Photodynamic therapy induces pyroptosis via GSDMD pathway in NCI-H226 human lung squamous carcinoma cells

Qi-Zi Huang1, Yi-Wei Cao1, Lin-Sen Yu1

  • 1Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, 266003, China.

Scientific Reports
|April 21, 2026
PubMed

Insights

Photodynamic therapy (PDT) triggers gasdermin D (GSDMD)-mediated pyroptosis in lung cancer cells. This programmed cell death mechanism offers a novel anti-tumor strategy for lung squamous cell carcinoma (LUSC) management.

Area of Science:

  • Oncology
  • Cell Biology
  • Immunology

Background:

  • Photodynamic therapy (PDT) is an emerging anticancer treatment with high tumor specificity.
  • Pyroptosis, a programmed cell death pathway involving gasdermin proteins, plays a role in tumor regulation.
  • The precise mechanism of PDT-induced pyroptosis in lung squamous cell carcinoma (LUSC) NCI-H226 cells was previously undefined.

Purpose of the Study:

  • To elucidate the molecular mechanism of PDT-induced pyroptosis in NCI-H226 cells.
  • To investigate the role of the NLRP3 inflammasome, caspase-1, and gasdermin D (GSDMD) in PDT-induced pyroptosis.
  • To explore the potential of PDT as a therapeutic strategy for LUSC.

Main Methods:

  • NCI-H226 cells were treated with PDT.
  • Morphological changes indicative of pyroptosis were observed.
  • Levels of lactate dehydrogenase (LDH), IL-1β, and IL-18 were measured.
  • GSDMD silencing and caspase-1 inhibition (VX765) were employed to assess their impact on pyroptosis.

Main Results:

  • PDT effectively induced pyroptosis in NCI-H226 cells, characterized by membrane rupture and release of cellular contents.
  • PDT treatment led to NLRP3 inflammasome upregulation, caspase-1 activation, and GSDMD cleavage.
  • PDT significantly increased LDH release and secretion of IL-1β and IL-18.
  • GSDMD silencing or caspase-1 inhibition suppressed PDT-induced pyroptosis.

Conclusions:

  • PDT induces pyroptosis in NCI-H226 cells through the NLRP3-caspase-1-GSDMD pathway.
  • This study reveals a novel anti-tumor mechanism for PDT in LUSC.
  • The findings provide a theoretical basis and potential therapeutic targets for LUSC treatment.

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