Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance

Abstract Drug resistance is a common challenge in clinical tumor treatment. A reduction in drug sensitivity of tumor cells is often accompanied by an increase in autophagy levels, leading to autophagy-related resistance. The effectiveness of combining chemotherapy drugs with autophagy inducers/inhib...

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Main Authors: Peng Zhao, Shuangshuang Yin, Yuling Qiu, Changgang Sun, Haiyang Yu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-024-02217-2
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author Peng Zhao
Shuangshuang Yin
Yuling Qiu
Changgang Sun
Haiyang Yu
author_facet Peng Zhao
Shuangshuang Yin
Yuling Qiu
Changgang Sun
Haiyang Yu
author_sort Peng Zhao
collection DOAJ
description Abstract Drug resistance is a common challenge in clinical tumor treatment. A reduction in drug sensitivity of tumor cells is often accompanied by an increase in autophagy levels, leading to autophagy-related resistance. The effectiveness of combining chemotherapy drugs with autophagy inducers/inhibitors has been widely confirmed, but the mechanisms are still unclear. Ferroptosis and pyroptosis can be affected by various types of autophagy. Therefore, ferroptosis and pyroptosis have crosstalk via autophagy, potentially leading to a switch in cell death types under certain conditions. As two forms of inflammatory programmed cell death, ferroptosis and pyroptosis have different effects on inflammation, and the cGAS-STING signaling pathway is also involved. Therefore, it also plays an important role in the progression of some chronic inflammatory diseases. This review discusses the relationship between autophagy, ferroptosis and pyroptosis, and attempts to uncover the reasons behind the evasion of tumor cell death and the nature of drug resistance.
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institution Kabale University
issn 1476-4598
language English
publishDate 2025-01-01
publisher BMC
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series Molecular Cancer
spelling doaj-art-907b9c39081b4c34931c30cab7030f2a2025-01-19T12:12:38ZengBMCMolecular Cancer1476-45982025-01-0124112410.1186/s12943-024-02217-2Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistancePeng Zhao0Shuangshuang Yin1Yuling Qiu2Changgang Sun3Haiyang Yu4National Key Laboratory of Chinese Medicine Modernization, Tianjin University of Traditional Chinese MedicineNational Key Laboratory of Chinese Medicine Modernization, Tianjin University of Traditional Chinese MedicineTianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics, School of Pharmacy, Tianjin Medical UniversityCollege of Traditional Chinese Medicine, Shandong Second Medical UniversityNational Key Laboratory of Chinese Medicine Modernization, Tianjin University of Traditional Chinese MedicineAbstract Drug resistance is a common challenge in clinical tumor treatment. A reduction in drug sensitivity of tumor cells is often accompanied by an increase in autophagy levels, leading to autophagy-related resistance. The effectiveness of combining chemotherapy drugs with autophagy inducers/inhibitors has been widely confirmed, but the mechanisms are still unclear. Ferroptosis and pyroptosis can be affected by various types of autophagy. Therefore, ferroptosis and pyroptosis have crosstalk via autophagy, potentially leading to a switch in cell death types under certain conditions. As two forms of inflammatory programmed cell death, ferroptosis and pyroptosis have different effects on inflammation, and the cGAS-STING signaling pathway is also involved. Therefore, it also plays an important role in the progression of some chronic inflammatory diseases. This review discusses the relationship between autophagy, ferroptosis and pyroptosis, and attempts to uncover the reasons behind the evasion of tumor cell death and the nature of drug resistance.https://doi.org/10.1186/s12943-024-02217-2AutophagyFerroptosisPyroptosisFerritinophagyMitophagyCMA
spellingShingle Peng Zhao
Shuangshuang Yin
Yuling Qiu
Changgang Sun
Haiyang Yu
Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
Molecular Cancer
Autophagy
Ferroptosis
Pyroptosis
Ferritinophagy
Mitophagy
CMA
title Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
title_full Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
title_fullStr Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
title_full_unstemmed Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
title_short Ferroptosis and pyroptosis are connected through autophagy: a new perspective of overcoming drug resistance
title_sort ferroptosis and pyroptosis are connected through autophagy a new perspective of overcoming drug resistance
topic Autophagy
Ferroptosis
Pyroptosis
Ferritinophagy
Mitophagy
CMA
url https://doi.org/10.1186/s12943-024-02217-2
work_keys_str_mv AT pengzhao ferroptosisandpyroptosisareconnectedthroughautophagyanewperspectiveofovercomingdrugresistance
AT shuangshuangyin ferroptosisandpyroptosisareconnectedthroughautophagyanewperspectiveofovercomingdrugresistance
AT yulingqiu ferroptosisandpyroptosisareconnectedthroughautophagyanewperspectiveofovercomingdrugresistance
AT changgangsun ferroptosisandpyroptosisareconnectedthroughautophagyanewperspectiveofovercomingdrugresistance
AT haiyangyu ferroptosisandpyroptosisareconnectedthroughautophagyanewperspectiveofovercomingdrugresistance