Chemotherapy can reinstate anticancer immunosurveillance through inducing
tumor immunogenic cell death (ICD). Here, we show that
anthracyclines and
oxaliplatin can trigger necroptosis in murine
cancer cell lines expressing receptor-interacting
serine-threonine kinase 3 (RIP3) and mixed lineage
kinase domain-like (MLKL). Necroptotic cells featured biochemical hallmarks of ICD and stimulated anticancer immune responses in vivo.
Chemotherapy normally killed Rip3 (-/-) and Mlkl (-/-)
tumor cells and normally induced
caspase-3 activation in such cells, yet was unable to reduce their growth in vivo. RIP3 or MLKL deficiency abolished the capacity of dying
cancer cells to elicit an immune response. This could be attributed to reduced release of
ATP and high mobility group box 1 (
HMGB1) by RIP3 and MLKL-deficient cells. Measures designed to compensate for deficient
ATP and
HMGB1 signaling restored the chemotherapeutic response of Rip3 (-/-) and Mlkl (-/-)
cancers. Altogether, these results suggest that RIP3 and MLKL can contribute to ICD signaling and
tumor immunogenicity.