Abstract:Introduction: Priming of tumor-specific T cells is a key to antitumor immune response and inflammation, in turn, is crucial for proper T-cell activation. As antigen-presenting cells can activate T cells, dendritic cells (DCs) loaded with tumor antigens have been used as immunotherapeutics against certain cancer in humans but their efficacy is modest. Necroptosis is a form of programmed cell death that results in the release of inflammatory contents. We previously generated mice with DC deficiency in a negative… Show more
“…Traditional anticancer drugs are currently being developed to target relevant steps in the necroptosis pathway to promote or inhibit necroptosis signaling in tumor cells [16][17][18][19]. Several studies have reported that the activation of necroptotic cell death in tumors could increase DC activation and T cell in ltration, which synergistically act with immune check-point inhibitors to enhance antitumor e ciency that promotes long-lasting tumor clearance [20][21][22][23].…”
Section: Discussionmentioning
confidence: 99%
“…FADD is a negative regulator of necroptosis. A higher number of activated CD8 + T cells and elevated levels of cytokines were observed in mice injected with the FADD-de cient DC vaccine; thus, FADD can be used to reduce tumor growth in combination with anti-PD-1 antibodies [23]. Staining of cholangiocarcinoma tissues showed that, contrary to MLKL, pMLKL-positive samples were signi cantly positively correlated with favorable immune characteristics within the tumor microenvironment (that is, high abundance of CD8 + T cell in ltration) and high PD-L1 expression, and patients with high pMLKL and PD-L1 expression showed longer OS [59].…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, an increasing number of studies have shown that necroptosis and tumor immunity have a close relationship. Targeting the necroptosis pathway can not only improve the antitumor immune response of T cells in immunotherapy but also regulate the proportion of various immune in ltrating cells in the tumor microenvironment [20][21][22][23]. These ndings suggest that targeting necroptosis may be a promising antitumor strategy.…”
Background: The present study aimed to identify an NRLs (necroptosis-related long noncoding RNAs [lncRNAs]) signature for the prognosis of colon adenocarcinoma (COAD) and to investigate its potential relationship with clinical characteristics and immune microenvironment.
Methods: Clinical information of patients with COAD and RNA sequence data were downloaded from The Cancer Genome Atlas (TCGA) database. Necroptosis-related genes (NRGs) were obtained from the GeneCards website. Co-expression analysis was performed to identify NRLs. By using the “limma” package in R software, differentially expressed NRLs (DE-NRLs) were screened from the identified NRLs. A prognostic NRLs signature was established based on the results of univariate Cox regression analysis, LASSO algorithm, and multivariate Cox analysis. Survival analysis and area under the curve (AUC) of receiver operating characteristic (ROC) were used to evaluate the prognostic efficacy of this signature. Clinical correlation and independent prognostic factors were then assessed, and a predictive nomogram was then constructed. Finally, gene set enrichment analysis (GSEA) was conducted to determine the potential molecular mechanisms. Immune analysis was performed to analyze the tumor microenvironment and to predict the immune response of patients with COAD. Lastly, experiments were conducted to validate the expression and function of NRLs involved in the prognostic signature.
Results: Three NRLs were identified, and a prognostic signature was constructed from them. According to the risk score calculated using this signature, patients were classified into high-risk and low-risk groups. The signature exhibited a strong ability to predict survival, and the risk score was confirmed as an independent prognostic factor. GSEA showed differences in specific molecular pathways involved in immune response, mitochondrial function, and energy metabolism. The two groups also showed significant differences in immune cell infiltration, immune function, and immune checkpoint gene expression. The high-risk group showed higher immunogenicity and may benefit from immunotherapy. Lastly, in vivo experiments validated the expression and function of NRLs involved in the prognostic signature.
Conclusions: The prognostic signature of NRLs developed in this study can facilitate the clinical diagnosis and treatment of patients with COAD and may serve as a valuable reference for in-depth studies of functional mechanisms of NRLs in the immune microenvironment.
“…Traditional anticancer drugs are currently being developed to target relevant steps in the necroptosis pathway to promote or inhibit necroptosis signaling in tumor cells [16][17][18][19]. Several studies have reported that the activation of necroptotic cell death in tumors could increase DC activation and T cell in ltration, which synergistically act with immune check-point inhibitors to enhance antitumor e ciency that promotes long-lasting tumor clearance [20][21][22][23].…”
Section: Discussionmentioning
confidence: 99%
“…FADD is a negative regulator of necroptosis. A higher number of activated CD8 + T cells and elevated levels of cytokines were observed in mice injected with the FADD-de cient DC vaccine; thus, FADD can be used to reduce tumor growth in combination with anti-PD-1 antibodies [23]. Staining of cholangiocarcinoma tissues showed that, contrary to MLKL, pMLKL-positive samples were signi cantly positively correlated with favorable immune characteristics within the tumor microenvironment (that is, high abundance of CD8 + T cell in ltration) and high PD-L1 expression, and patients with high pMLKL and PD-L1 expression showed longer OS [59].…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, an increasing number of studies have shown that necroptosis and tumor immunity have a close relationship. Targeting the necroptosis pathway can not only improve the antitumor immune response of T cells in immunotherapy but also regulate the proportion of various immune in ltrating cells in the tumor microenvironment [20][21][22][23]. These ndings suggest that targeting necroptosis may be a promising antitumor strategy.…”
Background: The present study aimed to identify an NRLs (necroptosis-related long noncoding RNAs [lncRNAs]) signature for the prognosis of colon adenocarcinoma (COAD) and to investigate its potential relationship with clinical characteristics and immune microenvironment.
Methods: Clinical information of patients with COAD and RNA sequence data were downloaded from The Cancer Genome Atlas (TCGA) database. Necroptosis-related genes (NRGs) were obtained from the GeneCards website. Co-expression analysis was performed to identify NRLs. By using the “limma” package in R software, differentially expressed NRLs (DE-NRLs) were screened from the identified NRLs. A prognostic NRLs signature was established based on the results of univariate Cox regression analysis, LASSO algorithm, and multivariate Cox analysis. Survival analysis and area under the curve (AUC) of receiver operating characteristic (ROC) were used to evaluate the prognostic efficacy of this signature. Clinical correlation and independent prognostic factors were then assessed, and a predictive nomogram was then constructed. Finally, gene set enrichment analysis (GSEA) was conducted to determine the potential molecular mechanisms. Immune analysis was performed to analyze the tumor microenvironment and to predict the immune response of patients with COAD. Lastly, experiments were conducted to validate the expression and function of NRLs involved in the prognostic signature.
Results: Three NRLs were identified, and a prognostic signature was constructed from them. According to the risk score calculated using this signature, patients were classified into high-risk and low-risk groups. The signature exhibited a strong ability to predict survival, and the risk score was confirmed as an independent prognostic factor. GSEA showed differences in specific molecular pathways involved in immune response, mitochondrial function, and energy metabolism. The two groups also showed significant differences in immune cell infiltration, immune function, and immune checkpoint gene expression. The high-risk group showed higher immunogenicity and may benefit from immunotherapy. Lastly, in vivo experiments validated the expression and function of NRLs involved in the prognostic signature.
Conclusions: The prognostic signature of NRLs developed in this study can facilitate the clinical diagnosis and treatment of patients with COAD and may serve as a valuable reference for in-depth studies of functional mechanisms of NRLs in the immune microenvironment.
“…123 Another study elegantly demonstrates that necroptosis-driven inflammation through DCs works in combination with anti-PD-1 antibodies to inhibit the proliferation of melanoma. 124 Similarly, in osteosarcoma, TNF-α-loaded liposomes induced ICD in tumour cells, leading to TNF-α-triggered necrosis, tumour-specific antigen release, enhanced DC activation, and T cell infiltration when combined with anti-PD-1/PD-L1 therapy. 125 Various stresses regulate PD-L1 expression, promoting cancer progression and impacting patient survival rates.…”
Section: Necroptosis In Anti-pd1/pd-l1 Immunotherapymentioning
confidence: 99%
“…This small molecule‐induced Z‐DNA turnover activated ZBP1, culminating in RIPK3‐mediated necroptosis and immune system engagement against the tumour 123 . Another study elegantly demonstrates that necroptosis‐driven inflammation through DCs works in combination with anti‐PD‐1 antibodies to inhibit the proliferation of melanoma 124 . Similarly, in osteosarcoma, TNF‐α‐loaded liposomes induced ICD in tumour cells, leading to TNF‐α‐triggered necrosis, tumour‐specific antigen release, enhanced DC activation, and T cell infiltration when combined with anti‐PD‐1/PD‐L1 therapy 125 …”
Section: Regulatory Cell Death In Anti‐pd1/pd‐l1 Therapymentioning
Chemotherapy, radiotherapy, and immunotherapy represent key tumour treatment strategies. Notably, immune checkpoint inhibitors (ICIs), particularly anti‐programmed cell death 1 (PD1) and anti‐programmed cell death ligand 1 (PD‐L1), have shown clinical efficacy in clinical tumour immunotherapy. However, the limited effectiveness of ICIs is evident due to many cancers exhibiting poor responses to this treatment. An emerging avenue involves triggering non‐apoptotic regulated cell death (RCD), a significant mechanism driving cancer cell death in diverse cancer treatments. Recent research demonstrates that combining RCD inducers with ICIs significantly enhances their antitumor efficacy across various cancer types. The use of anti‐PD‐1/PD‐L1 immunotherapy activates CD8+ T cells, prompting the initiation of novel RCD forms, such as ferroptosis, pyroptosis, and necroptosis. However, the functions and mechanisms of non‐apoptotic RCD in anti‐PD1/PD‐L1 therapy remain insufficiently explored. This review summarises the emerging roles of ferroptosis, pyroptosis, and necroptosis in anti‐PD1/PD‐L1 immunotherapy. It emphasises the synergy between nanomaterials and PD‐1/PD‐L1 inhibitors to induce non‐apoptotic RCD in different cancer types. Furthermore, targeting cell death signalling pathways in combination with anti‐PD1/PD‐L1 therapies holds promise as a prospective immunotherapy strategy for tumour treatment.
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