2022
DOI: 10.3390/cancers14133150
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The Role of the NLRP3 Inflammasome in HCC Carcinogenesis and Treatment: Harnessing Innate Immunity

Abstract: The HCC constitutes one of the most frequent cancers, with a non-decreasing trend in disease mortality despite advances in systemic therapy and surgery. This trend is fueled by the rise of an obesity wave which is prominent the Western populations and has reshaped the etiologic landscape of HCC. Interest in the nucleotide-binding domain leucine-rich repeat containing (NLR) family member NLRP3 has recently been revived since it would appear that, by generating inflammasomes, it participates in several physiolog… Show more

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Cited by 19 publications
(18 citation statements)
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“…In its early phases, the immune system can suppress it via NLRP3 inflammasome activation and IL-18 secretion which in turn can trigger the NK cells to exert their cytotoxic potential against cancer cells. Nevertheless, continuous unprovoked activation of this inflammasome and presence of IL-1β in the tumor microenvironment can attract immunosuppressive cells including tumor-associated macrophages (TAMs), myeloid-derived suppressor cells (MDSCs) as well as regulatory T cells (Tregs) which promote tumor invasion and metastasis [ 27 ]. HCC typically originates on the top of chronic hepatic inflammation which is almost accompanied by a massive loss of hepatocytes and irreversible liver damage.…”
Section: Discussionmentioning
confidence: 99%
“…In its early phases, the immune system can suppress it via NLRP3 inflammasome activation and IL-18 secretion which in turn can trigger the NK cells to exert their cytotoxic potential against cancer cells. Nevertheless, continuous unprovoked activation of this inflammasome and presence of IL-1β in the tumor microenvironment can attract immunosuppressive cells including tumor-associated macrophages (TAMs), myeloid-derived suppressor cells (MDSCs) as well as regulatory T cells (Tregs) which promote tumor invasion and metastasis [ 27 ]. HCC typically originates on the top of chronic hepatic inflammation which is almost accompanied by a massive loss of hepatocytes and irreversible liver damage.…”
Section: Discussionmentioning
confidence: 99%
“…Cleavage by caspase-1 turns pro-cytokines into mature IL-1β and IL-18, while the cleavage of gasdermin D leads to a programmed cell death called pyroptosis. In this canonical activation of pyroptosis, fragments of gasdermin D form pores in the plasma membrane, killing the cell and releasing IL-1β and IL-18, which aggravates inflammation [ 34 , 35 ].…”
Section: Pathogenesis Of Hccmentioning
confidence: 99%
“…Autophagy and inflammasomes are interconnected as the same mechanisms regulate them, but through different pathways. The NLRP3 inflammasome activated by DAMPS induces caspase-1, leading to pyroptosis, as mentioned above [ 34 , 35 ].…”
Section: Autophagymentioning
confidence: 99%
“…For instance, targeting Toll-like receptor 4 (TLR4) holds potential, given its significant role in orchestrating the immune response against HCC cells [ 183 ]. Similarly, activation of the NLRP3 inflammasome has demonstrated the ability to suppress HCC growth in murine xenograft models [ 184 ]. Hence, the combination of ICIs with TLR4 inhibitors or NLRP3 activators is poised to emerge as a promising immunotherapeutic approach for HCC.…”
Section: Perspectives and Conclusionmentioning
confidence: 99%