticancer agents, irinotecan and topotecan promote autophagy. However, whether the autophagy is cytotoxic, cytoprotective, or non-protective is not clearly defined, and may depend largely upon the genetic background of the tumor cell being investigated. This review explores the available literature regarding the nature of the autophagy induced by these clinically utilized topoisomerase I inhibitors in preclinical tumor models with the goal of determining whether the targeting of autophagy might have potential as a therapeutic strategy to enhance the antitumor response and/or overcome drug resistance.http://dx.doi.org/10.1080/27694127.2022.2155904irinotecantopotecanautophagycytoprotectivecytotoxicnon-protective
spellingShingle Ahmed M. Elshazly
Polina A. Wright
Jingwen Xu
David A. Gewirtz
Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
Autophagy Reports
irinotecan
topotecan
autophagy
cytoprotective
cytotoxic
non-protective
title Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
title_full Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
title_fullStr Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
title_full_unstemmed Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
title_short Topoisomerase I poisons-induced autophagy: Cytoprotective, Cytotoxic or Non-protective
title_sort topoisomerase i poisons induced autophagy cytoprotective cytotoxic or non protective
topic irinotecan
topotecan
autophagy
cytoprotective
cytotoxic
non-protective
url http://dx.doi.org/10.1080/27694127.2022.2155904
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AT polinaawright topoisomeraseipoisonsinducedautophagycytoprotectivecytotoxicornonprotective
AT jingwenxu topoisomeraseipoisonsinducedautophagycytoprotectivecytotoxicornonprotective
AT davidagewirtz topoisomeraseipoisonsinducedautophagycytoprotectivecytotoxicornonprotective