Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 28, 2024; 30(24): 3036-3043
Published online Jun 28, 2024. doi: 10.3748/wjg.v30.i24.3036
Harnessing autophagy: A potential breakthrough in digestive disease treatment
Mukaddes Esrefoglu
Mukaddes Esrefoglu, Department of Histology and Embryology, Bezmialem Vakif University Medical Faculty, Istanbul 34093, Türkiye
Author contributions: Esrefoglu M designed the overall concept of the manuscript and solely contributed to the writing and editing of the manuscript and reviewing the literature.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mukaddes Esrefoglu, MD, Professor, Department of Histology and Embryology, Bezmialem Vakif University Medical Faculty, Adnan Menderes Bulvari, Vatan Caddesi, Istanbul 34093, Türkiye. mesrefoglu@bezmialem.edu.tr
Received: March 15, 2024
Revised: April 30, 2024
Accepted: June 4, 2024
Published online: June 28, 2024
Processing time: 102 Days and 3 Hours
Abstract

Autophagy, a conserved cellular degradation process, is crucial for various cellular processes such as immune responses, inflammation, metabolic and oxidative stress adaptation, cell proliferation, development, and tissue repair and remodeling. Dysregulation of autophagy is suspected in numerous diseases, including cancer, neurodegenerative diseases, digestive disorders, metabolic syndromes, and infectious and inflammatory diseases. If autophagy is disrupted, for example, this can have serious consequences and lead to chronic inflammation and tissue damage, as occurs in diseases such as Chron's disease and ulcerative colitis. On the other hand, the influence of autophagy on the development and progression of cancer is not clear. Autophagy can both suppress and promote the progression and metastasis of cancer at various stages. From inflammatory bowel diseases to gastrointestinal cancer, researchers are discovering the intricate role of autophagy in maintaining gut health and its potential as a therapeutic target. Researchers should carefully consider the nature and progression of diseases such as cancer when trying to determine whether inhibiting or stimulating autophagy is likely to be beneficial. Multidisciplinary approaches that combine cutting-edge research with clinical expertise are key to unlocking the full therapeutic potential of autophagy in digestive diseases.

Keywords: Autophagy; Digestive disease; Inflammatory bowel disease; Gastrointestinal cancer; Harnessing autophagy

Core Tip: There are still many unanswered questions regarding the role of autophagy in the onset and development of diseases. Before induction or inhibition of autophagy can be into therapeutic protocols, the mysteries surrounding autophagy need to be solved through detailed experimental studies.