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Table 2 The prognostic indicator and ferroptosis-based immunotherapy targets affecting the MDSCs population in different kinds of cancers

From: Endoplasmic reticulum stress mediates the myeloid-derived immune suppression associated with cancer and infectious disease

Diagnostic markers or therapeutic targets

Cancer type

Signalling pathway

Immune cell populations

References

Comprehensive index of ferroptosis and immune status (CIFI)

Hepatocellular carcinoma (HCC)

–

A subgroup of patients with high CIFI value have higher fractions of cancer-associated fibroblasts (CAFs) and MDSCs

[31]

A manganese porphyrin-based metal-organic framework (Mn-MOF) for enhanced SDT and ferroptosis

Hypoxic tumors

Self-supply oxygen (O2) and decrease GSH

Increase the numbers of activated CD8+ T cells and matured dendritic cells and decrease the numbers of MDSCs in tumor tissues

[32]

FAP gene-engineered tumor cell-derived exosome-like nanovesicles (eNVs-FAP) as a tumor vaccine

A candidate tumor vaccine targeting both the tumor parenchyma and the stroma

Promote tumor ferroptosis by releasing interferon-gamma (IFN-γ) from CTLs

Induce strong and specific cytotoxic T lymphocyte (CTL) immune responses and deplete FAP + CAFs (cancer-associated fibroblasts)

[33]

HMGB1, ferroptosis inducer

Head and neck squamous cell carcinoma (HNSCC)

GPX4/RSL3/HMGB1

The occurrence of ferroptosis reduce the number of MDSCs and TAMs (M2) and increase CD4+ and CD8+ T cells in tumor microenvironment.

[34]

NC06 targeting ASAH2 (N-acylsphingosine amidohydrolase)

Colon carcinoma

NC06/ASAH2/p53/Hmox1/ROS

Inhibition of ferroptosis decreased NC06-induced MDSC death

[35]

Dihydroartemisinin (DHA)

PDAC

P53/ALOX12

Decrease the suppressive expansion of M2 and MDSCs and increase the population of CD8+ T cells, NK cells and NKT cells in the tumor tissues of the tumor-bearing mice

[36]

Pam3CSK4 targeting Runx1

Hepatocellular carcinoma

TLR2/Runx1/ROS

Reduce the expression of CD11c, F4/80, CD80/CD86 and MHC-II in MDSC and recover T cell function

[37]

MGST1

Uterine corpus endometrial carcinoma (UCEC)

MGST1 interacts with several ferroptosis-related proteins

Overexpression of MGST1 was accompanied by lower levels of NK cell and CD8+ T cell infiltration, higher MDSCs infiltration and different immunocytes with corresponding markers

[38]