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cancer-immunotherapy

How does cisplatin boost checkpoint therapy?

Zhou Z, Zhao Y, Chen S, et al. · Frontiers in pharmacology · 2022

Open access · cc by · source: Europe PMC

Cisplatin-triggered tumor ferroptosis polarized N1 neutrophils and remodeled cold NSCLC tumors toward hotter T-cell/Th1 states, synergizing with ferroptosis activators in EGFR-mutant settings.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsFerroptosisconcept

    Triggering tumor ferroptosis can help checkpoint therapy in cold tumors (preclinical).

    In EGFR-mutant NSCLC models, cisplatin-driven tumor ferroptosis polarized N1 neutrophils and supported T-cell/Th1 programs that synergized with immune checkpoint inhibitor therapy.

    Evidence for the claim as stated.

  • QualifiesFerroptosisconcept

    Valproic acid can restrain cisplatin-induced tubular ferroptosis in mice, unlike cisplatin’s tumor-ferroptosis story.

    In cisplatin AKI mice and tubular cells, VPA (like ferrostatin-1) lowered creatinine/BUN, restored GPX4, and reduced ACSL4-linked lipid peroxidation; GPX4 siRNA wiped out VPA’s protection.

    Scope note — cisplatin inducing tumor ferroptosis to help ICI — opposite direction from blocking kidney ferroptosis after cisplatin

    Limits the claim's scope: a different population, assay, or outcome.

  • SupportsFerroptosisconcept

    Cisplatin-induced ferroptosis aided ICI efficacy in cold tumors vs IRE1/JNK blockade reduced ferroptosis-linked kidney I/R injury

    Evidence for the claim as stated.

  • SupportsFerroptosisconcept

    Cisplatin can be used to induce tumor ferroptosis in oncology models and also drives kidney ferroptosis that VPA tries to block. Same molecule, opposite therapeutic aims.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

  • Scope difference — different assays, populations, or outcomes

    SupportsFerroptosis

    Cisplatin-induced ferroptosis aided ICI efficacy in cold tumors vs IRE1/JNK blockade reduced ferroptosis-linked kidney I/R injury

    Also on this tension

  • Scope difference — different assays, populations, or outcomes

    SupportsFerroptosis

    Cisplatin can be used to induce tumor ferroptosis in oncology models and also drives kidney ferroptosis that VPA tries to block. Same molecule, opposite therapeutic aims.

History

When this study was placed

Dated entries from the concept change log — when this paper was added or removed as support, challenge, or qualifier on a claim.

  1. 2026-09-17

    Placed as a scope qualifier on Ferroptosis

    In cisplatin AKI mice and tubular cells, VPA (like ferrostatin-1) lowered creatinine/BUN, restored GPX4, and reduced ACSL4-linked lipid peroxidation; GPX4 siRNA wiped out VPA’s protection.

  2. 2026-09-17

    Placed as supporting evidence on Ferroptosis

    Cisplatin can be used to induce tumor ferroptosis in oncology models and also drives kidney ferroptosis that VPA tries to block. Same molecule, opposite therapeutic aims.

  3. 2026-09-15

    Placed as supporting evidence on Ferroptosis

    In EGFR-mutant NSCLC models, cisplatin-driven tumor ferroptosis polarized N1 neutrophils and supported T-cell/Th1 programs that synergized with immune checkpoint inhibitor therapy.

Study at a glance

Design
Animal / in-vitro — Tumor-cell ferroptosis, N1 neutrophil polarization, and ICI efficacy after cisplatin
N
Preclinical tumor models and cell experiments
Population
Tumor cells and mouse tumor-microenvironment models
Outcome
ICI efficacy after cisplatin-induced ferroptosis and neutrophil polarization

Structured fields used in claim comparison tables when every cited study has a complete layer.

Inspect source passages

How does cisplatin boost checkpoint therapy?

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

Authors report cisplatin→ferroptosis→N1 neutrophils remodeling cold to hot tumors.

In this study, we found that cisplatin induced ferroptosis of tumor cells, followed by N1 neutrophil polarization in the tumor microenvironment, which in turn remodeled the “cold” tumor to a “hot” one through enhancing T-cell infiltration and Th1 differentiation

Clinical chemo-IO context?

first-line treatment for patients with advanced non–small cell lung cancer (NSCLC) with negative driver gene mutations
Read passages in the original paper

Key findings

Cisplatin induced tumor-cell ferroptosis then N1 neutrophil polarization that helped convert “cold” to “hot” tumors via T-cell infiltration and Th1 differentiation; ferroptosis activation synergized with chemoimmunotherapy in EGFR-mutant NSCLC models.

Methodology

Studied cisplatin effects on ferroptosis and neutrophil polarization in NSCLC models (including A549/LLC systems), assessed T-cell infiltration/Th1 differentiation, and tested ferroptosis-activator combinations aimed at EGFR-mutant immunotherapy resistance.

Limitations

Mouse/cell mechanisms may not fully predict human EGFR-mutant responses; clinical dosing/schedule optimization was not a randomized patient trial here.

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