The Cytoprotective, Cytotoxic and Nonprotective Functional Forms of Autophagy Induced by Microtubule Poisons in Tumor Cells-Implications for Autophagy Modulation as a Therapeutic Strategy

Biomedicines. 2022 Jul 7;10(7):1632. doi: 10.3390/biomedicines10071632.

Abstract

Microtubule poisons, as is the case with other antitumor drugs, routinely promote autophagy in tumor cells. However, the nature and function of the autophagy, in terms of whether it is cytoprotective, cytotoxic or nonprotective, cannot be predicted; this likely depends on both the type of drug studied as well as the tumor cell under investigation. In this article, we explore the literature relating to the spectrum of microtubule poisons and the nature of the autophagy induced. We further speculate as to whether autophagy inhibition could be a practical strategy for improving the response to cancer therapy involving these drugs that have microtubule function as a primary target.

Keywords: autophagy; chemosensitization; cytoprotective; cytotoxic; microtubule poison; nonprotective.

Publication types

  • Review

Grants and funding

Jingwen Xu was financially supported by the National Natural Science Foundation of China, No. 81903854 and Guangzhou Natural Science Foundation, No. 202201010665. Research in Dr. Gewirtz’a laboratory is supported by grants #Ca268819 and #CA239706 from the National Cancer Institute/National Institutes of Health and grant #W81XWH 19-1-0490 from the Department of Defense Congressionally Directed Breast Cancer Research Program.