Detection of immunogenic cell death and its relevance for cancer therapy
Open accessAbstract
Chemotherapy, radiation therapy, as well as targeted anticancer agents can induce clinically relevant tumor-targeting immune responses, which critically rely on the antigenicity of malignant cells and their capacity to generate adjuvant signals. In particular, immunogenic cell death (ICD) is accompanied by the exposure and release of numerous damage-associated molecular patterns (DAMPs), which altogether confer a robust adjuvanticity to dying cancer cells, as they favor the recruitment and activation of antigen-presenting cells. ICD-associated DAMPs include surface-exposed calreticulin (CALR) as well as secreted ATP, annexin A1 (ANXA1), type I interferon, and high-mobility group box 1 (HMGB1). Additional hallmarks of ICD encompass the phosphorylation of eukaryotic translation initiation factor 2 subunit-α (EIF2S1, better known as eIF2α), the activation of autophagy, and a global arrest in transcription and translation. Here, we outline methodological approaches for measuring ICD markers in vitro and ex vivo for the discovery of next-generation antineoplastic agents, the development of personalized anticancer regimens, and the identification of optimal therapeutic combinations for the clinical management of cancer.
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The low response to immunotherapy in breast cancer may be related to the immunosuppressive tumor microenvironment.
“These findings may be related to the immunosuppressive TME of breast cancer [86, 87].”
From Nanosensitizer-assisted sonodynamic therapy for breast cancer (2025) · cites this paper as [86]
The Introduction (page unavailable) explains that tumors can evade immune responses and that some become resistant to checkpoint immunotherapy. The ATP section (page unavailable) describes immunosuppressive effects in malignant tissue, but it does not connect an immunosuppressive microenvironment to low immunotherapy response specifically in breast cancer. (LLM, conf=0.78)
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- Authors
- Fucikova, J., Kepp, O., Kasikova, L., Petroni, G., Yamazaki, T., Liu, P., Zhao, L., Spisek, R., Kroemer, G., & Galluzzi, L.
- Affiliations
- Charles University (CZ)
- Inserm (FR)
- Weill Cornell Medicine (US)
- Karolinska University Hospital (SE)
- Université Paris Cité (FR)
- Corresponding author
- Kroemer, Guido
- Galluzzi, Lorenzo
- ORCID
- Venue
- Cell Death & Disease
- Published
- 2020-11-26
- Volume
- 11
- Issue
- 11
- Pages
- 1013-1013
- ISSN
- 2041-4889 (ISSN-L)
- PMC
- PMC7691519
- OpenAlex
- W3108774824
- Cited by
- 1,138
- References
- 29
- Citations by year
- 2026: 200 · 2025: 251 · 2024: 235 · 2023: 242 · 2022: 150 · 2021: 59 · 2015: 1
- FWCI
- 11.33
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cell Death and Disease (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Defense (#BC180476P1, ZP-6177)
- Leukemia and Lymphoma Society
- Association pour la Recherche sur le Cancer
- Seerave Foundation
- E-Rare
- European Commission (HORIZON2020)
- Agence Nationale de la Recherche (ANR-16-ECVD-0008, E-Rare-2)
- Fondation Leducq
- Institut National de la Santé et de la Recherche Médicale
- Fondation pour la Recherche Médicale
- Ligue Contre le Cancer
- Institut Universitaire de France
- Institut National Du Cancer
- Institut Gustave-Roussy
- European Research Area Network on Cardiovascular Diseases
- Weill Cornell Medical College
- Stand Up To Cancer (ZP-6177)
- High-end Foreign Experts Recruitment Plan of China (GDW20171100085, GDW20181100051, GDW20171100085 and GDW20181100051)
- Labex Immuno-Oncology
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- immunogenic cell death, damage-associated molecular patterns, calreticulin, ATP, annexin A1, type I interferon, HMGB1, autophagy, tumor immunogenicity, cancer immunotherapy, anticancer agents, precision oncology, combination therapy
- MeSH terms
- Immunogenic Cell Death, Humans, Immunotherapy, Neoplasms, Drug Discovery
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