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.

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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