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Review ArticleReview

Methods for monitoring cancer cell pyroptosis

Shuo Wang, Yuantong Liu, Lu Zhang and Zhijun Sun
Cancer Biology & Medicine April 2022, 19 (4) 398-414; DOI: https://doi.org/10.20892/j.issn.2095-3941.2021.0504
Shuo Wang
1The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine, Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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Yuantong Liu
1The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine, Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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Lu Zhang
1The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine, Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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  • For correspondence: [email protected] [email protected]
Zhijun Sun
1The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine, Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
2Department of Oral Maxillofacial-Head Neck Oncology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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  • For correspondence: [email protected] [email protected]
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    Figure 1

    The timeline and molecular mechanisms of pyroptosis. (A) Critical events in pyroptosis research. (B) Molecular mechanisms of pyroptosis. In the canonical pathway, upon stimulation with bacteria, viruses, or toxins, pattern recognition receptors on the cell surface activate downstream signaling pathways. Activated caspase-1 specifically cleaves gasdermin D (GSDMD) to produce GSDMD-N termini. The cleaved GSDMD-N fragment disrupts cell membrane integrity and induces cellular pyroptosis. In addition, activated caspase-1 promotes the production of mature IL-1β and IL-18, which induce an inflammatory response. Caspases-4/5/11 mainly mediate the noncanonical pathway of pyroptosis. Upon stimulation with bacterial lipopolysaccharide, activated caspases-4/5/11 specifically cleave GSDMD, leading to the formation of GSDMD pores that cause K+ efflux, thereby activating the NLRP3-caspase-1 signaling pathway and amplifying the inflammatory response. In addition, the formation of GSDMD pores is accompanied by Ca2+ efflux, which activates the calpain mechanism that promotes membrane rupture and the endosomal sorting complex required for the transport mechanism that promotes membrane repair. Various chemotherapeutic agents induce tumor cell pyroptosis by inducing the caspase-3-GSDME axis. Inhibition of TGF-β-activated kinase 1 (TAK1) induces pyroptosis in mouse macrophages through the caspase-8-GSDMD pathway. In addition, during hypoxic conditions, TNF-α produced by macrophages induces cancer cell pyroptosis using the caspase-8-GSDMC pathway.

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    Figure 2

    The positive feedback loop of pyroptosis and anti-tumor immunity. Pyroptotic cells release cancer antigens and large amounts of inflammatory substances. These antigens are presented by dendritic cells and induce activation of T cells. Activated NK cells and cytotoxic T lymphocytes secrete granzyme A (GzmA) and B (GzmB). GzmA directly cleaves GSDMB, while GzmB cleaves caspase-3 and GSDME. The cleaved GSDMB-N and GSDME-N fragments induce cancer cell pyroptosis and enhance antitumor immunity, creating a positive feedback loop of pyroptosis and anti-tumor immunity.

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    Figure 3

    Representative results of pyroptosis detection. (A-B) Cellular morphological features during pyroptosis, apoptosis, and necroptosis. (A) Schematic diagram showing the morphology of cells undergoing pyroptosis, apoptosis, and necroptosis. (B) Scanning electron microscopy of SCC7 cells exposed to different treatments, to distinguish different forms of cell death. The arrow points to the bubbling of pyroptotic cells. (C) Representative microscopic images of SCC7 cells after cisplatin (DDP) treatment. White arrowheads indicate characteristic ballooning in cell membranes. (D) Representative transmission electron microscopy images of SCC7 cells treated with DDP. (E) Flow cytometry analysis of propidium iodide (PI)- and Annexin V-stained cells. SCC7 cells were treated with DDP and oncolytic viruses, respectively, for 24 h. Annexin V−/PI− represents live cells, Annexin V+/PI− represents apoptotic cells, and Annexin V+/PI+ denotes pyroptotic or necroptotic cells. (F) Western blot analysis of pyroptotic cell death markers in SCC7 cells treated with DDP. (G) Cytotoxicity of SCC7 measured by detecting lactate dehydrogenase release in culture supernatants. Nig, nigericin; TS, TNF + SMAC mimetic; TSZ, TNF + SMAC mimetic + caspase inhibitor z-VAD.

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    Figure 4

    Methods for monitoring pyroptosis. Pyroptosis is a multistep process. In practical applications, a combination of assays is often used to monitor the occurrence of pyroptosis and accurately determine pyroptosis results of experimental cells. GSDM, gasdermin; GzmA, granzyme A; GzmB, granzyme B; TEM, transmission electron microscopy; SEM, scanning electron microscope; AFM, atomic force microscopy.

Tables

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    Table 1

    The differences between pyroptosis, apoptosis, and necroptosis

    PyroptosisApoptosisNecroptosis
    CharacterActive PCDActive PCDPassive PCD
    InflammationYesNoYes
    Morphology of cell membraneCell swelling, membrane rupture, bubble-like protrusionsCell shrinkage, intact membrane, many vesicles of various sizesCell rounding and swelling, membrane rupture
    Membrane blebbingYesYesNo
    Membrane integrityNoYesNo
    DNA damageYesYesYes
    Chromatin condensationYesYesNo
    Intact nucleusYesNo (fragmented)Yes
    Organelle morphologyDeformationIntactSwelling
    Special constructionsPyroptotic bodiesApoptotic bodiesNo
    Release of intracellular contentsDAMPs, inflammatory moleculesNoDAMPs, inflammatory molecules
    Associated moleculesInitiation: Caspase-1, 3, 4, 5, 11.
    Execution: GSDMD, GSDME
    Initiation: Caspase-8, 9, 10.
    Execution: Caspase-3, 6, 7
    Pro-apoptotic members: Bax, Bak, Bok.
    Anti-apoptotic members: Bcl-2, Bcl-xl, Mcl-1.
    Initiation: RIPK1/RIPK3.
    Execution: MLKL.
    Inhibitory members: Caspase-8
    7-AAD stainingYesNoYes
    EtBr stainingYesNoYes
    PI stainingYesNoYes
    PS exposureYesYesYes
    Annexin V stainingYesYesYes
    TUNEL stainingYesYesYes

    PCD, programmed cell death; GSDM, gasdermin; EtBr, ethidium bromide; PI, propidium iodide; PS, phosphatidylserine; TUNEL, TdT-mediated dUTP nick end labeling.

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      Table 2

      Methods for monitoring pyroptosis

      IndicatorsMethodReference
      Changes in cell morphologyCell swelling, membrane blebbing and rupture, bubble-like protrusionsMicroscopy analysis23,27,48
      TEM64,65
      SEM21
      Automated live cell imager66
      GSDM-mediated pore formationliposome leakage method67,68
      AFM69,70
      Monitoring cell deathCell viabilityMTT/MTS assay71,72
      DNA fragmentationTUNEL method73,74
      Staining statusAnnexin V/PI staining, SYTOX/7-ADD/EtBr/TO-PRO3 stainingMicroscopy analysis, Flow cytometry23,25,53
      Molecular biomarkersCleavage of GSDM family (GSDMB/C/D/E)Western blot
      Immunohistochemistry
      Immunofluorescence
      Q-PCR
      23,51,53,75,76
      GSDM-Flag
      Activation of Caspase-1/3/4/5/11
      GzmA and GzmB
      Released substances: IL-1β, IL-18, HMGB1, ATP, LDHELISA, ELISPOT27,72,77
      Other methodsThe dynamic process of pyroptosis in vivoTwo-photon imaging technology78

      TEM, transmission electron microscopy; SEM, scanning electron microscope; GSDM, gasdermin; AFM, atomic force microscopy; GzmA, granzyme A; GzmB, granzyme B.

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        Table 3

        Examples of methods for monitoring pyroptosis

        Pyroptosis mechanismDetectionReference
        Caspase-3/GSDMECell swelling with large bubbles23
        Cleavage of GSDME
        GSDME-mediated pore formation (liposome leakage method)
        ATP cell viability
        LDH release
        PI/FITC staining
        GZMB/(Caspase-3)/GSDMEThe changes in cell morphology53
        Cleavage of GSDME
        LDH, HMGB1 release
        SYTOX green uptake
        The use of zDEVD-fmk or zVAD-fmk to inhibit apoptosis and caspase-3-mediated pyroptosis
        GZMA/GSDMBThe changes in cell morphology51
        Cleavage of GSDMB
        Edman sequencing of the N termini to identify the cleavage sites
        ATP–based cell viability LDH release
        PI/FITC staining
        Hypoxia/TNF-α/GSDMCCell swelling with large bubbles50
        Cleavage of GSDMC
        Liposome leakage method
        Cell death determined by LDH release
        SYTOX green staining
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      Cancer Biology & Medicine: 19 (4)
      Cancer Biology & Medicine
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      15 Apr 2022
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      Methods for monitoring cancer cell pyroptosis
      Shuo Wang, Yuantong Liu, Lu Zhang, Zhijun Sun
      Cancer Biology & Medicine Apr 2022, 19 (4) 398-414; DOI: 10.20892/j.issn.2095-3941.2021.0504

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      Methods for monitoring cancer cell pyroptosis
      Shuo Wang, Yuantong Liu, Lu Zhang, Zhijun Sun
      Cancer Biology & Medicine Apr 2022, 19 (4) 398-414; DOI: 10.20892/j.issn.2095-3941.2021.0504
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      • Article
        • Abstract
        • Introduction
        • Molecular mechanisms of pyroptosis
        • The differences between pyroptosis, apoptosis, and necroptosis
        • Methods for monitoring pyroptosis
        • Conclusions
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      Keywords

      • pyroptosis
      • gasdermin
      • caspase
      • cancer immunotherapy
      • cell death

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