Regulated cell death pathways and their roles in homeostasis, infection, inflammation, and tumorigenesis
Ein Lee1, Chang-Hyun Song2, Sung-Jin Bae3
1Department of Biomedical Sciences, College of Medicine, Seoul National University, Seoul, 03080, South Korea.
Abstract:
Pyroptosis, apoptosis, necroptosis, and ferroptosis, which are the most well-studied regulated cell death (RCD) pathways, contribute to the clearance of infected or potentially neoplastic cells, highlighting their importance in homeostasis, host defense against pathogens, cancer, and a wide range of other pathologies. Although these four RCD pathways employ distinct molecular and cellular processes, emerging genetic and biochemical studies have suggested remarkable flexibility and crosstalk among them. The crosstalk among pyroptosis, apoptosis and necroptosis pathways is more evident in cellular responses to infection, which has led to the conceptualization of PANoptosis. In this review, we provide a brief overview of the molecular mechanisms of pyroptosis, apoptosis, necroptosis, and ferroptosis and their importance in maintaining homeostasis. We discuss the intricate crosstalk among these RCD pathways and the current evidence supporting PANoptosis, focusing on infectious diseases and cancer. Understanding the fundamental processes of various cell death pathways is crucial to inform the development of new therapeutics against many diseases, including infection, sterile inflammation, and cancer.
Insights
Four regulated cell death (RCD) pathways, including pyroptosis, apoptosis, necroptosis, and ferroptosis, are crucial for homeostasis and host defense. Emerging evidence reveals crosstalk among these pathways, leading to the concept of PANoptosis, particularly in infectious diseases and cancer.
Area of Science:
- Cell Biology
- Immunology
- Pathology
Background:
- Regulated cell death (RCD) pathways like pyroptosis, apoptosis, necroptosis, and ferroptosis are vital for clearing infected or neoplastic cells, maintaining homeostasis, and defending against pathogens.
- These pathways are crucial in various diseases, including cancer and infectious diseases.
Purpose of the Study:
- To review the molecular mechanisms of pyroptosis, apoptosis, necroptosis, and ferroptosis.
- To discuss the importance of these RCD pathways in maintaining homeostasis.
- To explore the crosstalk among RCD pathways and the emerging concept of PANoptosis, especially in infectious diseases and cancer.
Main Methods:
- Literature review of genetic and biochemical studies.
- Analysis of molecular and cellular processes of RCD pathways.
- Focus on evidence supporting PANoptosis in infectious diseases and cancer.
Main Results:
- Distinct molecular mechanisms underlie pyroptosis, apoptosis, necroptosis, and ferroptosis.
- Significant crosstalk and flexibility exist among these RCD pathways.
- Evidence supports the conceptualization of PANoptosis, a combined pathway, particularly in response to infection.
Conclusions:
- Understanding RCD pathways and their crosstalk is essential for maintaining health and combating disease.
- The concept of PANoptosis offers new insights into cellular responses to infection and cancer.
- Further research into RCD mechanisms can inform the development of novel therapeutics for infection, sterile inflammation, and cancer.
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