PMID- 23832118 OWN - NLM STAT- MEDLINE DCOM- 20140729 LR - 20211021 IS - 1476-5403 (Electronic) IS - 1350-9047 (Print) IS - 1350-9047 (Linking) VI - 21 IP - 1 DP - 2014 Jan TI - Multimodal immunogenic cancer cell death as a consequence of anticancer cytotoxic treatments. PG - 39-49 LID - 10.1038/cdd.2013.84 [doi] AB - Apoptotic cell death generally characterized by a morphologically homogenous entity has been considered to be essentially non-immunogenic. However, apoptotic cancer cell death, also known as type 1 programmed cell death (PCD), was recently found to be immunogenic after treatment with several chemotherapeutic agents and oncolytic viruses through the emission of various danger-associated molecular patterns (DAMPs). Extensive studies have revealed that two different types of immunogenic cell death (ICD) inducers, recently classified by their distinct actions in endoplasmic reticulum (ER) stress, can reinitiate immune responses suppressed by the tumor microenvironment. Indeed, recent clinical studies have shown that several immunotherapeutic modalities including therapeutic cancer vaccines and oncolytic viruses, but not conventional chemotherapies, culminate in beneficial outcomes, probably because of their different mechanisms of ICD induction. Furthermore, interests in PCD of cancer cells have shifted from its classical form to novel forms involving autophagic cell death (ACD), programmed necrotic cell death (necroptosis), and pyroptosis, some of which entail immunogenicity after anticancer treatments. In this review, we provide a brief outline of the well-characterized DAMPs such as calreticulin (CRT) exposure, high-mobility group protein B1 (HMGB1), and adenosine triphosphate (ATP) release, which are induced by the morphologically distinct types of cell death. In the latter part, our review focuses on how emerging oncolytic viruses induce different forms of cell death and the combinations of oncolytic virotherapies with further immunomodulation by cyclophosphamide and other immunotherapeutic modalities foster dendritic cell (DC)-mediated induction of antitumor immunity. Accordingly, it is increasingly important to fully understand how and which ICD inducers cause multimodal ICD, which should aid the design of reasonably multifaceted anticancer modalities to maximize ICD-triggered antitumor immunity and eliminate residual or metastasized tumors while sparing autoimmune diseases. FAU - Inoue, H AU - Inoue H AD - 1] Division of Molecular and Clinical Genetics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan [2] Research Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan [3] Department of Advanced Molecular and Cell Therapy, Kyushu University Hospital,Kyushu University, Fukuoka, Japan. FAU - Tani, K AU - Tani K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20130705 PL - England TA - Cell Death Differ JT - Cell death and differentiation JID - 9437445 RN - 0 (Antineoplastic Agents) RN - 0 (Calreticulin) RN - 0 (HMGB1 Protein) SB - IM MH - Animals MH - Antineoplastic Agents/therapeutic use/*toxicity MH - Calreticulin/metabolism MH - Cell Death/*drug effects MH - Endoplasmic Reticulum Stress/drug effects MH - HMGB1 Protein/metabolism MH - Humans MH - Neoplasms/drug therapy/*immunology MH - Oncolytic Viruses/physiology PMC - PMC3857623 EDAT- 2013/07/09 06:00 MHDA- 2014/07/30 06:00 PMCR- 2015/01/01 CRDT- 2013/07/09 06:00 PHST- 2013/03/11 00:00 [received] PHST- 2013/05/06 00:00 [revised] PHST- 2013/05/14 00:00 [accepted] PHST- 2013/07/09 06:00 [entrez] PHST- 2013/07/09 06:00 [pubmed] PHST- 2014/07/30 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - cdd201384 [pii] AID - 10.1038/cdd.2013.84 [doi] PST - ppublish SO - Cell Death Differ. 2014 Jan;21(1):39-49. doi: 10.1038/cdd.2013.84. Epub 2013 Jul 5.