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Updated: Mar 15, 2026

In Vivo Immunogenicity Screening of Tumor-Derived Extracellular Vesicles by Flow Cytometry of Splenic T Cells
Published on: September 23, 2021
Immunogenic Apoptotic Cell Death and Anticancer Immunity
Peter Vandenabeele1,2,3, Katrien Vandecasteele4, Claus Bachert5
1Molecular Signalling and Cell Death Unit, Inflammation Research Center, VIB, Ghent, Belgium.
Abstract:
For many years it has been thought that apoptotic cells rapidly cleared by phagocytic cells do not trigger an immune response but rather have anti-inflammatory properties. However, accumulating experimental data indicate that certain anticancer therapies can induce an immunogenic form of apoptosis associated with the emission of damage-associated molecular patterns (DAMPs), which function as adjuvants to activate host antitumor immune responses. In this review, we will first discuss recent advances and the significance of danger signaling pathways involved in the emission of DAMPs, including calreticulin, ATP, and HMGB1. We will also emphasize that switching on a particular signaling pathway depends on the immunogenic cell death stimulus. Further, we address the role of ER stress in danger signaling and the classification of immunogenic cell death inducers in relation to how ER stress is triggered. In the final part, we discuss the role of radiotherapy-induced immunogenic apoptosis and the relationship of its immunogenicity to the fraction dose and concomitant chemotherapy.
Insights
Anticancer therapies can trigger immunogenic apoptosis, releasing damage-associated molecular patterns (DAMPs) that activate anti-tumor immunity. This review explores DAMP signaling, ER stress, and radiotherapy
Area of Science:
- Immunology
- Cell Biology
- Oncology
Background:
- Apoptotic cells were traditionally considered anti-inflammatory.
- Emerging evidence shows certain anticancer therapies induce immunogenic apoptosis.
- This process involves damage-associated molecular patterns (DAMPs) activating anti-tumor immunity.
Purpose of the Study:
- To review advances in danger signaling pathways and DAMP emission.
- To discuss the role of ER stress in danger signaling.
- To analyze radiotherapy-induced immunogenic apoptosis and its parameters.
Main Methods:
- Review of experimental data and literature.
- Discussion of danger signaling pathways (calreticulin, ATP, HMGB1).
- Analysis of ER stress involvement and immunogenic cell death inducer classification.
Main Results:
- Specific signaling pathways are activated by distinct immunogenic cell death stimuli.
- ER stress plays a crucial role in danger signaling.
- Radiotherapy-induced immunogenicity correlates with fraction dose and chemotherapy.
Conclusions:
- Anticancer therapies can induce immunogenic apoptosis via DAMPs, activating anti-tumor immune responses.
- ER stress is central to danger signaling and classifying cell death inducers.
- Understanding radiotherapy parameters is key to optimizing its immunogenic potential.
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