A double-edged sword: the role of macrophage pyroptosis-driven cytokine storm-mediated intercellular communication in tumor progression - Scorecard - MDSpire

The Dual Role of Macrophage Pyroptosis-Induced Cytokine Storms in Tumor Development

  • By

  • Qing-feng Wang

  • Hong-le Li

  • Hong Gao

  • Li-jiang Zhou

  • Yue Sun

  • Hao-ran Wang

  • Jia-yi Zhou

  • July 21, 2026

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Clinical Scorecard: The Dual Role of Macrophage Pyroptosis-Induced Cytokine Storms in Tumor Development

At a Glance

CategoryDetail
ConditionMacrophage Pyroptosis and Tumor Development
Key MechanismsCaspase-1 and caspase-4/5/11 pathways leading to GSDMD cleavage and cytokine release.
Target PopulationPatients with tumor-associated macrophages (TAMs)-rich tumors.
Care SettingCancer immunotherapy and tumor microenvironment research.

Key Highlights

  • Pyroptosis triggers cytokine storms that can either promote anti-tumor immunity or tumorigenesis.
  • Acute inflammatory responses activate anti-tumor immunity, while chronic responses support tumor progression.
  • Pyroptosis-related biomarkers may aid in patient stratification and treatment-response prediction.

Guideline-Based Recommendations

Diagnosis

  • Utilize pyroptosis-related biomarkers for patient stratification.

Management

  • Consider NLRP3 inhibitors and IL-1β/IL-18 blockers in treatment strategies.

Monitoring & Follow-up

  • Assess inflammatory cytokine profiles in patients.

Risks

  • Chronic low-grade cytokine storms may lead to tumorigenesis.

Patient & Prescribing Data

Patients with various cancer types exhibiting TAM-rich tumors.

Combination approaches with immune checkpoint inhibitors may enhance therapeutic outcomes.

Clinical Best Practices

  • Prioritize quantitative in vivo mapping of macrophage pyroptosis.
  • Develop tumor-targeted pyroptosis inducers for precise treatment.
  • Establish pyroptosis-based biomarker panels for clinical trials.

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