https://www.sciencedirect.com/science/article/pii/S1535610819301977
Targeting Ferroptosis to Iron Out Cancer
2019
Table 1. Ferroptosis Stimuli
MechanismTarget Compound/Drug Phenotype and Readout
GPX4 inactivation due to GSH depletion (class I FINs) | system XC− | erastin | lipid ROSa death inhibited by DFO, Fer1, and Trolox |
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piperazine erastin | increase in PTGS2 mRNA regression HT1080 xenografts |
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imidazole ketone erastin (IKE) | lipid ROSa | |||
sulfasalazine | death inhibited by DFO, Fer1, and Trolox | |||
sorafenib | lipid ROSa death inhibited by DFO and Fer1 |
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glutamate | inhibited by CPX and Fer1 | |||
glutamate-cysteine ligase | buthionine sulfoximine (BSO) | lipid ROSa | ||
glutathione S-transferase | artesunate | lipid ROSa death inhibited by DFO, Fer1, and Trolox |
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unknown | DPI2 | death inhibited by DFO and α-Toc | ||
[Cys] depletion | cyst(e)inase | reduced GSH levels regression of MDA-MB-361, DU145 and PC3 xenografts |
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ND dehydrogenase | BAY 87-2243 | lipid ROSa death inhibited by Fer1 and α-Toc |
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GPX4 inactivation/depletion (class II, III FINs) | GPX4 | 1S,3R-RSL3b,c | lipid ROSa death inhibited by DFO and Fer1 increase in PTGS2 mRNA HT1080 tumor regression |
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DPI7/ML162b,DPI10/ML210b, DPI12-13b, DPI17-19b | lipid ROSa | |||
altretamineb | lipid ROSa | |||
FIN56b | lipid ROSa death inhibited by DFO and α-Toc |
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withaferin Ac | lipid ROSa in neuroblastoma cells death inhibited by DFO, Fer1 and α-Toc |
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Squalene synthase | FIN56b | lipid ROSa death inhibited by DFO and α-Toc |
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HMG-CoA reductase | fluvastatin, lovastatin acid, simvastatin | lipid ROSa | ||
Iron loading (class IV FINs) | hemoglobin | lipid ROSa death inhibited by Fer1 in organotypic hippocampal slice cultures |
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FeCl2 | death inhibited by Fer1 in organotypic hippocampal slice cultures | |||
hemin | death inhibited by DFO and Fer1 | |||
(NH4)2Fe(SO4)2 | death inhibited by Fer1 | |||
non-thermal plasma | lipid ROSa death inhibited by DFO |
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salinomycin | lipid ROSa death inhibited by Fer1 |
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amino acid depletion + Cornell dots | lipid ROSa death inhibited by Fer1 and Trolox |
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amino acid depletion, cystine deprivation + holo-transferrin | death inhibited by Fer1 | |||
transferrin ↑ ferroportin-1 ↓ |
lapatinib + siramesine | death inhibited by DFO and Fer1 | ||
Iron oxidation (class IV FINs) | FINO2 | lipid ROSa death inhibited by Fer1 |
||
Increase in LIP by HMOX1↑ (class IV FINs) | KEAP1 inactivation | withaferin A | lipid ROSa in neuroblastoma death inhibited by DFO, Fer1 and α-Toc |
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IκBα | BAY 11-7085 | death inhibited by Fer1, Lip1 and NAC | ||
Unknown | lanperisone | death inhibited by DFO and Trolox | ||
artemisinin derivatives | death inhibited by DFO and Fer1 | |||
CIL41, CIL56, CIL69, CIL70, CIL75, and CIL79 | lipid ROSa for CIL56 death inhibited by DFO and α-Toc |
α-Toc, α-tocopherol; CIL, caspase-3/7-independent lethal; CPX, ciclopirox olamine; DFO, deferoxamine; Fer1, ferrostatin-1; FIN, ferroptosis-inducing compound, GPX4, glutathione peroxidase 4; GSH, glutathione; HMOX1, heme oxygenase-1; IκBα, nuclear factor of κ light-chain polypeptide gene enhancer in B cell inhibitor α; KEAP1, kelch-like ECH-associated protein 1; LIP, labile iron pool; Lip1, liproxstatin-1; PTGS2, prostaglandin-endoperoxide synthase 2, ROS, reactive oxygen species; VDAC, voltage-dependent anion channel.
a
Lipid ROS shown by C11-BODIPY staining.
b
GPX4 inactivation shown using LC-MS-based GPX4 assay (PCOOH).
c
Direct GPX4 binding shown through pull-down.
그림 2 . Ferroptosis 유도의 메커니즘
(A) 클래스 I 페로프토시스 유도 화합물(FIN) 은 시스템 X C -의 억제 또는 글루타메이트-시스테인 리가제(GCL)의 억제를 통해 세포내 글루타티온 (GSH)을 고갈시킴으로써 페로프토시스를 유발 합니다.
(B) 클래스 II FIN은 GPX4의 직접적인 억제 및 불활성화에 의해 페로프토시스를 유발 합니다.
(C) 클래스 III FIN은 GPX4의 간접적인 억제 및 비활성화에 의해 페로프토시스를 유발합니다.
예를 들어, FIN56 은 콜레스테롤 합성에 관여하는 효소인 스쿠알렌 합성효소 (SQS)에 결합하여 활성화 합니다. 이것은 CoQ 10 및 Sec-tRNA와 같은 일부 대사 산물의 억제를 초래할 수 있으며 GPX4의 관찰된 고갈/불활성화를 설명합니다.
(D) 클래스 IV FIN은 직접적인 철 과부하 또는 헴 옥시게나제 1 (HMOX1) 의 과도한 활성을 통해 불안정한 철 풀(LIP)을 증가시켜 페로프토시스를 유발합니다.
Glu, glutamate; BSO, buthionine sulfoximine; GR, glutathione reductase; GS, glutathione synthase; Gly, glycine, GSSG, glutathione disulfide; HMGCR, 3-hydroxy-3-methylglutaryl CoA reductase; WA, withaferin A; SAS, sulfasalazine; FPP, farnesyl pyrophosphate; KEAP1, kelch-like ECH-associated protein 1; NRF2, nuclear factor erythroid 2-related factor 2; DMT1, divalent metal transporter 1.
Table 2. Modulators of Ferroptosis
GeneProtein Function Modulatory Effect References
TFRC | transferrin receptor | cellular transferrin-iron uptake | knockdown suppresses erastin-induced ferroptosis | |
knockdown suppresses ferroptosis induced by amino acid/cystine deprivation | ||||
PHKG2 | phosphorylase kinase, γ2 | activates glycogen phosphorylase to release glucose-1-phosphate from glycogen | iron regulatory function? knockdown suppresses erastin-induced ferroptosis |
|
IREB2 | iron response element-binding protein 2 | RNA-binding protein that regulates iron levels in the cells by regulating the translation and stability of mRNAs that affect iron homeostasis upon iron depletion | knockdown suppresses ferroptosis induced by erastin or amino acid/cystine deprivation | |
HSBP1 | heat-shock 27-kDa protein 1 | activated in heat stress response by heat-shock factor 1 (HSF1) | iron regulatory function? knockdown enhances erastin-induced ferroptosis in vitro and in vivo |
|
HMOX1 | heme oxygenase 1 | catalyzes the degradation of heme to biliverdin, CO, and Fe2+ | inhibition or knockdown suppresses withaferin A-induced ferroptosis |
|
inhibition or knockout suppresses erastin-induced ferroptosis |
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inhibition or knockdown suppresses BAY-induced ferroptosis |
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CISD1/mitoNEET | CDGSH iron-sulfur domain 1 | inhibits mitochondrial iron transport into the matrix | knockdown enhances erastin-induced ferroptosis |
|
NCOA4 | nuclear receptor coactivator 4 | cargo receptor mediating ferritinophagy | knockdown suppresses ferroptosis induced by amino acid/cystine deprivation | |
knockdown suppresses erastin-induced ferroptosis | ||||
ACO1 | aconitase 1 | iron-sulfur protein that converses citrate to isocitrate, controls iron inside cell | knockdown suppresses ferroptosis induced by amino acid/cystine deprivation |
|
FTH1 | ferritin heavy chain 1 | subunit of major intracellular iron storage protein | expression level controls ferroptosis sensitivity |
|
knockdown enhances erastin- or sorafenib-induced ferroptosis in hepatocellular carcinoma |
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STEAP3 | six-transmembrane epithelial antigen of prostate 3 | metalloreductase converting Fe3+ to Fe2+ | upregulated in response to erastin in bone marrow stromal cells |
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FANCD2 | Fanconi anemia complementation group D2 | nuclear protein involved in DNA damage repair | iron regulatory function? knockout enhances erastin-induced ferroptosis in bone marrow stromal cells |
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NFS1 | cysteine desulfurase | enzyme involved in synthesizing iron-sulfur clusters using sulfur from cysteine | knockdown activates the iron-starvation response promoting erastin-induced ferroptosis |
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ACSF2 | acyl-CoA synthetase family member 2 | regulation of mitochondrial fatty acid metabolism | knockdown suppresses erastin-induced ferroptosis | |
CS | citrate synthase | regulation of mitochondrial fatty acid metabolism | knockdown suppresses erastin-induced ferroptosis | |
LPCAT3 | lysophosphatidylcholine acyltransferase 3 | incorporation of acylated fatty acids into membranes by catalyzing the reacylation of lysophospholipids to phospholipids | identified in haploid cell genetic screen |
|
knockdown suppresses RSL3-induced ferroptosis |
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ACSL4 | acyl-CoA synthetase long-chain family member 4 | converts free fatty acids (preferentially AA) into fatty acyl-CoAs | identified in haploid cell genetic screen |
|
knockdown suppresses erastin-induced ferroptosis | ||||
inhibition or knockout suppresses RSL3-induced ferroptosis |
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inhibition or knockout suppresses erastin-, RSL3-, or GPX4-depletion-induced ferroptosis inhibition suppresses GPX4-depletion-induced damage in vivo |
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ACSL3 | acyl-CoA synthetase long-chain family member 3 | converts exogenous monounsaturated fatty acids (MUFAs) into fatty acyl-CoAs | required for MUFA-induced protection from erastin2-induced ferroptosis knockout attenuates MUFA-induced resistance to ferroptosis |
|
ACACA | Acetyl-CoA carboxylase alpha | Converts acetyl-CoA to malonyl-CoA, the rate-limiting step in fatty acid synthesis | identified in haploid cell genetic screen |
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inhibition suppresses FIN56-, but not erastin- or RSL3- induced ferroptosis |
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GPX4 | glutathione peroxidase 4 | lipid repair enzyme | inhibition or knockout induces ferroptosis |
|
AKR1C | aldo-keto reductase family 1 member C1 | regulate the detoxification of oxidative lipid breakdown products | upregulation confers protection against erastin-induced ferroptosis |
|
LOX | lipoxygenase-12/15 | catalyzes the dioxygenation of polyunsaturated fatty acids in lipids | inhibition or knockout suppresses GPX4-depletion-induced ferroptosis |
|
lipoxygenases | knockout protects against imidazole keto erastin (IKE)-, but not RSL3-induced ferroptosis inhibition protects against erastin-induced ferroptosis | |||
PEBP1 | phosphatidylethanolamine-binding protein 1 | protein scaffold | controls substrate specificity of LOX15 knockdown suppresses RSL3-induced ferroptosis |
|
ZEB1 | zinc finger E-box-binding homeobox 1 | EMT regulator and lipogenic factor | knockout suppresses GPX4-depletion-induced ferroptosis |
|
SQS/FDFT1 | squalene synthase/farnesyl-diphosphate farnesyltransferase 1 | responsible for synthesis of squalene and involved in cholesterol synthesis | knockdown or inhibition suppresses FIN-56-induced ferroptosis |
|
knockout or inhibition sensitizes SQLE-deficient anaplastic large cell lymphoma (ALCL) cells to ML162-induced ferroptosis |
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SQLE | squalene monooxygenase | catalyzes the conversion of squalene to squalene-2,3-epoxide and involved in cholesterol synthesis | overexpression sensitizes SQLE-deficient ALCL cells to ML162-induced ferroptosis |
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HMGCR | 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase | synthesis of mevalonic acid | inhibition enhances FIN-56-induced ferroptosis |
|
FADS2 | fatty acid desaturase 2/acyl-CoA 6-desaturase | involved in biosynthesis of highly unsaturated fatty acids, desaturates palmitate to produce the monounsaturated fatty acid sapienate | knockdown decreases sapienate production and suppresses RSL3- induced lipid peroxidation in HUH7 liver cancer cells |
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NRF2 | nuclear factor erythroid 2-related factor 2 | key regulator of anti-oxidant response including the expression of system XC− | inhibition or knockdown enhances erastin- or sorafenib-induced ferroptosis in hepatocellular carcinoma in vitro and in vivo |
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knockdown enhances artesunate-induced ferroptosis in head and neck cancer in vitro and in vivo |
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overexpression confers resistance to erastin- and RSL3-induced ferroptosis in glioma cells, while knockdown enhances ferroptosis |
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KEAP1 | kelch-like ECH- associated protein 1 | binds to and regulates NRF2 by keeping its levels at control | overexpression enhances erastin- and RSL3-induced ferroptosis in glioma cells, while knockdown confers resistance to ferroptosis |
|
knockdown confers resistance to artesunate-induced ferroptosis in head and neck cancer | ||||
HMOX1 | heme oxygenase 1 | catalyzes the degradation of heme to biliverdin, CO, and Fe2+ | knockout enhances erastin-induced ferroptosis in proximal tubular cells | |
knockout enhances erastin- and sorafenib-induced ferroptosis in hepatocellular carcinoma cells | ||||
NQO1 | quinone oxidoreductase-1 | reduces quinones to hydroquinones | knockdown enhances erastin- and sorafenib-induced ferroptosis in hepatocellular carcinoma cells | |
SLC7A11 | solute carrier family 7 member 11 | subunit of system Xc− to import cystine in the cell | inhibition induces ferroptosis | |
GCLC | glutamate-cysteine ligase catalytic subunit | enzyme involved in GSH synthesis | inhibition induces ferroptosis | |
CARS | cysteinyl-tRNA synthetase | protein translation | knockdown suppresses erastin-induced ferroptosis through compensatory activation of transsulfuration pathway [Cys]↑ | |
CBS | cystathionine-β-synthase | converts homocysteine to cystathionine | inhibition or knockdown resensitizes erastin-induced ferroptosis in CARS knockdown cells | |
NOX | NADPH oxidase | superoxide-producing enzymes | inhibition suppresses erastin-induced ferroptosis in non-small cell lung cancer cells | |
ABCC1/MRP1 | multidrug-resistance protein 1 | mediates GSH and chemotherapeutics efflux from cells | overexpression sensitizes to ferroptosis induced by erastin2 and cyst(e)inase, RSL3 and ML162 | |
SLC1A5 | solute carrier family 1 member 5 | amino acid transporter feeding glutaminolysis | inhibition or knockdown suppresses ferroptosis induced by amino acid/cystine deprivation | |
GLS2 | glutaminase 2 | converts glutamine to glutamate | inhibition or knockdown suppresses ferroptosis induced by erastin or amino acid/cystine deprivation | |
GOT1 | glutamic-oxaloacetic transaminase 1 | involved in synthesis of α-ketoglutarate from glutamate | inhibition suppresses ferroptosis induced by erastin or amino acid/cystine deprivation | |
microRNA 137 | targets and regulates SLC1A5 levels | overexpression suppresses SLC1A5 and confers resistance to erastin- and RSL3-induced ferroptosis, while inhibition sensitizes to ferroptosis | ||
G6PD | glucose-6-phosphate dehydrogenase | involved in pentose phosphate pathway | knockdown suppresses erastin-induced ferroptosis in non-small cell lung cancer cells Calu-1 | |
knockdown suppresses ferroptosis induced by amino acid/cystine deprivation | ||||
PGD | phosphoglycerate dehydrogenase | involved in pentose phosphate pathway | knockdown suppresses erastin-induced ferroptosis in non-small cell lung cancer cells Calu-1 |
그림 3 . Ferroptosis 조절 개요
(A-D) 철 대사 와 트랜스페린, TFRC 및 페리티노파지를 포함한 조절 자는 세포 내 불안정 철 풀(LIP) 수준을 증가시켜 지질 과산화 및 페로프토시스를 조절 합니다.
(E) 글루타민과 글루타민 분해는 지방산 합성을 위한 구연산염과 같은 전구체를 공급하여 페로프토시스를 촉진 합니다.
(F) Mevalonate 경로의 대사산물인 isopentenyl pyrophosphate(IPP)는 콜레스테롤 생합성, isopentenylation, Sec-tRNA 및 CoQ10 생산에 중요하며 FIN56에 의해 유도되는 ferroptosis를 조절합니다.
(G) Transsulfuration pathway 는 glutathione 합성을 위해 cystathionine 에서 cysteine을 공급함으로써 ferroptosis에 대한 감수성에 영향을 미친다 .
(H) GPX4 는 지질 과산화수소를 해독하여 페로프토시스의 주요 음성 조절인자입니다 .
GPX4의 활성에는 GSH와 셀레늄이 필요합니다.
아실-CoA 합성효소 장쇄 패밀리 구성원 4(ACSL4) 및 리소포스파티딜콜린 아실트랜스퍼라제 3(LPCAT3) 의 활성에 의해 조절되는 PL 에서 에스테르화된 아라키도노일(AA)/아드레노일(AdA)의 양이 페로프토시스 에 대한 민감성을 정의합니다.
PUFA의 직접적인 산소화 에 의한 LOX 는 독성 PL 하이드로퍼옥사이드를 생성 합니다.
TF, transferrin; TFRC, transferrin receptor; STEAP3, six-transmembrane epithelial antigen of prostate 3; NCOA4, nuclear receptor coactivator 4; GLS2, glutaminase 2; GOT1, glutamic-oxaloacetic transaminase 1; FPP, farnesyl pyrophosphate; DMT1, divalent metal transporter 1; SQS, squalene synthase; Met, methionine; Cys, cysteine.
Table 3. Regulation of Ferroptosis by Cancer Metabolism
GeneProteinFunctionModulatory EffectReferences
TP53 | wild-type p53 | tumor suppressor | knockout/knockdown increases cystine uptake and suppresses ferroptosis in osteosarcoma U2OS and breast cancer MCF7 cells | |
knockdown sensitizes colorectal cancer HCT116 and SW48 cell to ferroptosis | ||||
stabilization with nutlin-3 in mouse embryonic fibroblasts, HT-1080 fibrosarcoma, renal cancer Caki-1, and osteosarcoma U2OS cells suppresses ferroptosis | ||||
mutated p533KR | triple acetylation-defective mutant (K117/161/162) that fails to induce cell-cycle arrest, senescence, and apoptosis | retains the ability to regulate SLC7A11 expression and induce ferroptosis | ||
Mutated p53S47 | nonsynonymous single-nucleotide polymorphism at codon 47 in African-descent populations | impaired ferroptosis induction in p53S47 knockin MEF cells | ||
intact ferroptosis induction in E1A/Ras-transformed p53S47 knockin cells | ||||
mutated p534KR | quadruple acetylation-defective mutant (K98/117/161/162) that fails to induce cell-cycle arrest, senescence, and apoptosis | impaired ferroptosis induction and loss of tumor-suppressor activity | ||
mutated p53 | missense mutations (R273H, R175H) that impair p53 sequence-specific binding to DNA | accumulated mutant-p53 protein sensitizes esophageal and lung cancer cells to ferroptosis | ||
BAP1 | BRCA1-associated protein 1 | nuclear deubiquitinating epigenetically regulates gene expression | promotes ferroptosis by repression of SLC7A11 expression | |
CDKN1A | cyclin-dependent kinase (CDK) inhibitor 1A (p21) | inhibits CDK causing cell-cycle arrest | overexpression confers resistance to erastin2-induced ferroptosis (by retarding GSH depletion?) | |
SAT1 | spermidine/spermine N1-acetyltransferase 1 | acetylates spermidine and spermine | transcription target of p53 overexpression leads to ferroptosis upon ROS stress knockout suppresses p53-induced ferroptosis |
|
SOCS1 | suppressor of cytokine signaling 1 | cytokine-induced negative regulators of cytokine signaling | regulates p53 expression and sensitizes cells to ferroptosis | |
TP63 | ΔN tumor protein 63α | oncogene | orchestrates GSH metabolism overexpression confers resistance to erastin- or RSL3-induced ferroptosis, while knockdown enhances ferroptosis |
|
OTUB1 | ovarian tumor (OTU) family member deubiquitinase | directly interacts with SLC7A11 and regulates SLC7A11 stability | suppresses ferroptosis by stabilizing SLC7A11 knockout sensitizes to erastin-induced ferroptosis |
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