Mo Yuqian, Zou Zhilin, Chen Erbao
School of Public Health, Guangdong Medical University, Dongguan 523808, Guangdong Province, China.
Department of Hepatobiliary and Pancreatic Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2024 Dec 25;53(6):715-725. doi: 10.3724/zdxbyxb-2024-0117.
Ferroptosis is a form of regulated cell death, which is dependent on iron metabolism imbalance and characterized by lipid peroxidation. Ferroptosis plays a crucial role in various pathological processes. Studies have shown that the occurrence of ferroptosis is closely associated with the progression of hepatocellular carcinoma (HCC). Ferroptosis is involved in regulating the lipid metabolism, iron homeostasis, mitochondrial metabolism, and redox processes in HCC. Additionally, ferroptosis plays a key role in HCC tumor immunity by modulating the phenotype and function of various immune cells in the tumor microenvironment, affecting tumor immune escape and progression. Ferroptosis-induced lipid peroxidation and oxidative stress can promote the polarization of M1 macrophages and enhance the pro-inflammatory response in tumors, inhibiting immune suppressive cells such as myeloid-derived suppressor cells and regulatory T cells to disrupt their immune suppression function. The regulation of expression of ferroptosis-related molecules such as GPX4 and SLC7A11 not only affects the sensitivity of tumor cells to immunotherapy but also directly influences the activity and survival of effector cells such as T cells and dendritic cells, further enhancing or weakening host antitumor immune response. Targeting ferroptosis has demonstrated significant clinical potential in HCC treatment. Induction of ferroptosis by nanomedicines and molecular targeting strategies can directly kill tumor cells or enhance antitumor immune responses. The integration of multimodal therapies with immunotherapy further expands the application of ferroptosis targeting as a cancer therapy. This article reviews the relationship between ferroptosis and antitumor immune responses and the role of ferroptosis in HCC progression from the perspective of tumor immune microenvironment, to provide insights for the development of antitumor immune therapies targeting ferroptosis.
铁死亡是一种受调控的细胞死亡形式,它依赖于铁代谢失衡,并以脂质过氧化为特征。铁死亡在各种病理过程中起着至关重要的作用。研究表明,铁死亡的发生与肝细胞癌(HCC)的进展密切相关。铁死亡参与调节HCC中的脂质代谢、铁稳态、线粒体代谢和氧化还原过程。此外,铁死亡通过调节肿瘤微环境中各种免疫细胞的表型和功能,影响肿瘤免疫逃逸和进展,在HCC肿瘤免疫中起关键作用。铁死亡诱导的脂质过氧化和氧化应激可促进M1巨噬细胞极化,增强肿瘤中的促炎反应,抑制髓源性抑制细胞和调节性T细胞等免疫抑制细胞,破坏其免疫抑制功能。对谷胱甘肽过氧化物酶4(GPX4)和溶质载体家族7成员11(SLC7A11)等铁死亡相关分子表达的调节不仅影响肿瘤细胞对免疫治疗的敏感性,还直接影响T细胞和树突状细胞等效应细胞的活性和存活,进一步增强或削弱宿主抗肿瘤免疫反应。靶向铁死亡在HCC治疗中已显示出显著的临床潜力。通过纳米药物和分子靶向策略诱导铁死亡可直接杀死肿瘤细胞或增强抗肿瘤免疫反应。多模态疗法与免疫疗法的整合进一步扩大了靶向铁死亡作为癌症治疗方法的应用。本文从肿瘤免疫微环境的角度综述了铁死亡与抗肿瘤免疫反应之间的关系以及铁死亡在HCC进展中的作用,为开发靶向铁死亡的抗肿瘤免疫疗法提供见解。
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2024-12-25
Cell Death Differ. 2024-4
Chin Med J (Engl). 2022-9-20
Front Immunol. 2024
Int Immunopharmacol. 2024-12-5
Cancers (Basel). 2024-2-28
Arch Toxicol. 2024-4
J Immunother Cancer. 2023-11-29