Table 1 Potential strategies and mechanisms of targeting ammonia-induced cell death in cancer immunotherapy.

From: Ammonia death: a novel potential strategy to augment immunotherapy in cancer

Strategy

Mechanism

Potential benefits

Clinical relevance

Inhibiting ammonia accumulation

Blocking RHCG transport

Reducing lysosomal and mitochondrial damage

Prolonging T-cell lifespan

Enhancing autophagy

Promoting clearance of damaged mitochondria

Rescuing T cells from ammonia-induced apoptosis

Enhancing T-cell-mediated tumor clearance

Ammonia metabolism modulation

Targeting glutamine metabolism

Preventing excessive ammonia production

Increasing efficacy of adoptive T-cell therapies