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REVIEW article

Front. Oncol.

Sec. Cancer Molecular Targets and Therapeutics

This article is part of the Research TopicExploring Autophagy's Multifaceted Influence on Cancer Biology and TherapyView all articles

Mitophagy in Gastrointestinal Tumors: Mechanisms and New Targets for Immunotherapy

Provisionally accepted
Tao  ZhangTao Zhang1Zhetan  RenZhetan Ren2Bowen  TangBowen Tang1Ru  ManRu Man1Lin  WangLin Wang1Qingyan  WangQingyan Wang1Jirun  PengJirun Peng2*Yu  YongduoYu Yongduo3*
  • 1Liaoning University of Traditional Chinese Medicine, Shenyang, China
  • 2Department of General Surgery, Beijing Shijitan Hospital, Capital Medical University, beijng, China
  • 3Second Affiliated Hospital, Liaoning University of Traditional Chinese Medicine, Shenyang, China, shenyang, China

The final, formatted version of the article will be published soon.

Gastrointestinal tumors (GITs), particularly gastric and colorectal cancers, are the leading causes of cancer-related deaths worldwide. Despite advances in screening technologies and the continuous development of treatments, which have improved early diagnosis and therapeutic interventions, the morbidity and mortality rates remain high, presenting a significant challenge to global public health. While existing treatments can extend patient survival to some degree, they are often accompanied by substantial side effects. In recent years, immunotherapy has yielded positive outcomes for some patients. However, the emergence of immune escape mechanisms has hindered treatment effectiveness. As a result, there is an urgent need for new therapeutic strategies that can address the limitations of current approaches. mitophagy, a key cellular process, has gained significant attention in cancer research. It plays an essential role in maintaining cellular energy balance and metabolic stability, and is intricately linked to crucial biological processes such as drug resistance, metastasis, invasion, and the tumor microenvironment. This article aims to provide a comprehensive review of the mechanisms underlying mitophagy, examining its role in gastrointestinal cancers, particularly in relation to cellular metabolism, apoptosis, drug resistance, metastasis, invasion, and the tumor microenvironment. Additionally, it will explore the potential of mitophagy as a therapeutic target and address current clinical challenges. It is hoped that this research will offer new insights and directions for the treatment of GITs.

Keywords: Drug Resistance, Gastrointestinal tumors, Immuneescape, Immunotherapy, mitophagy

Received: 02 Oct 2025; Accepted: 05 Dec 2025.

Copyright: © 2025 Zhang, Ren, Tang, Man, Wang, Wang, Peng and Yongduo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Jirun Peng
Yu Yongduo

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