The role of autophagy in the thyroid tumors development, connection with the AKT/m-TOR signaling pathway activation
Autophagy is an important intracellular process that ensures cell death and survival. Activation of molecular mechanisms in thyroid cancer development is associated with a change in the AKT/m-TOR signaling pathway status. At the same time, the existence of protective autophagy, as one of the mechanisms of disease progression and the formation of resistance to treatment, has been proven. The review describes the molecular mechanisms of the autophagy development, its association with key signaling cascades, in particular AKT/m-TOR signaling pathway. A significant signaling molecule m-TOR, in this case, contributes to the development of the tumor, the proliferation of transformed cells, apoptosis inhibition, and to the development of autophagy. The significance of this phenomenon at all stages of carcinogenesis, affecting the main signal kinases: AKT, mTOR, is noted. It is shown that in most cases this mechanism is responsible for the progression of the disease and the development of resistance to treatment. The development of thyroid cancer associated with the BRAF mutation and with the activation of the RET1 oncoprotein, as well as with the formation of radio-resistant forms of the disease is associated with molecular peculiarities of autophagy. Given the inconsistency of this phenomenon regarding their influence on the processes of oncogenesis, its role in the development of thyroid cancer is still unknown.