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The cell stress and immunity cycle in cancer: Toward next generation of cancer immunotherapy 癌症的细胞应激和免疫循环:迈向下一代癌症免疫疗法。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-11-08 DOI: 10.1111/imr.13287
Raquel S. Laureano, Isaure Vanmeerbeek, Jenny Sprooten, Jannes Govaerts, Stefan Naulaerts, Abhishek D. Garg

The cellular stress and immunity cycle is a cornerstone of organismal homeostasis. Stress activates intracellular and intercellular communications within a tissue or organ to initiate adaptive responses aiming to resolve the origin of this stress. If such local measures are unable to ameliorate this stress, then intercellular communications expand toward immune activation with the aim of recruiting immune cells to effectively resolve the situation while executing tissue repair to ameliorate any damage and facilitate homeostasis. This cellular stress-immunity cycle is severely dysregulated in diseased contexts like cancer. On one hand, cancer cells dysregulate the normal cellular stress responses to reorient them toward upholding growth at all costs, even at the expense of organismal integrity and homeostasis. On the other hand, the tumors severely dysregulate or inhibit various components of organismal immunity, for example, by facilitating immunosuppressive tumor landscape, lowering antigenicity, and increasing T-cell dysfunction. In this review we aim to comprehensively discuss the basis behind tumoral dysregulation of cellular stress-immunity cycle. We also offer insights into current understanding of the regulators and deregulators of this cycle and how they can be targeted for conceptualizing successful cancer immunotherapy regimen.

细胞应激和免疫循环是机体稳态的基石。压力激活组织或器官内的细胞内和细胞间通讯,以启动旨在解决这种压力来源的适应性反应。如果这种局部措施无法缓解这种压力,那么细胞间的通讯就会向免疫激活扩展,目的是招募免疫细胞来有效解决这种情况,同时进行组织修复以改善任何损伤并促进体内平衡。这种细胞应激-免疫循环在癌症等疾病环境中严重失调。一方面,癌症细胞失调了正常的细胞应激反应,从而使它们重新定向,不惜一切代价维持生长,甚至以牺牲组织完整性和稳态为代价。另一方面,肿瘤严重失调或抑制机体免疫的各种成分,例如,通过促进免疫抑制肿瘤景观、降低抗原性和增加T细胞功能障碍。在这篇综述中,我们旨在全面讨论细胞应激免疫周期的肿瘤失调背后的基础。我们还深入了解了当前对这一周期的调控者和放松调控者的理解,以及如何将他们作为成功的癌症免疫疗法概念的目标。
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引用次数: 0
Targeting ferroptosis in gastric cancer: Strategies and opportunities 靶向癌症脱铁症:策略与机遇。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-30 DOI: 10.1111/imr.13280
Jiahan Le, Guangzhao Pan, Che Zhang, Yitao Chen, Amit K. Tiwari, Jiang-Jiang Qin

Ferroptosis is a novel form of programmed cell death morphologically, genetically, and biochemically distinct from other cell death pathways and characterized by the accumulation of iron-dependent lipid peroxides and oxidative damage. It is now understood that ferroptosis plays an essential role in various biological processes, especially in the metabolism of iron, lipids, and amino acids. Gastric cancer (GC) is a prevalent malignant tumor worldwide with low early diagnosis rates and high metastasis rates, accounting for its relatively poor prognosis. Although chemotherapy is commonly used to treat GC, drug resistance often leads to poor therapeutic outcomes. In the last several years, extensive research on ferroptosis has highlighted its significant potential in GC therapy, providing a promising strategy to address drug resistance associated with standard cancer therapies. In this review, we offer an extensive summary of the key regulatory factors related to the mechanisms underlying ferroptosis. Various inducers and inhibitors specifically targeting ferroptosis are uncovered. Additionally, we explore the prospective applications and outcomes of these agents in the field of GC therapy, emphasizing their capacity to improve the outcomes of this patient population.

脱铁症是一种新形式的程序性细胞死亡,在形态学、遗传学和生化上与其他细胞死亡途径不同,其特征是铁依赖性脂质过氧化物的积累和氧化损伤。现在已经知道,脱铁性贫血在各种生物过程中发挥着重要作用,尤其是在铁、脂质和氨基酸的代谢中。癌症是世界范围内普遍存在的恶性肿瘤,早期诊断率低,转移率高,预后相对较差。尽管化疗通常用于治疗GC,但耐药性往往会导致较差的治疗结果。在过去几年中,对脱铁症的广泛研究突出了其在GC治疗中的巨大潜力,为解决与标准癌症治疗相关的耐药性提供了一种有前景的策略。在这篇综述中,我们对与脱铁性贫血机制相关的关键调控因素进行了广泛的总结。特异性靶向脱铁性贫血的各种诱导剂和抑制剂被发现。此外,我们探讨了这些药物在GC治疗领域的前瞻性应用和结果,强调了它们改善该患者群体结果的能力。
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引用次数: 0
Cell type-specific molecular mechanisms and implications of necroptosis in inflammatory respiratory diseases 炎症性呼吸道疾病坏死的细胞类型特异性分子机制和意义。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-28 DOI: 10.1111/imr.13282
Ying Guo, Jin Zhou, Yaqi Wang, Xueliang Wu, Yakui Mou, Xicheng Song

Necroptosis is generally considered as an inflammatory cell death form. The core regulators of necroptotic signaling are receptor-interacting serine–threonine protein kinases 1 (RIPK1) and RIPK3, and the executioner, mixed lineage kinase domain-like pseudokinase (MLKL). Evidence demonstrates that necroptosis contributes profoundly to inflammatory respiratory diseases that are common public health problem. Necroptosis occurs in nearly all pulmonary cell types in the settings of inflammatory respiratory diseases. The influence of necroptosis on cells varies depending upon the type of cells, tissues, organs, etc., which is an important factor to consider. Thus, in this review, we briefly summarize the current state of knowledge regarding the biology of necroptosis, and focus on the key molecular mechanisms that define the necroptosis status of specific cell types in inflammatory respiratory diseases. We also discuss the clinical potential of small molecular inhibitors of necroptosis in treating inflammatory respiratory diseases, and describe the pathological processes that engage cross talk between necroptosis and other cell death pathways in the context of respiratory inflammation. The rapid advancement of single-cell technologies will help understand the key mechanisms underlying cell type-specific necroptosis that are critical to effectively treat pathogenic lung infections and inflammatory respiratory diseases.

坏死通常被认为是一种炎症细胞死亡形式。坏死信号传导的核心调节因子是受体相互作用的丝氨酸-苏氨酸蛋白激酶1(RIPK1)和RIPK3,以及执行者混合谱系激酶结构域样假激酶(MLKL)。有证据表明,坏死对常见的公共卫生问题炎症性呼吸道疾病有着深刻的影响。在炎症性呼吸道疾病的环境中,几乎所有类型的肺细胞都会发生坏死。坏死对细胞的影响因细胞、组织、器官等的类型而异,这是一个需要考虑的重要因素。因此,在这篇综述中,我们简要总结了坏死生物学的最新知识,并重点介绍了定义炎症性呼吸道疾病中特定细胞类型坏死状态的关键分子机制。我们还讨论了坏死小分子抑制剂在治疗炎症性呼吸道疾病中的临床潜力,并描述了在呼吸道炎症的背景下,坏死和其他细胞死亡途径之间相互作用的病理过程。单细胞技术的快速进步将有助于了解细胞类型特异性坏死的关键机制,这些机制对有效治疗致病性肺部感染和炎症性呼吸道疾病至关重要。
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引用次数: 0
Golden age of immunoengineering 免疫工程的黄金时代。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-23 DOI: 10.1111/imr.13283
Wilson W. Wong, Wendell A. Lim

Immunology has long been the source of many significant medical breakthroughs, from vaccines for infections to therapeutics for cancer, autoimmunity, and transplant rejection. Indeed, the only diseases we have successfully eradicated, for example, smallpox and polio, were achieved through our understanding of the immune system. Furthermore, the immune system often plays an unexpected role in the outcome of a treatment not designed to engage the immune system. For instance, many chemotherapy or radiation therapies were initially designed to target cancer cells directly. However, subsequent investigations have uncovered the critical role these therapies have in stimulating the immune system.

As our understanding of the immune system deepens, its involvement in homeostasis and surveillance in almost every human organ becomes more apparent. For instance, the bidirectional response between the immune and central nervous systems has now been recognized as a major determinant for some neurodegenerative (e.g., Parkinson's disease) and psychiatric disorders. Other major chronic diseases, such as heart disease and diabetes, are influenced by the immune system. As such, the study of disease mechanisms would be deemed incomplete without considering the dynamic interaction of the aliment with the immune system. This recognition poses a significant challenge in understanding diseases, especially in humans, because studying the organ of interest is no longer sufficient to get the whole picture.

Due to its importance, many therapeutics have been developed to modulate the immune response for various diseases. A balance between activation and suppression is critical to maintaining a healthy, functional immune system. For instance, uncontrolled and overactive immune responses can lead to autoimmunity and tissue damage. Yet a hyporesponsive immune system can render the patient vulnerable to infection and cancer development. Many current therapies have been designed to either enhance or restrain the immune system. However, systemic immune system modulation tends to generate severe side effects. Therefore, precise spatiotemporal control of the immune response has become a major focus for the next generation of immunotherapy.

In this issue, 13 reviews have been prepared by some of the most innovative research groups describing the development of tools and strategies to harness the immune system for therapeutic applications. This issue will not be a comprehensive overview of immunoengineering. Instead, it will focus on applying protein and genetic engineering to improve the safety, specificity, and efficacy of immunotherapies. Furthermore, the immune system's direct interaction with almost all organs provides an intriguing opportunity for innovative and precise medical intervention. The immune system, while highly complex, is also very accessible. One can collect and genetically modify primary human immune cells, essentially converting them into sma

免疫学长期以来一直是许多重大医学突破的来源,从感染疫苗到癌症治疗,自身免疫和移植排斥。事实上,我们成功根除的唯一疾病,例如天花和小儿麻痹症,都是通过我们对免疫系统的理解而实现的。此外,免疫系统经常在治疗结果中发挥意想不到的作用,而不是设计用于免疫系统。例如,许多化疗或放射疗法最初都是直接针对癌细胞设计的。然而,随后的研究揭示了这些疗法在刺激免疫系统方面的关键作用。随着我们对免疫系统理解的加深,它在几乎每个人体器官的体内平衡和监视中的作用变得更加明显。例如,免疫系统和中枢神经系统之间的双向反应现在已被认为是一些神经退行性疾病(如帕金森病)和精神疾病的主要决定因素。其他主要的慢性疾病,如心脏病和糖尿病,都受到免疫系统的影响。因此,如果不考虑食物与免疫系统的动态相互作用,对疾病机制的研究将被认为是不完整的。这种认识对理解疾病,特别是人类疾病构成了重大挑战,因为研究感兴趣的器官不再足以获得全貌。由于它的重要性,许多治疗方法已经发展到调节各种疾病的免疫反应。激活和抑制之间的平衡对于维持健康、功能性的免疫系统至关重要。例如,不受控制和过度活跃的免疫反应会导致自身免疫和组织损伤。然而,反应迟钝的免疫系统会使患者容易受到感染和癌症的发展。目前的许多疗法都是为了增强或抑制免疫系统而设计的。然而,全身免疫系统调节往往会产生严重的副作用。因此,对免疫反应进行精确的时空控制已成为下一代免疫治疗的主要焦点。在这一期中,一些最具创新性的研究小组准备了13篇综述,描述了利用免疫系统进行治疗应用的工具和策略的发展。这一期将不会是免疫工程的全面概述。相反,它将专注于应用蛋白质和基因工程来提高免疫疗法的安全性、特异性和有效性。此外,免疫系统与几乎所有器官的直接相互作用为创新和精确的医疗干预提供了一个有趣的机会。免疫系统虽然非常复杂,但也很容易接近。人们可以收集并对人类的初级免疫细胞进行基因改造,本质上是将它们转化为智能药物输送装置和具有主动定位能力的细胞杀伤机器,这些机器可以通过小分子、光或超声波进行远程控制。正在探索这些特性以治疗各种免疫介导的疾病(PMID: 37495877)。细胞因子是一种调节免疫系统的小的可溶性蛋白质,已经被用来治疗许多类型的癌症。最突出的例子是临床批准的白介素- (IL) 2和干扰素- γ。然而,由于它们能够引起广泛的炎症,它们的毒性限制了它们在临床中的应用。许多努力已经投入到提高细胞因子治疗的性能,但在诊所的成功已经边缘。Santonelli和Wittrup1优雅地总结了该领域,并讨论了发展细胞因子治疗的挑战。它们还提供了基于工程原理和临床数据的基本原理,这些原理和数据挑战了当前的惯例,并突出了最有希望的发展。Heller和Spangler的团队深入研究了IL-4/IL-13的生物学特性,IL-4/IL-13是一类对2型炎症反应至关重要的细胞因子。这类以防止多细胞病原体而闻名,并参与对过敏原的反应。除了提供生物学概述外,他们还深入讨论了通过蛋白质工程和合成基因回路对过敏、癌症和其他疾病的IL-4/IL-13途径的治疗和诊断机会。除了细胞因子外,来自免疫系统的其他分子具有巨大的生物技术和治疗潜力。来自B细胞的抗体就是一个例子,我们鼓励读者阅读其他优秀的评论,了解最新的发展。最近,一类来自t细胞受体(TCR)的新分子已经成为癌症治疗的一种引人注目的方式。 虽然不如抗体通用,但TCR可以结合细胞内衍生的肽,从而接近突变的细胞内蛋白质和不可药物的靶标。Dao、Scheinberg和他们的团队讨论了开发TCR作为治疗方法的潜力和挑战。他们还比较了TCR与其他方式,如抗体和嵌合抗原受体(CAR)。有趣的是,细胞因子、抗体和TCR可以结合在一起创造新的治疗方法(图1)。小分子和生物制剂是治疗方法的主要形式。然而,细胞工程和合成生物学的进步使一种新的模式-免疫细胞疗法的发展成为可能。最突出的是嵌合抗原受体(CAR) t细胞疗法,自2017年以来,FDA批准了6种用于各种血液恶性肿瘤的疗法。本期的几篇综述涵盖了CAR - t细胞治疗的基础。Roybal和他的团队概述了创造更有效的CAR - t细胞疗法所需的一些临床考虑Maus及其同事特别总结了CAR - T细胞治疗各种消化道癌症的临床前和临床结果,并讨论了将CAR - T技术应用于这类癌症的机会和障碍即使在如此短的时间内获得如此多的批准,这些目前批准的治疗方法也只是各种可能性的基础。成功治疗癌症最具挑战性的部分一直是杀死足够多的癌细胞,同时保留健康组织。这通常需要精确地向肿瘤输送或招募细胞毒性药物,这是一个从根本上难以仅用小分子或抗体解决的挑战。免疫细胞疗法非常适合解决这一挑战,将复杂的遗传回路整合到免疫细胞中以提高其精度。Hernandez-Lopez和他的团队总结了遗传电路设计的一些最新进展,这些设计将提高CAR - T细胞的特异性,并提供安全控制(图2A)。设计最佳受体是确保细胞治疗适当功能的关键考虑因素。这一点至关重要的一个例子是实体瘤的治疗,实体瘤有许多抑制或逃避免疫反应的方法。此外,CAR - T细胞也可能因癌细胞的慢性刺激而衰竭。有多种策略可用于解决与CAR - T效力相关的这些问题,其中一种方法是设计CAR以促进生存。Wang, Xu和他们的团队最近发现了car细胞内信号域的静电相互作用的重要性。他们在本期的评论中讨论了利用基于电荷的交互知识来设计更好的car的最新发现和策略(图2A)。CAR由几个信号域组成,这些信号域可以以不同的方式影响t细胞的生理机能。全面探索CAR中所有可能的信号域组合将过于耗时。虽然结合文献数据可以减少CAR的设计空间,但需要一种更有效的受体设计方法。Daniels和Capponi8讨论了使用人工智能(AI)和机器学习(ML)来改善过继免疫细胞治疗的潜力。具体来说,他们概述了他们最近的工作,构建了一个CAR库,并使用人工智能来促进和理解将提高持久性和存活率的CAR设计。人工智能和大规模细胞工程技术无疑将成为创新CAR免疫细胞疗法设计的主要来源之一(图2A)。除了受体,改造细胞宿主可以提高其对抗癌细胞的性能。Irving及其同事总结了“协同工程”的概念,9强调了将肿瘤靶向受体以外的多种特征引入免疫细胞以增强其安全性、特异性和有效性的好处(图2B)。例如,治疗性抗体(如检查点抑制剂)或细胞因子可以在CAR - T细胞中诱导过表达,以增强其在肿瘤微环境中的增殖和存活。除了基因过表达外,直接修饰基因组也是一种重要的协同工程方法。CRISPR/Cas已成为基因组工程中最重要的工具。Chen及其同事总结了在免疫细胞中使用CRISPR/Cas进行无偏功能筛选的最新进展和实验考虑。他们还讨论了利用CRISPR创造更有效的治疗性免疫细胞疗法的关键进展(图2B)。CRISPR技术不断扩展的能力将深刻影响免疫治疗的理解和发展。T细胞是产生CAR免疫细胞疗法的主要细胞类型。虽然T细胞已被证明是一种有效的CAR治疗载体,但它们也有缺点。 使用T细胞的主要挑战之一是它们具有TCR,如果T细胞是同种异体来源的,则会导致移植物抗宿主病。因此,所有临床批准的CAR - T细胞疗法都使用患者的T细胞作为细胞来源。这大大增加了制造过程的复杂性和成本。人们普
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引用次数: 0
Phagocytic clearance of dying cells and its implications 垂死细胞的吞噬细胞清除及其意义。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-19 DOI: 10.1111/imr.13285
Kodi S. Ravichandran

It is estimated that an average adult human turns over roughly 330 ± 20 billion cells every day as part of healthy living.1, 2 This translates to 0.4% of our body mass. Such a large number for cell turnover then begs the question—what are these cells and why? The reasons for this are multi-factorial. First, there are cells in the body that have a finite life span, such as neutrophils (~1 day) and erythrocytes (~120 days), and there are also other cell types such as many hematopoietic cells that have a life span of a few days to few weeks; these need to be removed after their useful life span and replaced by new cells. Second, there are many aspects of development where we generate excess cells, of which only a few are deemed fit to progress to full maturation, and the rest undergo death and need to be removed; examples of this include development of T cells in the thymus, B cells in the bone marrow, and also adult neurogenesis in the brain.1 Third, there are also “damaged” cells that emerge daily in the body, such as due to light/UV damage, for example skin and photoreceptors of the eye.3 Thus, all these turnover events result in a large number of cells undergoing death essentially in all organs and tissues, albeit at different magnitude.2 Although there are many different forms of death processes, the cells that are destined die via homeostatic turnover do so primarily via the process of caspase-dependent apoptosis.4

What happens to these dying cells? Despite the billions of dying cells per day, when one looks at tissues, it is hard to recognize dying cells, even in those with high cellular turnover. This is because the recognition and clearance of dying cells is remarkably efficient.5, 6 Just like there is a dedicated set of molecules and mechanisms to induce programmed cell death, we also possess a dedicated machinery to recognize and remove these dying cells.7 Such clearance under homeostasis conditions occurs quickly, efficiently, and from an immunological perspective, quietly.8 It is worth noting that just like the apoptotic cell death machinery, the clearance processes are also highly conserved evolutionarily, and studies from the nematode, flies, zebrafish, mice, and humans have established the conserved components of the clearance process.9, 10 This volume of Immunological Reviews focuses on different aspects of the cell clearance process and its implications to homeostasis and disease.

While there are different forms of phagocytosis, the recognition and clearance of apoptotic cells by phagocytes has been termed “efferocytosis,” a term originally coined by Dr. Peter Henson. (where “effero” means “carry to the grave”).11 This should be distinguished from Fc receptor mediated phagocytosis

研究哺乳动物细胞清除率的挑战之一是吞噬受体和信号分子的多种同源物,以及当单个敲除时出现的复杂性,通常没有明确的表型。因此,在过去的几十年里,定义单个分子的功能,以及可视化体内细胞死亡和清除一直是一个挑战。Will Wood、Andrew Davidson及其同事详细介绍了果蝇细胞死亡和传出细胞增多的美丽模型系统,这些系统提供了许多新的见解。19他们还详细介绍了已开发的在体内观察细胞凋亡和传出细胞增生的新方法,以及果蝇巨噬细胞清除垂死细胞的不同分子机制。吞噬细胞吞噬凋亡细胞后,第二个挑战随之而来,即消化尸体。这不是一个小壮举,因为这涉及到消化另一个通常与吞噬细胞大小几乎相同的细胞。此外,许多吞噬细胞吞噬多个凋亡细胞。20 Mylvaganam和Freeman对吞噬细胞如何分解吞噬多胞体、膜交通的各个方面以及溶质载体在管理尸体某些内容物中的作用采取了全面的方法。他们还将此应用于溶酶体储存紊乱的疾病环境。21吞噬细胞面临的另一个固有挑战是如何处理所有多余的生物量。换句话说,当吞噬细胞吞噬凋亡细胞时,其脂质、碳水化合物和蛋白质基本上会翻倍,仅举一些尸体内容物的例子。此外,巨噬细胞等吞噬细胞连续吞噬多具尸体,这给处理所有这些过度代谢过载带来了更大的挑战。20,22 Shilperoort,Tabas,23他们详细介绍了精氨酸和甲硫氨酸等氨基酸及其随后在吞噬细胞内的转化如何影响额外尸体的持续摄取、巨噬细胞反应,进而影响疾病过程。作者还详细介绍了巨噬细胞反应中的乳酸调节,与动脉粥样硬化等人类疾病的相关性,以及当前研究的局限性。虽然巨噬细胞等吞噬细胞作为能够吞噬许多尸体的“专业吞噬细胞”受到了很多关注,但也有非专业吞噬细胞。尽管这些吞噬细胞可能以比巨噬细胞慢的动力学进行细胞清除,但它们在体内许多细胞的常规清除中发挥着重要作用。视网膜的视网膜色素上皮细胞(RPE)提供了一个很好的例子,因为它们每天都会清除白天因光照而受损的“已用”感光细胞,需要将其移除,以让新的感光细胞取而代之。24,25 RPE的另一个美丽方面是它们是有丝分裂后的,我们生下来和死下来都有相同数量的RPE。这意味着RPE细胞在一生中都会进行清除,除了它们对感光细胞的许多护理细胞功能外,还能维持健康的视网膜。Silvia Finnemann及其同事详细介绍了RPE细胞清除的背景、受体、RPE介导的清除机制,以及当这种清除受到干扰并导致视网膜炎症时出现的疾病。26就像我们在垃圾工人罢工之前没有充分认识到他们的重要性一样,在过去的二十年里,当清除失败或与细胞死亡和细胞清除相关的复杂性导致炎症性疾病或与癌症的联系时,“细胞清除小组”的重要性得到了更好的认识。首先,Christopher Gregory详细描述了癌症背景下细胞死亡的复杂性。27他详细描述了凋亡细胞及其产物(包括细胞外小泡和死亡细胞释放的其他因子)如何调节肿瘤微环境;这包括实体瘤内巨噬细胞的反应,无论是由于与凋亡细胞的直接接触还是其释放的产物,如何导致肿瘤微环境的重塑以促进肿瘤生长。Wagoner、Michael Elliott及其同事对抗体介导的肿瘤细胞吞噬作用进行了详细描述,当抗体结合的肿瘤细胞通过Fc受体(主要是巨噬细胞)被识别时,就会发生这种吞噬作用,以及克服这些问题的一些方法。 越来越清楚的是,许多自身炎症性疾病,如动脉粥样硬化、关节炎和某些形式的结肠炎,都有一种成分,即某些成分从晚期死亡细胞中有缺陷或最低限度地释放,从而促进促炎环境,进而引发慢性炎症。1此外,如果一些自身抗原在这种促炎环境中出现,这可能会演变为自身免疫。Schneider和Arandjelovic详细介绍了关节炎的炎症成分。有趣的是,吞噬机制的一些组成部分具有额外的作用,例如中性粒细胞迁移到关节炎关节,这反过来也会导致关节炎。29最后,加布里埃尔Fredman和Sayed Khan讨论了专门的促分解介质(SPM)在清除死细胞中的作用。30他们强调了SPM在促进细胞凋亡和坏死细胞清除方面的作用,并进一步将其与动脉粥样硬化等非分解疾病联系起来。总之,在过去的几十年里,对细胞如何死亡、如何去除以及这种调节和有效的吞噬作用对体内平衡的影响的研究已经爆炸式增长。这导致了对分子和机制的了解显著增加,以及清除缺陷如何在特定组织环境中导致疾病状态。在这组综述中,作者不仅强调了他们自己实验室的贡献,而且还将这些发现放在已知的、挑战以及如何解决该领域的下一组问题的更大背景下。对细胞更新的研究,基本上在每一个组织中都有作用,势必会继续下去,调节吞噬作用为治疗多种疾病提供了机会。31作者声明没有相互竞争的兴趣。
{"title":"Phagocytic clearance of dying cells and its implications","authors":"Kodi S. Ravichandran","doi":"10.1111/imr.13285","DOIUrl":"10.1111/imr.13285","url":null,"abstract":"<p>It is estimated that an average adult human turns over roughly 330 ± 20 billion cells every day as part of healthy living.<span><sup>1, 2</sup></span> This translates to 0.4% of our body mass. Such a large number for cell turnover then begs the question—what are these cells and why? The reasons for this are multi-factorial. First, there are cells in the body that have a finite life span, such as neutrophils (~1 day) and erythrocytes (~120 days), and there are also other cell types such as many hematopoietic cells that have a life span of a few days to few weeks; these need to be removed after their useful life span and replaced by new cells. Second, there are many aspects of development where we generate excess cells, of which only a few are deemed fit to progress to full maturation, and the rest undergo death and need to be removed; examples of this include development of T cells in the thymus, B cells in the bone marrow, and also adult neurogenesis in the brain.<span><sup>1</sup></span> Third, there are also “damaged” cells that emerge daily in the body, such as due to light/UV damage, for example skin and photoreceptors of the eye.<span><sup>3</sup></span> Thus, all these turnover events result in a large number of cells undergoing death essentially in all organs and tissues, albeit at different magnitude.<span><sup>2</sup></span> Although there are many different forms of death processes, the cells that are destined die via homeostatic turnover do so primarily via the process of caspase-dependent apoptosis.<span><sup>4</sup></span></p><p>What happens to these dying cells? Despite the billions of dying cells per day, when one looks at tissues, it is hard to recognize dying cells, even in those with high cellular turnover. This is because the recognition and clearance of dying cells is remarkably efficient.<span><sup>5, 6</sup></span> Just like there is a dedicated set of molecules and mechanisms to induce programmed cell death, we also possess a dedicated machinery to recognize and remove these dying cells.<span><sup>7</sup></span> Such clearance under homeostasis conditions occurs quickly, efficiently, and from an immunological perspective, quietly.<span><sup>8</sup></span> It is worth noting that just like the apoptotic cell death machinery, the clearance processes are also highly conserved evolutionarily, and studies from the nematode, flies, zebrafish, mice, and humans have established the conserved components of the clearance process.<span><sup>9, 10</sup></span> This volume of Immunological Reviews focuses on different aspects of the cell clearance process and its implications to homeostasis and disease.</p><p>While there are different forms of phagocytosis, the recognition and clearance of apoptotic cells by phagocytes has been termed “efferocytosis,” a term originally coined by Dr. Peter Henson. (where “effero” means “carry to the grave”).<span><sup>11</sup></span> This should be distinguished from Fc receptor mediated phagocytosis ","PeriodicalId":178,"journal":{"name":"Immunological Reviews","volume":null,"pages":null},"PeriodicalIF":8.7,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/imr.13285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49672076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A variety of death modes of neutrophils and their role in the etiology of autoimmune diseases 中性粒细胞的多种死亡模式及其在自身免疫性疾病病因中的作用。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-18 DOI: 10.1111/imr.13284
Yanhong Li, Yinlan Wu, Jingang Huang, Xue Cao, Qiyuan An, Yun Peng, Yi Zhao, Yubin Luo

Neutrophils are important in the context of innate immunity and actively contribute to the progression of diverse autoimmune disorders. Distinct death mechanisms of neutrophils may exhibit specific and pivotal roles in autoimmune diseases and disease pathogenesis through the orchestration of immune homeostasis, the facilitation of autoantibody production, the induction of tissue and organ damage, and the incitement of pathological alterations. In recent years, more studies have provided in-depth examination of various neutrophil death modes, revealing nuances that challenge conventional understanding and underscoring their potential clinical utility in diagnosis and treatment. This review explores the multifaceted processes and characteristics of neutrophil death, with a focus on tailored investigations within various autoimmune diseases. It also highlights the potential interplay between neutrophil death and the landscape of autoimmune disorders. The review encapsulates the pertinent pathways implicated in various neutrophil death mechanisms across diverse autoimmune diseases while also charts possible avenues for future research.

中性粒细胞在先天免疫中很重要,并积极参与各种自身免疫性疾病的进展。中性粒细胞的不同死亡机制可能通过协调免疫稳态、促进自身抗体的产生、诱导组织和器官损伤以及刺激病理改变,在自身免疫性疾病和疾病发病机制中发挥特定和关键作用。近年来,越来越多的研究对各种中性粒细胞死亡模式进行了深入研究,揭示了挑战传统理解的细微差别,并强调了它们在诊断和治疗中的潜在临床实用性。这篇综述探讨了中性粒细胞死亡的多方面过程和特征,重点是对各种自身免疫性疾病进行有针对性的研究。它还强调了中性粒细胞死亡与自身免疫性疾病之间的潜在相互作用。这篇综述概括了各种自身免疫性疾病中性粒细胞死亡机制的相关途径,同时也为未来的研究指明了可能的途径。
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引用次数: 0
PANoptosis: Mechanisms, biology, and role in disease 泛视症:发病机制、生物学和在疾病中的作用。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-12 DOI: 10.1111/imr.13279
Xu Sun, Yanpeng Yang, Xiaona Meng, Jia Li, Xiaoli Liu, Huaimin Liu

Cell death can be executed through distinct subroutines. PANoptosis is a unique inflammatory cell death modality involving the interactions between pyroptosis, apoptosis, and necroptosis, which can be mediated by multifaceted PANoptosome complexes assembled via integrating components from other cell death modalities. There is growing interest in the process and function of PANoptosis. Accumulating evidence suggests that PANoptosis occurs under diverse stimuli, for example, viral or bacterial infection, cytokine storm, and cancer. Given the impact of PANoptosis across the disease spectrum, this review briefly describes the relationships between pyroptosis, apoptosis, and necroptosis, highlights the key molecules in PANoptosome formation and PANoptosis activation, and outlines the multifaceted roles of PANoptosis in diseases together with a potential for therapeutic targeting. We also discuss important concepts and pressing issues for future PANoptosis research. Improved understanding of PANoptosis and its mechanisms is crucial for identifying novel therapeutic targets and strategies.

细胞死亡可以通过不同的子程序来执行。泛视症是一种独特的炎症细胞死亡模式,涉及pyroptosis、细胞凋亡和坏死之间的相互作用,这可以通过整合来自其他细胞死亡模式的成分组装的多方面泛视体复合物来介导。人们对泛视症的过程和功能越来越感兴趣。越来越多的证据表明,泛光症发生在多种刺激下,例如病毒或细菌感染、细胞因子风暴和癌症。鉴于泛视症对整个疾病谱的影响,这篇综述简要描述了焦下垂、细胞凋亡和坏死之间的关系,强调了泛视体形成和泛视症激活的关键分子,并概述了泛视症在疾病中的多方面作用以及治疗靶向的潜力。我们还讨论了未来泛视症研究的重要概念和紧迫问题。更好地了解泛视症及其机制对于确定新的治疗靶点和策略至关重要。
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引用次数: 0
Cytotoxicity as a form of immunogenic cell death leading to efficient tumor antigen cross-priming 细胞毒性作为一种免疫原性细胞死亡形式,导致有效的肿瘤抗原交叉引发。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-11 DOI: 10.1111/imr.13281
Carlos Luri-Rey, Gabriel Gomis, Javier Glez-Vaz, Almudena Manzanal, Ana Martinez Riaño, Maria E. Rodriguez Ruiz, Alvaro Teijeira, Ignacio Melero

Antigen cross-priming of CD8+ T cells is a critical process necessary for the effective expansion and activation of CD8+ T cells endowed with the ability to recognize and destroy tumor cells. The cross-presentation of tumor antigens to cross-prime CD8+ T cells is mainly mediated, if not only, by a subset of professional antigen-presenting cells termed type-1 conventional dendritic cells (cDC1). The demise of malignant cells can be immunogenic if it occurs in the context of premortem stress. These ways of dying are termed immunogenic cell death (ICD) and are associated with biochemical features favoring cDC1 for the efficient cross-priming of tumor antigens. Immunosurveillance and the success of immunotherapies heavily rely on the ability of cytotoxic immune cells, primarily CD8+ T cells and NK cells, to detect and eliminate tumor cells through mechanisms collectively known as cytotoxicity. Recent studies have revealed the significance of NK- and CTL-mediated cytotoxicity as a prominent form of immunogenic cell death, resulting in mechanisms that promote and sustain antigen-specific immune responses. This review focuses on the mechanisms underlying the cross-presentation of antigens released during tumor cell killing by cytotoxic immune cells, with an emphasis on the role of cDC1 cells. Indeed, cDC1s are instrumental in the effectiveness of most immunotherapies, underscoring the significance of tumor antigen cross-priming in contexts of immunogenic cell death. The notion of the potent immunogenicity of cell death resulting from NK or cytotoxic T lymphocyte (CTL)-mediated cytotoxicity has far-reaching implications for cancer immunotherapy.

CD8+T细胞的抗原交叉启动是有效扩增和激活具有识别和破坏肿瘤细胞能力的CD8+T淋巴细胞所必需的关键过程。肿瘤抗原向交叉启动CD8+T细胞的交叉呈递主要(如果不是唯一的话)由称为1型常规树突状细胞(cDC1)的专业抗原呈递细胞亚群介导。如果恶性细胞的死亡发生在死前应激的情况下,它可能具有免疫原性。这些死亡方式被称为免疫原性细胞死亡(ICD),并且与有利于cDC1有效交叉引发肿瘤抗原的生物化学特征有关。免疫监测和免疫疗法的成功在很大程度上取决于细胞毒性免疫细胞,主要是CD8+T细胞和NK细胞,通过统称为细胞毒性的机制检测和消除肿瘤细胞的能力。最近的研究揭示了NK和CTL介导的细胞毒性作为免疫原性细胞死亡的一种重要形式的重要性,从而产生了促进和维持抗原特异性免疫反应的机制。这篇综述的重点是细胞毒性免疫细胞在杀死肿瘤细胞过程中释放的抗原交叉呈递的机制,重点是cDC1细胞的作用。事实上,cDC1在大多数免疫疗法的有效性中起着重要作用,强调了肿瘤抗原交叉引发在免疫原性细胞死亡中的重要性。NK或细胞毒性T淋巴细胞(CTL)介导的细胞毒性导致的细胞死亡的强大免疫原性的概念对癌症免疫疗法具有深远的意义。
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引用次数: 0
Specialized pro-resolving mediators enhance the clearance of dead cells 专门的促分解介质可增强对死细胞的清除。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-10-03 DOI: 10.1111/imr.13278
Gabrielle Fredman, Sayeed Khan

The failure to resolve inflammation underpins to several prevalent diseases, like atherosclerosis, and so identifying ways to boost resolution is unmet clinical needs. The resolution of inflammation is governed by several factors such as specialized pro-resolving mediators (SPMs) that counter-regulate pro-inflammatory pathways and promote tissue repair without compromising host defense. A major function of nearly all SPMs is to enhance the clearance of dead cells or efferocytosis. As such, phagocytes, such as macrophages, are essential cellular players in the resolution of inflammation because of their ability to rapidly and efficiently clear dead cells. This review highlights the role of SPMs in the clearance of apoptotic and necroptotic cells and offers insights into how targeting efferocytosis may provide new treatments for non-resolving diseases, like atherosclerosis.

未能解决炎症是动脉粥样硬化等几种常见疾病的基础,因此确定提高炎症解决率的方法尚未满足临床需求。炎症的解决由几个因素决定,例如专门的促解决介质(SPMs),它可以在不损害宿主防御的情况下反调节促炎途径并促进组织修复。几乎所有SPM的主要功能是增强对死细胞或泡腾细胞增多症的清除。因此,巨噬细胞等吞噬细胞是解决炎症的重要细胞参与者,因为它们能够快速有效地清除死细胞。这篇综述强调了SPMs在清除凋亡和坏死细胞中的作用,并深入了解了靶向泡腾细胞增多症如何为动脉粥样硬化等非解决性疾病提供新的治疗方法。
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引用次数: 2
Copper homeostasis and cuproptosis in cancer immunity and therapy 癌症免疫和治疗中的铜平衡和铜氧化酶。
IF 8.7 2区 医学 Q1 Medicine Pub Date : 2023-09-16 DOI: 10.1111/imr.13276
Wei-Qing Liu, Wan-Rong Lin, Li Yan, Wen-Hao Xu, Jun Yang

Copper is an essential nutrient for maintaining enzyme activity and transcription factor function. Excess copper results in the aggregation of lipoylated dihydrolipoamide S-acetyltransferase (DLAT), which correlates to the mitochondrial tricarboxylic acid (TCA) cycle, resulting in proteotoxic stress and eliciting a novel cell death modality: cuproptosis. Cuproptosis exerts an indispensable role in cancer progression, which is considered a promising strategy for cancer therapy. Cancer immunotherapy has gained extensive attention owing to breakthroughs in immune checkpoint blockade; furthermore, cuproptosis is strongly connected to the modulation of antitumor immunity. Thus, a thorough recognition concerning the mechanisms involved in the modulation of copper metabolism and cuproptosis may facilitate improvement in cancer management. This review outlines the cellular and molecular mechanisms and characteristics of cuproptosis and the links of the novel regulated cell death modality with human cancers. We also review the current knowledge on the complex effects of cuproptosis on antitumor immunity and immune response. Furthermore, potential agents that elicit cuproptosis pathways are summarized. Lastly, we discuss the influence of cuproptosis induction on the tumor microenvironment as well as the challenges of adding cuproptosis regulators to therapeutic strategies beyond traditional therapy.

铜是维持酶活性和转录因子功能的必需营养素。铜过量会导致脂酰化二氢脂酰胺 S-乙酰转移酶(DLAT)聚集,而 DLAT 与线粒体三羧酸(TCA)循环相关,从而导致蛋白毒性应激,并引发一种新型细胞死亡模式:杯突症。杯突症在癌症进展过程中发挥着不可或缺的作用,被认为是一种前景广阔的癌症治疗策略。由于免疫检查点阻断技术的突破,癌症免疫疗法受到广泛关注;此外,杯突与抗肿瘤免疫调节密切相关。因此,全面认识铜代谢和铜氧化过程的调节机制有助于改善癌症的治疗。本综述概述了杯突症的细胞和分子机制及特点,以及这种新型调节细胞死亡方式与人类癌症之间的联系。我们还回顾了杯突症对抗肿瘤免疫和免疫反应的复杂影响的现有知识。此外,我们还总结了诱导杯突效应途径的潜在药物。最后,我们讨论了杯突诱导对肿瘤微环境的影响,以及在传统疗法之外的治疗策略中加入杯突调节剂所面临的挑战。
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引用次数: 0
期刊
Immunological Reviews
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