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

To examine how macrophage pyroptosis-driven cytokine storms influence tumor progression.

Approach:
  • Mechanisms of Pyroptosis: Pyroptosis is executed through canonical (caspase-1/NLRP3-dependent) and non-canonical (caspase-4/5/11-dependent) pathways, leading to the cleavage of gasdermin D (GSDMD) and the release of pro-inflammatory cytokines.
  • Impact on Tumor Immunity: Acute, moderate inflammatory responses activate anti-tumor immunity, while chronic, low-grade cytokine storms promote tumorigenesis through various mechanisms.
  • Clinical Investigations: Pyroptosis-related biomarkers may support patient stratification and treatment-response prediction in tumors rich in tumor-associated macrophages (TAMs).
  • Future Research Directions: Future studies should focus on quantitative mapping of macrophage pyroptosis, development of tumor-targeted inducers, and establishment of pyroptosis-based biomarker panels.
Key Findings:
  • Pyroptosis can induce both anti-tumor immunity and promote tumorigenesis depending on the inflammatory response's intensity and duration.
  • Chronic cytokine storms contribute to genomic instability, cancer stem cell enrichment, and immunosuppressive microenvironments.
Interpretation:

Limitations:
  • Thersoldfpyiacngum105bv
Conclusion:

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