Targeting regulated cell death: Apoptosis, necroptosis, pyroptosis, ferroptosis, and cuproptosis in anticancer
Ziyu Guo1,2,3,4,5, Yihuang Liu1,2,3,4,5, Danyao Chen6
1Department of Dermatology, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.
Abstract:
In the evolving landscape of cancer treatment, the strategic manipulation of regulated cell death (RCD) pathways has emerged as a crucial component of effective anti-tumor immunity. Evidence suggests that tumor cells undergoing RCD can modify the immunogenicity of the tumor microenvironment (TME), potentially enhancing its ability to suppress cancer progression and metastasis. In this review, we first explore the mechanisms of apoptosis, necroptosis, pyroptosis, ferroptosis, and cuproptosis, along with the crosstalk between these cell death modalities. We then discuss how these processes activate antigen-presenting cells, facilitate the cross-priming of CD8+ T cells, and trigger anti-tumor immune responses, highlighting the complex effects of novel forms of tumor cell death on TME and tumor biology. Furthermore, we summarize potential drugs and nanoparticles that can induce or inhibit these emerging RCD pathways and their therapeutic roles in cancer treatment. Finally, we put forward existing challenges and future prospects for targeting RCD in anti-cancer immunity. Overall, this review enhances our understanding of the molecular mechanisms and biological impacts of RCD-based therapies, providing new perspectives and strategies for cancer treatment.
Insights
Targeting regulated cell death (RCD) pathways, including apoptosis and ferroptosis, enhances anti-tumor immunity. Understanding these cell death mechanisms offers new strategies for cancer treatment and improving the tumor microenvironment.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Regulated cell death (RCD) pathways are increasingly recognized for their role in modulating anti-tumor immunity.
- Tumor cells undergoing RCD can alter the tumor microenvironment (TME), potentially inhibiting cancer progression.
Purpose of the Study:
- To review the mechanisms of various RCD pathways (apoptosis, necroptosis, pyroptosis, ferroptosis, cuproptosis) and their interactions.
- To discuss how RCD activates antigen-presenting cells and T cells, thereby triggering anti-tumor immune responses.
- To summarize therapeutic strategies targeting RCD pathways in cancer treatment.
Main Methods:
- Literature review of RCD mechanisms and their impact on anti-tumor immunity.
- Analysis of the role of RCD in antigen presentation and T cell activation.
- Summary of drugs and nanoparticles targeting RCD pathways.
Main Results:
- RCD pathways influence the immunogenicity of the TME, impacting cancer progression.
- Specific RCD modalities activate key components of the anti-tumor immune response, such as CD8+ T cells.
- Novel RCD pathways present new therapeutic targets for cancer intervention.
Conclusions:
- Targeting RCD pathways offers promising strategies for enhancing anti-cancer immunity.
- Further research into the complex interplay of RCD and the TME is crucial for developing effective cancer therapies.
- Understanding and manipulating RCD holds significant potential for future cancer treatment paradigms.
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