Table 1. Comparison of multiple forms of programmed cell death and necrosis.
Apoptosis (type 1 PCD) | Autophagic cell death (type 2 PCD) | Necroptosis (type 3 PCD) | Pyroptosis | Necrosis | |
---|---|---|---|---|---|
Mode of cell death | Programmed | Programmed | Programmed | Programmed | Accidental |
Initiators | TNF-α, FasL, or TRAIL, infectious pathogens | Nutrient deprivation, HDAC inhibitors, hypoxia, infectious pathogens | TNF-α, FasL, or TRAIL, microbial infections Ischemic injury | DAMPs, microbial infections | Toxins, infections, inflammation, trauma |
Intermediate signalings | Mitochondrial pathway Caspase-3, -6, -7-dependent | Caspase-independent autophagosome formation Lysosomal protease | TNF receptor signaling JNK activation Caspase-independent RIP1/RIP3 necrosome | Nod-like receptors Caspase 1-dependent pyroptosome Inflammasome | - |
Terminal cellular events | Non-lytic cell shrinkage DNA fragmentation apoptotic bodies | Non-lytic autophagic bodies | Non-lytic, loss of plasma membrane, swollen cellular organelles | Lytic, rapid loss of plasma membrane, cell swelling, pore formation | Lytic, plasma membrane rupture, leak of content |
Inflammation | Non-inflammatory | Non-inflammatory | Proinflammatory | Proinflammatory | Proinflammatory |
Immunogenicity | + | + | ++ | ++ | +++ |
DAMPs released | Ecto-CRT HMGB1 and ATP release | HMGB1 and ATP release | Long genomic DNA IL-6 | HMGB1 and ATP release IL-1α, IL-1β, IL-6, IL-18, and TNF-α chemokines | HMGB1 and ATP release IL-1α, IL-33 mRNA, and genomic DNA |
Eat-me signals | Ecto-CRT | LPC secretion PS exposure | LPC secretion PS exposure | PS exposure | PS exposure |
Abbreviations: TNF-α, tumor necrosis factor- α; FasL, Fas ligand; TRAIL, TNF-related apoptosis-inducing ligand; HDAC, histone deacetylase; IL-1α, interleukin-1α ; IL-1β, interleukin-1β; IL-6, interleukin-6; IL-18, interleukin-18; IL-33, interleukin-33; ICD, immunogenic cell death; LPC, lysophosphatidylcholine; PS, phosphatidylserine; JNK, c-Jun N-terminal kinase.
The table gives a schematic overview of the multiple forms of cell death incuding apoptotic cell death (type 1 PCD), autophagic cell death (type 2 PCD), cell death induced by necroptosis (type 3 PCD), pyroptosis and necrosis. The extent of immunogenicity in each cell death subsection is scored as +, ++, and +++, according to the expression levels of ‘eat-me' signals and DAMPs emission. ICD in cancer can display different ‘eat-me' signals, including ecto-CRT and LPC, on the cell membrane, as well as emission of DAMPs, ATP, and HMGB1. This peculiar ecto-CRT, which facilitates engulfment of TAAs from cancer cells by DCs, can only be found on cells that succumb to immunogenic apoptosis, whereas it is not present on cells dying in an immunologically silent manner. LPC secretion, PS exposure, and ATP release require autophagy induction. Numerous exquisite expression patterns shaped by the constituents of DAMPs and the interactive status of the immune system will predominantly determine the fate of subsequent immune responses, namely, immune tolerance or antitumor immunity