Tesniere A, Panaretakis T, Kepp O, Apetoh L, Ghiringhelli F, Zitvogel L, Kroemer G
INSERM U848, Institut Gustave Roussy, Pavillon de Recherche 1, 39 rue Camille Desmoulins, Villejuif, France.
Cell Death Differ. 2008 Jan;15(1):3-12. doi: 10.1038/sj.cdd.4402269. Epub 2007 Nov 16.
Apoptotic cell death is initiated by a morphologically homogenous entity that was considered to be non-immunogenic and non-inflammatory in nature. However, recent advances suggest that apoptosis, under certain circumstances, can be immunogenic. In particular, some characteristics of the plasma membrane, acquired at preapoptotic stage, can cause immune effectors to recognize and attack preapoptotic tumor cells. The signals that mediate the immunogenicity of tumor cells involve elements of the DNA damage response (such as ataxia telangiectasia mutated and p53 activation), elements of the endoplasmic reticulum stress response (such as eukaryotic initiation factor 2alpha phosphorylation), as well as elements of the apoptotic response (such as caspase activation). Depending on the signal-transduction pathway, tumor cells responding to chemotherapy or radiotherapy can express 'danger' and 'eat me' signals on the cell surface (such as NKG2D ligands, heat-shock proteins and calreticulin) or can secrete/release immunostimulatory factors (such as cytokines and high-mobility group box 1) to stimulate innate immune effectors. Likewise, the precise sequence of such events influences the 'decision' of the immune system to mount a cognate response or not. We therefore anticipate that the comprehension of the mechanisms governing the immunogenicity of cell death will have a profound impact on the design of anticancer therapies.
凋亡性细胞死亡由一种形态学上均一的实体引发,该实体在本质上被认为是非免疫原性和非炎性的。然而,最近的研究进展表明,在某些情况下,凋亡可能具有免疫原性。特别是,在凋亡前阶段获得的质膜的一些特征,可导致免疫效应细胞识别并攻击凋亡前的肿瘤细胞。介导肿瘤细胞免疫原性的信号涉及DNA损伤反应的元件(如共济失调毛细血管扩张症突变和p53激活)、内质网应激反应的元件(如真核起始因子2α磷酸化)以及凋亡反应的元件(如半胱天冬酶激活)。根据信号转导途径,对化疗或放疗有反应的肿瘤细胞可在细胞表面表达“危险”和“吞噬我”信号(如NKG2D配体、热休克蛋白和钙网蛋白),或可分泌/释放免疫刺激因子(如细胞因子和高迁移率族蛋白盒1)以刺激先天免疫效应细胞。同样,这些事件的精确顺序会影响免疫系统是否产生同源反应的“决定”。因此,我们预计对控制细胞死亡免疫原性机制的理解将对抗癌治疗的设计产生深远影响。