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Updated: Jun 7, 2025

In Vivo Immunogenicity Screening of Tumor-Derived Extracellular Vesicles by Flow Cytometry of Splenic T Cells
Published on: September 23, 2021
Triggering immunogenic death of cancer cells by nanoparticles overcomes immunotherapy resistance
Ting Mei1,2, Ting Ye1,3, Dingkun Huang1,4
1Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Abstract:
Immunotherapy resistance poses a significant challenge in oncology, necessitating novel strategies to enhance the therapeutic efficacy. Immunogenic cell death (ICD), including necroptosis, pyroptosis and ferroptosis, triggers the release of tumor-associated antigens and numerous bioactive molecules. This release can potentiate a host immune response, thereby overcoming resistance to immunotherapy. Nanoparticles (NPs) with their biocompatible and immunomodulatory properties, are emerging as promising vehicles for the delivery of ICD-inducing agents and immune-stimulatory adjuvants to enhance immune cells tumoral infiltration and augment immunotherapy efficacy. This review explores the mechanisms underlying immunotherapy resistance, and offers an in-depth examination of ICD, including its principles and diverse modalities of cell death that contribute to it. We also provide a thorough overview of how NPs are being utilized to trigger ICD and bolster antitumor immunity. Lastly, we highlight the potential of NPs in combination with immunotherapy to revolutionize cancer treatment.
Insights
Immunotherapy resistance in cancer can be overcome by inducing immunogenic cell death (ICD) using nanoparticles (NPs). NPs deliver ICD-inducing agents to enhance antitumor immunity and improve immunotherapy efficacy.
Area of Science:
- Oncology
- Immunology
- Nanotechnology
Background:
- Immunotherapy resistance is a major obstacle in cancer treatment.
- Immunogenic cell death (ICD) releases tumor antigens, stimulating immune responses.
- Nanoparticles (NPs) can deliver therapeutic agents and modulate the immune system.
Purpose of the Study:
- To review mechanisms of immunotherapy resistance.
- To examine the role of ICD in overcoming resistance.
- To explore the application of NPs in cancer immunotherapy.
Main Methods:
- Literature review on immunotherapy resistance.
- Analysis of ICD pathways (necroptosis, pyroptosis, ferroptosis).
- Overview of NP-based strategies for ICD induction and immune stimulation.
Main Results:
- ICD triggers release of tumor antigens and immune-activating molecules.
- NPs enhance delivery of ICD inducers and adjuvants.
- NPs can augment anti-tumor immunity and immunotherapy effectiveness.
Conclusions:
- Nanoparticles offer a promising strategy to induce ICD and enhance cancer immunotherapy.
- Combining NPs with immunotherapy holds potential to revolutionize cancer treatment.
- Further research into NP-mediated ICD is crucial for clinical translation.
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