Key Laboratory of Organ Regeneration and Transplantation of Ministry of Education, First Hospital of Jilin University, Changchun, China.
National-Local Joint Engineering Laboratory of Animal Models for Human Disease, First Hospital of Jilin University, Changchun, China.
Front Immunol. 2023 Feb 28;14:1137107. doi: 10.3389/fimmu.2023.1137107. eCollection 2023.
Cancer immunotherapies, including immune checkpoint inhibition (ICI) and adoptive immune cells therapy, are promising therapeutic strategies. They reactivate the function of immune cells and induce immune responses to attack tumor cells. Although these novel therapies benefited a large amount of cancer patients, many cancer patients have shown fair responses even resistance to cancer immunotherapies, limiting their wide clinical application. Therefore, it is urgent to explore the underlying mechanisms of low response and resistance of cancer immunotherapy to enhance their treatment efficacy. The programmed cell death (PCD) including the ferroptosis, has been demonstrated to play essential roles in antitumor immunity and in regulating the immune response to ICIs. Ferroptosis, a phospholipid peroxidation-mediated, iron-dependent membrane damage, exhibite three critical hallmarks: the oxidation of phospholipids, the lack of lipid peroxide repair capability and the overloading of redox-active iron. Notably, ferroptosis was found to plays important roles in regulating tumor immunity and response to immunotherapy. Therefore, targeting ferroptosis alone or in combination with immunotherapy may provide novel options to promote their antitumor efficacy. However, the effect of ferroptosis on tumor immunity and immunotherapy is affected by the interaction of ferroptosis and cancer cells, immune cells, tumor microenvironment (TME) and others. In this review, we summarized and discussed the critical roles of ferroptosis in regulating antitumor immunity, TME and in the improvement of the therapeutic efficacy of immunotherapy in cancers.
癌症免疫疗法,包括免疫检查点抑制(ICI)和过继免疫细胞疗法,是很有前途的治疗策略。它们可以重新激活免疫细胞的功能,并诱导免疫反应来攻击肿瘤细胞。尽管这些新疗法使大量癌症患者受益,但许多癌症患者对癌症免疫疗法表现出中等程度的反应甚至耐药性,限制了它们的广泛临床应用。因此,迫切需要探索癌症免疫疗法低反应和耐药性的潜在机制,以提高其治疗效果。程序性细胞死亡(PCD)包括铁死亡,已被证明在抗肿瘤免疫和调节对 ICI 的免疫反应中发挥重要作用。铁死亡是一种由磷脂过氧化介导的、依赖铁的膜损伤,表现出三个关键特征:磷脂的氧化、脂质过氧化物修复能力的缺乏以及氧化还原活性铁的超载。值得注意的是,铁死亡在调节肿瘤免疫和对免疫治疗的反应中起着重要作用。因此,单独靶向铁死亡或与免疫治疗联合应用可能为提高其抗肿瘤疗效提供新的选择。然而,铁死亡对肿瘤免疫和免疫治疗的影响受到铁死亡与癌细胞、免疫细胞、肿瘤微环境(TME)和其他因素相互作用的影响。在这篇综述中,我们总结和讨论了铁死亡在调节抗肿瘤免疫、TME 以及提高免疫治疗在癌症中的治疗效果方面的关键作用。
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