Table 1.
Conventional chemotherapeutics | Major targets | ICD-associated DAMPs | Clinical use | Evidence of antitumor immunity |
---|---|---|---|---|
Cylophosphamide | DNA and RNA | Cell-surface CRT, | Lymphomas, brain cancer, leukemia, | Deplete Treg cells, favor the expansion of |
HMGB1 and ATP secretion | and some solid tumors | NK cells and stimulate DCs to produce IL-12 | ||
Oxaliplatin | DNA and RNA synthesis | Cell-surface CRT, | Colorectal cancer | Increase the CTL/Treg cell ratio, deplete MDSCs, |
HMGB1 and ATP secretion | and improve the activity of neutrophils and macrophages | |||
5-FU | Thymidylate synthase inhibitor | HMGB1 and ATP secretion | Colorectal, breast cancer, GIST | Increase the frequency of tumor-infiltrating CTLs, |
DNA replication | and deplete circulating MDSCs | |||
Gemcitabine | DNA replication | HMGB1 and ATP secretion | NSCLC, pancreatic, bladder, | Stimulate cross-priming of CTLs, increase the number of |
breast cancer | immunostimulatory TAMs, and deplete circulating MDSCs | |||
Mitoxantrone | DNA and RNA synthesis, | Cell-surface CRT and ERp57, | Leukemias, Hodgkin's lymphoma | Increase the CTL/Treg cell ratio, |
and anthracyclines | topoisomerase II, ROS | HMGB1 and ATP secretion | breast, colon, lung cancer and so on | and deplete circulating Treg cells |
Bleomycin | DNA strand breaks, ROS | Cell-surface CRT and ERp57, | Testicular cancer, ovarian cancer, | Stimulate ICD |
Bortezomib | 26S proteasome | Cell-surface HSP90 | Multiple melanoma, mantle cell lymphoma | Stimulate ICD |
Abbreviations: ICD, immunogenic cell death; DAMPs, damage-associated molecular patterns; ROS, radical oxygen species; CRT, calreticulin; CTL, cytotoxic T lymphocytes; Treg, regulatory T cells; NK, natural killer; DCs, dendritic cells; IL-12, interleukin-12; HMGB1, high-mobility group protein B1; ATP, adenosine triphosphate; HSP, heat-shock protein; MDSCs, myeloid-derived suppressor cells; TAMs, tumor-associated macrophages.