Autophagy is an evolutionarily conserved lysosomal degradation process crucial for adaptation to stress and for cellular homeostasis. To date, the rationale for targeting autophagy against cancer has been attributed to its cell-autonomous effects as a tumor cell survival pathway. In contrast, the role of autophagy in the development and function of the tumor microenvironment, a critical mediator of tumor initiation, progression and response to therapy, remains obscure. This project merges our expertise in autophagy and angiogenesis to define the functions of the autophagy pathway in the microenvironmental control of invasion and angiogenesis. We seek to answer two fundamental questions in the field. First, how does tumor cell autophagy generate a microenvironment conducive for survival and invasion? Second, is endothelial cell autophagy a prerequisite for the initiation of angiogenesis and during reneovascularization to escape therapeutic vascular growth restrictions imposed by anti-angiogenic therapy? Our preliminary studies implicate autophagy in the production of pro-migratory cytokines, thereby facilitating tumor cell invasion directly, or by activating monocytes via paracrine signaling cues. In addition, our pilot studies indicate that endothelial cell-targete autophagy deletion impairs neovascularization in vivo, thereby revealing a cell specific functional requirement for autophagy for angiogenesis. Based on these results, we will leverage powerful in vivo cancer models uniquely available in our laboratories to pursue two specific aims.
In Aim 1, we will define the role of tumor cell autophagy in promoting glioblastoma multiforme (GBM) invasion and resistance to anti-angiogenic therapy.
In Aim 2, we will determine the functions of endothelial cell autophagy during neovascularization and response to anti-angiogenic therapy. Overall, this proposal will define new interconnections between autophagy and the microenvironment that direct cancer cell invasion, angiogenesis and therapeutic resistance.

Public Health Relevance

Despite immense interest in inhibiting autophagy, a tightly regulated lysosomal degradation process, to treat cancer, we have little appreciation for how these strategies will impact the tumor microenvironment, a critical mediator of cancer progression and response to therapy. This project will define the functions of the autophagy pathway in the microenvironmental control of invasion, angiogenesis, and therapeutic resistance. As a result, we will provide unique, timely insight into how to most effectively exploi autophagy to treat cancer patients.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Research Project (R01)
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Tumor Microenvironment Study Section (TME)
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Mohla, Suresh
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University of California San Francisco
Schools of Medicine
San Francisco
United States
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Salas, E; Roy, S; Marsh, T et al. (2016) Oxidative pentose phosphate pathway inhibition is a key determinant of antimalarial induced cancer cell death. Oncogene 35:2913-22
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