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.

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.

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