Aug 2026· Proceedings of the National Academy of Sciences of the United States of America· Vol 123 34, pp.
e2606216123
· 1 citation· ⚡ 1 influential· 87 references
Medicine
TL;DR
Findings indicate MCU-mediated acetyl-CoA metabolism as a critical anti-ferroptosis mechanism, which can be investigated as a potential therapeutic candidate for tumor treatment.
Abstract
Ferroptosis is a unique type of programmed cell death caused by excessive lipid peroxidation and represents a vulnerability in certain types of cancer. However, the signaling mechanisms that modulate ferroptosis and its functional consequence on the tumor microenvironment are poorly understood. Here, we demonstrate an inhibitory effect of mitochondrial calcium uniporter (MCU) on ferroptosis during embryogenesis and tumor development. MCU-dependent production of metabolite acetyl-coenzyme A (acetyl-CoA) supports the normal function of glutathione peroxidase 4 (GPX4), a critical gatekeeper of ferroptosis. Mechanistically, acetylation of GPX4 on lysine 90 (K90) prevents the formation of a detrimental salt bridge between K90 and aspartate 23, therefore protecting GPX4 enzymatic activity and avoiding ferroptosis. Deletion of MCU in cancer cells caused a robust antitumor T cell response and significantly blunted tumor growth. Thus, our findings indicate MCU-mediated acetyl-CoA metabolism as a critical anti-ferroptosis mechanism, which can be investigated as potential therapeutic candidate for tumor treatment.
This review summarizes the molecular mechanisms underlining the relationship between ferroptosis and cancer biology, tumor progression, tumor microenvironment, and therapy resistance, with particular interest in its emerging relevance and therapeutic potential in pediatric oncology, while critically considering the cur...
A. Di Paola, M. Marrapodi, Giuseppe Di Feo et al.· International Journal of Mol...· 0 citations
The potential effects of cancer-associated fibroblasts, the kynurenine metabolic pathway, and the tumor microenvironment itself on NK cell ferroptosis are summarized.
The T cell subset-specific effects of ferroptosis-related pathways and ferroptosis susceptibility, and the implications for immunotherapy are highlighted, and a framework for precision T cell-based immunotherapies is proposed.
Jing-Shu Song, Qian Wu, Douglas R. Green et al.· Nature reviews. Immunology· 0 citations
A target-cell-oriented pharmacological map that integrates their autophagic targets, ferroptotic effects, disease contexts and relevant target-cell populations is constructed, thereby providing a rationale for developing ADF-based therapeutic strategies with defined indications, measurable pharmacodynamic biomarkers an...
Xiao Cui, Xinzhu Dong, Yang Li et al.· Pharmacological Research· 0 citations
The theoretical framework to support the clinical translation of FSP1-targeted antitumor strategies is established and the plasticity of FSP1 dependency in tumor cells in vivo is deeply analyzed.
Peng Lin, Jingzhe Ma, Zhi-Nan Chen et al.· Ferroptosis and Oxidative St...· 0 citations
Ferroptosis of NK cells may be an important mechanism connecting tumor metabolic reprogramming and immune dysfunction, and is expected to become a new direction for immunotherapy intervention.
Xinyan Ju· 0 citations
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