Related Experiment Video
Updated: May 22, 2026

Tractable In Vivo Reprogramming of Tumor Cells to Type 1 Conventional Dendritic Cell-like Cells
Published on: August 1, 2025
Microbial reprogramming of immunogenic cell death: a new paradigm in tumor immunotherapy
Yilin Li1,2, Huiyue Zhang1,2, Yun Feng1,2
1Department of Breast Medicine 1, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, China.
Abstract:
Immunogenic cell death (ICD), a special form of cell death, transforms "cold" tumors into "hot" tumors by fulfilling the following three key conditions: antigenicity; adjuvanticity; and a suitable tumor microenvironment (TME). Tumor cells release damage-associated molecular patterns (DAMPs) during ICD, thereby activating the dendritic-cytotoxic T cell axis to elicit systemic antitumor immune responses. However, drug resistance and immune-related adverse effects often limit traditional ICD inducers, including chemotherapy and radiotherapy. Notably, microbiota and microbial metabolites can trigger ICD in tumor cells, leading to the release of DAMPs, modulation of immune cell functions, and TME remodeling. This study comprehensively reviews the mechanisms underlying ICD regulation via microbiota and microbial metabolites. In addition, this review examines emerging strategies, including engineered microbiota, microbial-based combination therapies (such as incorporating immune checkpoint inhibitors or chemotherapy), and dietary interventions. Despite challenges associated with individual microbiota variability and mechanistic complexity, this study highlights the potential of microbiota-mediated ICD modulation as a novel paradigm for personalized cancer therapy, thereby providing insights for future directions of scientific research.
Insights
Microbiota and microbial metabolites can induce immunogenic cell death (ICD), converting "cold" tumors into "hot" tumors. This review explores microbiota-mediated ICD modulation for novel cancer therapies.
Area of Science:
- Oncology
- Immunology
- Microbiology
Background:
- Immunogenic cell death (ICD) converts "cold" tumors to "hot" tumors by promoting antigenicity, adjuvanticity, and a favorable tumor microenvironment (TME).
- Traditional ICD inducers like chemotherapy and radiotherapy face limitations due to drug resistance and adverse effects.
- Microbiota and microbial metabolites present a novel avenue for triggering ICD, releasing damage-associated molecular patterns (DAMPs), and modulating immune responses within the TME.
Purpose of the Study:
- To comprehensively review the mechanisms by which microbiota and microbial metabolites regulate ICD.
- To examine emerging strategies for harnessing microbiota-mediated ICD in cancer therapy.
Main Methods:
- Literature review of studies investigating the interplay between microbiota, microbial metabolites, and ICD.
- Analysis of emerging therapeutic strategies involving engineered microbiota, microbial-based combination therapies, and dietary interventions.
Main Results:
- Microbiota can induce ICD, leading to DAMP release, immune cell activation, and TME remodeling.
- Engineered microbiota, combination therapies (e.g., with immune checkpoint inhibitors), and dietary interventions show promise for modulating ICD.
- Individual microbiota variability and mechanistic complexity present challenges.
Conclusions:
- Microbiota-mediated ICD modulation offers a novel paradigm for personalized cancer therapy.
- Further research is needed to overcome challenges and optimize microbiota-based strategies for cancer treatment.
Related Concept Videos
Tumor Immunotherapy
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Cells of the Innate Immune Response
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...
The Tumor Microenvironment

