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Lysosomal lipid peroxidation mediates immunogenic cell death
Abstract:
Cancer cells rely on lysosome-dependent degradation to recycle nutrients that serve their energetic and biosynthetic needs. Despite great interest in repurposing the antimalarial hydroxychloroquine as a lysosomal inhibitor in clinical oncology trials, the mechanisms by which hydroxychloroquine and other lysosomal inhibitors induce tumor-cell cytotoxicity remain unclear. In this issue of the JCI, Bhardwaj et al. demonstrate that DC661, a dimeric form of chloroquine that inhibits palmitoyl-protein thioesterase 1 (PPT1), promoted lysosomal lipid peroxidation, resulting in lysosomal membrane permeabilization and tumor cell death. Remarkably, this lysosomal cell death pathway elicited cell-intrinsic immunogenicity and promoted T lymphocyte-mediated tumor cell clearance. The findings provide the mechanistic foundation for the potential combined use of immunotherapy and lysosomal inhibition in clinical trials.
Insights
Hydroxychloroquine analogs like DC661 inhibit palmitoyl-protein thioesterase 1 (PPT1), causing lysosomal damage and cancer cell death. This process enhances anti-tumor immunity, suggesting combined immunotherapy and lysosomal inhibition strategies.
Area of Science:
- Oncology
- Cell Biology
- Immunology
Background:
- Cancer cells utilize lysosomal degradation for nutrient recycling, essential for their growth.
- Hydroxychloroquine is investigated as a lysosomal inhibitor in cancer therapy, but its precise mechanisms of cytotoxicity are not fully understood.
Purpose of the Study:
- To elucidate the mechanism by which lysosomal inhibitors induce tumor cell death.
- To investigate the immunogenic potential of lysosomal-targeted cancer cell death.
Main Methods:
- Utilized DC661, a dimeric chloroquine analog inhibiting palmitoyl-protein thioesterase 1 (PPT1).
- Assessed lysosomal lipid peroxidation, membrane permeabilization, and subsequent cell death.
- Evaluated the immunogenicity of the induced cell death pathway, including T lymphocyte responses.
Main Results:
- DC661 treatment led to lysosomal lipid peroxidation and membrane permeabilization, causing cancer cell death.
- The observed lysosomal cell death pathway triggered intrinsic immunogenicity.
- This immunogenicity promoted the clearance of tumor cells mediated by T lymphocytes.
Conclusions:
- Inhibition of PPT1 by dimeric chloroquine analogs induces cancer cell death via lysosomal damage.
- Lysosomal cell death pathways can elicit anti-tumor immune responses.
- These findings support the combined use of lysosomal inhibitors and immunotherapy in cancer treatment strategies.
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