Autophagy is an evolutionary conserved process that recycles cellular materials in times of nutrient restriction to maintain viability. In
cancer therapeutics, the role of autophagy in response to multi-
kinase inhibitors, alone or when combined with
histone deacetylase (
HDAC) inhibitors acts, generally, to facilitate the killing of
tumor cells. Furthermore, the formation of autophagosomes and subsequent degradation of their contents can reduce the expression of
HDAC proteins themselves as well as of other signaling regulatory molecules such as
protein chaperones and mutated
RAS proteins. Reduced levels of HDAC6 causes the acetylation and inactivation of
heat shock protein 90, and, together with reduced expression of the chaperones HSP70 and
GRP78, generates a strong endoplasmic reticulum (ER) stress response. Prolonged intense ER stress signaling causes
tumor cell death. Reduced expression of HDACs 1, 2 and 3 causes the levels of programed death
ligand 1 (PD-L1) to decline and the expression of Class I MHCA to increase which correlates with elevated immunogenicity of the
tumor cells in vivo. This review will specifically focus on the downstream implications that result from autophagic-degradation of HDACs, RAS and
protein chaperones.