The dual role of chaperone-mediated autophagy in the response and resistance to cancer immunotherapy

Mohammadreza Saberiyan, Sarah Gholami, Mahsa Ejlalidiz, Mohammadsadegh Rezaeian Manshadi, parisa Noorabadi, Michael R. Hamblin

Research output: Contribution to journalReview articlepeer-review

Abstract

Cancer immunotherapy has become a revolutionary strategy in oncology, utilizing the host immune system to fight malignancies. Notwithstanding major progress, obstacles such as immune evasion by tumors and the development of resistance still remain. This manuscript examines the function of chaperone-mediated autophagy (CMA) in cancer biology, focusing on its effects on tumor immunotherapy response and resistance. CMA is a selective degradation mechanism for cytosolic proteins, which is crucial for sustaining cellular homeostasis and regulating immune responses. By degrading specific proteins, CMA can either facilitate tumor progression in stressful conditions, or promote tumor suppression by removing oncogenic factors. This double-edged sword highlights the complexity of CMA in cancer progression and its possible effect on treatment results. Here we clarify the molecular mechanisms by which CMA can regulate the immune response and its possible role as a therapeutic target for improving the effectiveness of cancer immunotherapy.

Original languageEnglish
Article number104700
JournalCritical Reviews in Oncology/Hematology
Volume210
DOIs
Publication statusPublished - Jun 2025

Keywords

  • (cGAS)-STING pathway
  • Immune checkpoint inhibitors
  • Immune evasion
  • Resistance mechanisms
  • Tumor microenvironment

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Geriatrics and Gerontology

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