Programmed Cell Death Tunes Tumor Immunity
Jing Liu1,2, Minjing Hong1, Yijia Li1,2
1Guangdong Provincial Key Laboratory of Tumour Interventional Diagnosis and Treatment, Zhuhai Institute of Translational Medicine, Zhuhai People's Hospital Affiliated with Jinan University, Jinan University, Zhuhai, China.
Abstract:
The demise of cells in various ways enables the body to clear unwanted cells. Studies over the years revealed distinctive molecular mechanisms and functional consequences of several key cell death pathways. Currently, the most intensively investigated programmed cell death (PCD) includes apoptosis, necroptosis, pyroptosis, ferroptosis, PANoptosis, and autophagy, which has been discovered to play crucial roles in modulating the immunosuppressive tumor microenvironment (TME) and determining clinical outcomes of the cancer therapeutic approaches. PCD can play dual roles, either pro-tumor or anti-tumor, partly depending on the intracellular contents released during the process. PCD also regulates the enrichment of effector or regulatory immune cells, thus participating in fine-tuning the anti-tumor immunity in the TME. In this review, we focused primarily on apoptosis, necroptosis, pyroptosis, ferroptosis, PANoptosis, and autophagy, discussed the released molecular messengers participating in regulating their intricate crosstalk with the immune response in the TME, and explored the immunological consequence of PCD and its implications in future cancer therapy developments.
Insights
Programmed cell death (PCD) pathways like apoptosis and pyroptosis are key to clearing cells and impact cancer immunity. Understanding these cell death mechanisms offers new avenues for cancer therapy development.
Area of Science:
- Immunology
- Cell Biology
- Oncology
Background:
- Cellular demise is essential for tissue homeostasis and removing damaged cells.
- Programmed cell death (PCD) pathways, including apoptosis, necroptosis, pyroptosis, ferroptosis, PANoptosis, and autophagy, have distinct molecular mechanisms.
- These PCD pathways critically influence the tumor microenvironment (TME) and cancer treatment outcomes.
Purpose of the Study:
- To review the roles of major PCD pathways in cancer.
- To discuss the molecular messengers released during PCD and their immune-modulating functions within the TME.
- To explore the immunological consequences of PCD and its therapeutic implications in oncology.
Main Methods:
- Literature review of programmed cell death pathways.
- Analysis of molecular mechanisms and immune crosstalk in the TME.
- Exploration of PCD's dual role (pro-tumor/anti-tumor) and its impact on anti-tumor immunity.
Main Results:
- PCD pathways significantly modulate the immunosuppressive TME.
- Released intracellular contents during PCD influence immune cell populations (effector vs. regulatory).
- PCD plays a dual role in tumor progression and anti-tumor immunity.
Conclusions:
- Understanding PCD crosstalk with immune responses is crucial for cancer therapy.
- Targeting PCD pathways may enhance anti-tumor immunity and improve therapeutic efficacy.
- PCD modulation presents a promising strategy for future cancer treatment development.
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