2020
DOI: 10.1038/s41467-020-19970-9
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Tipping the immunostimulatory and inhibitory DAMP balance to harness immunogenic cell death

Abstract: Induction of tumor cell death is the therapeutic goal for most anticancer drugs. Yet, a mode of drug-induced cell death, known as immunogenic cell death (ICD), can propagate antitumoral immunity to augment therapeutic efficacy. Currently, the molecular hallmark of ICD features the release of damage-associated molecular patterns (DAMPs) by dying cancer cells. Here, we show that gemcitabine, a standard chemotherapy for various solid tumors, triggers hallmark immunostimualtory DAMP release (e.g., calreticulin, HS… Show more

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Cited by 180 publications
(135 citation statements)
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References 71 publications
(145 reference statements)
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“…Different DAMPs can be released at the different stages even within the same type of cell death. During apoptosis, ATP is released at the pre-apoptotic stage while HMGB1 is released at the late stage [ 12 , 13 ]. Besides the preceding DAMPs, it still largely remains elusive and further studies are awaited as to the types and stages of the cell death of their origin.…”
Section: Universal Mechanisms Of Damp Releasementioning
confidence: 99%
“…Different DAMPs can be released at the different stages even within the same type of cell death. During apoptosis, ATP is released at the pre-apoptotic stage while HMGB1 is released at the late stage [ 12 , 13 ]. Besides the preceding DAMPs, it still largely remains elusive and further studies are awaited as to the types and stages of the cell death of their origin.…”
Section: Universal Mechanisms Of Damp Releasementioning
confidence: 99%
“…Gemcitabine, used to treat breast cancer recurrence, induces the release of characteristic immunostimulatory DAMPs, such as HMGB1, CRT, and HSP70, in bladder cancer cells, but does not cause ICD of these cells [ 105 ]. The release of prostaglandin E 2 inhibits the immunostimulatory effects of DAMPs, and prostaglandin E 2 blockade activates DCs, followed by the priming of antitumor immune responses by CD8+ T cells, leading to tumor rejection and the failure to induce ICD [ 105 ]. These findings suggest that the balance between immunostimulatory and inhibitory DAMPs determines the induction of ICD by anticancer agents.…”
Section: Exploiting the Double-edged Sword Of Damps For Antitumor Immunitymentioning
confidence: 99%
“…Photon Upconversion and therapeutic effect of in vitro of UCMS@Pep ", UCMS@Pep-RB with NIR laser could promote apoptosis and necrosis of LLC cells. Apoptotic or necrotic cancer cells can express or release DAMPs that generate an “eat me” signal to elicit immune system, recruit immune cells [ 31 ], and subsequently promote ICD, which have a central effect in immunotherapy [ 32 , 33 ]. CRT, HMGB1, and ATP are noted as key DAMPs [ 33 ].…”
Section: Resultsmentioning
confidence: 99%