Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies

Immunogenic cell death (ICD) is a promising cancer therapy where dying tumor cells release damage-associated molecular patterns (DAMPs) to activate immune responses. Recent research highlights the critical role of metabolic reprogramming in tumor cells, including the Warburg effect, oxidative stress...

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Main Authors: Jie Jiang, Yan Yan, Chunhui Yang, Hong Cai
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/4/950
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author Jie Jiang
Yan Yan
Chunhui Yang
Hong Cai
author_facet Jie Jiang
Yan Yan
Chunhui Yang
Hong Cai
author_sort Jie Jiang
collection DOAJ
description Immunogenic cell death (ICD) is a promising cancer therapy where dying tumor cells release damage-associated molecular patterns (DAMPs) to activate immune responses. Recent research highlights the critical role of metabolic reprogramming in tumor cells, including the Warburg effect, oxidative stress, and lipid metabolism, in modulating ICD and shaping the immune microenvironment. These metabolic changes enhance immune activation, making tumors more susceptible to immune surveillance. This review explores the molecular mechanisms linking ICD and metabolism, including mitochondrial oxidative stress, endoplasmic reticulum (ER) stress, and ferroptosis. It also discusses innovative therapeutic strategies, such as personalized combination therapies, metabolic inhibitors, and targeted delivery systems, to improve ICD efficacy. The future of cancer immunotherapy lies in integrating metabolic reprogramming and immune activation to overcome tumor immune evasion, with multi-omics approaches and microbiome modulation offering new avenues for enhanced treatment outcomes.
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series Biomedicines
spelling doaj-art-8fdf4a8210b240469708246777477df32025-08-20T02:24:39ZengMDPI AGBiomedicines2227-90592025-04-0113495010.3390/biomedicines13040950Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic StrategiesJie Jiang0Yan Yan1Chunhui Yang2Hong Cai3Department of Clinical Laboratory, The Second Hospital of Dalian Medical University, Dalian 116023, ChinaDepartment of Clinical Laboratory, The Second Hospital of Dalian Medical University, Dalian 116023, ChinaDepartment of Clinical Laboratory, The Second Hospital of Dalian Medical University, Dalian 116023, ChinaDepartment of Clinical Laboratory, The Second Hospital of Dalian Medical University, Dalian 116023, ChinaImmunogenic cell death (ICD) is a promising cancer therapy where dying tumor cells release damage-associated molecular patterns (DAMPs) to activate immune responses. Recent research highlights the critical role of metabolic reprogramming in tumor cells, including the Warburg effect, oxidative stress, and lipid metabolism, in modulating ICD and shaping the immune microenvironment. These metabolic changes enhance immune activation, making tumors more susceptible to immune surveillance. This review explores the molecular mechanisms linking ICD and metabolism, including mitochondrial oxidative stress, endoplasmic reticulum (ER) stress, and ferroptosis. It also discusses innovative therapeutic strategies, such as personalized combination therapies, metabolic inhibitors, and targeted delivery systems, to improve ICD efficacy. The future of cancer immunotherapy lies in integrating metabolic reprogramming and immune activation to overcome tumor immune evasion, with multi-omics approaches and microbiome modulation offering new avenues for enhanced treatment outcomes.https://www.mdpi.com/2227-9059/13/4/950immunogenic cell deathmetabolic reprogrammingtumor microenvironmentcancer immunotherapy
spellingShingle Jie Jiang
Yan Yan
Chunhui Yang
Hong Cai
Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
Biomedicines
immunogenic cell death
metabolic reprogramming
tumor microenvironment
cancer immunotherapy
title Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
title_full Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
title_fullStr Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
title_full_unstemmed Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
title_short Immunogenic Cell Death and Metabolic Reprogramming in Cancer: Mechanisms, Synergies, and Innovative Therapeutic Strategies
title_sort immunogenic cell death and metabolic reprogramming in cancer mechanisms synergies and innovative therapeutic strategies
topic immunogenic cell death
metabolic reprogramming
tumor microenvironment
cancer immunotherapy
url https://www.mdpi.com/2227-9059/13/4/950
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AT chunhuiyang immunogeniccelldeathandmetabolicreprogrammingincancermechanismssynergiesandinnovativetherapeuticstrategies
AT hongcai immunogeniccelldeathandmetabolicreprogrammingincancermechanismssynergiesandinnovativetherapeuticstrategies