In defence of ferroptosis

Abstract Rampant phospholipid peroxidation initiated by iron causes ferroptosis unless this is restrained by cellular defences. Ferroptosis is increasingly implicated in a host of diseases, and unlike other cell death programs the physiological initiation of ferroptosis is conceived to occur not by...

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Main Authors: Francesca Alves, Darius Lane, Triet Phu Minh Nguyen, Ashley I. Bush, Scott Ayton
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-024-02088-5
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author Francesca Alves
Darius Lane
Triet Phu Minh Nguyen
Ashley I. Bush
Scott Ayton
author_facet Francesca Alves
Darius Lane
Triet Phu Minh Nguyen
Ashley I. Bush
Scott Ayton
author_sort Francesca Alves
collection DOAJ
description Abstract Rampant phospholipid peroxidation initiated by iron causes ferroptosis unless this is restrained by cellular defences. Ferroptosis is increasingly implicated in a host of diseases, and unlike other cell death programs the physiological initiation of ferroptosis is conceived to occur not by an endogenous executioner, but by the withdrawal of cellular guardians that otherwise constantly oppose ferroptosis induction. Here, we profile key ferroptotic defence strategies including iron regulation, phospholipid modulation and enzymes and metabolite systems: glutathione reductase (GR), Ferroptosis suppressor protein 1 (FSP1), NAD(P)H Quinone Dehydrogenase 1 (NQO1), Dihydrofolate reductase (DHFR), retinal reductases and retinal dehydrogenases (RDH) and thioredoxin reductases (TR). A common thread uniting all key enzymes and metabolites that combat lipid peroxidation during ferroptosis is a dependence on a key cellular reductant, nicotinamide adenine dinucleotide phosphate (NADPH). We will outline how cells control central carbon metabolism to produce NADPH and necessary precursors to defend against ferroptosis. Subsequently we will discuss evidence for ferroptosis and NADPH dysregulation in different disease contexts including glucose-6-phosphate dehydrogenase deficiency, cancer and neurodegeneration. Finally, we discuss several anti-ferroptosis therapeutic strategies spanning the use of radical trapping agents, iron modulation and glutathione dependent redox support and highlight the current landscape of clinical trials focusing on ferroptosis.
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spelling doaj-art-05c8b28c3d5c4349b33d044d20daa3a52025-01-05T12:47:56ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352025-01-0110112910.1038/s41392-024-02088-5In defence of ferroptosisFrancesca Alves0Darius Lane1Triet Phu Minh Nguyen2Ashley I. Bush3Scott Ayton4The Florey Institute of Neuroscience and Mental HealthThe Florey Institute of Neuroscience and Mental HealthThe Florey Institute of Neuroscience and Mental HealthThe Florey Institute of Neuroscience and Mental HealthThe Florey Institute of Neuroscience and Mental HealthAbstract Rampant phospholipid peroxidation initiated by iron causes ferroptosis unless this is restrained by cellular defences. Ferroptosis is increasingly implicated in a host of diseases, and unlike other cell death programs the physiological initiation of ferroptosis is conceived to occur not by an endogenous executioner, but by the withdrawal of cellular guardians that otherwise constantly oppose ferroptosis induction. Here, we profile key ferroptotic defence strategies including iron regulation, phospholipid modulation and enzymes and metabolite systems: glutathione reductase (GR), Ferroptosis suppressor protein 1 (FSP1), NAD(P)H Quinone Dehydrogenase 1 (NQO1), Dihydrofolate reductase (DHFR), retinal reductases and retinal dehydrogenases (RDH) and thioredoxin reductases (TR). A common thread uniting all key enzymes and metabolites that combat lipid peroxidation during ferroptosis is a dependence on a key cellular reductant, nicotinamide adenine dinucleotide phosphate (NADPH). We will outline how cells control central carbon metabolism to produce NADPH and necessary precursors to defend against ferroptosis. Subsequently we will discuss evidence for ferroptosis and NADPH dysregulation in different disease contexts including glucose-6-phosphate dehydrogenase deficiency, cancer and neurodegeneration. Finally, we discuss several anti-ferroptosis therapeutic strategies spanning the use of radical trapping agents, iron modulation and glutathione dependent redox support and highlight the current landscape of clinical trials focusing on ferroptosis.https://doi.org/10.1038/s41392-024-02088-5
spellingShingle Francesca Alves
Darius Lane
Triet Phu Minh Nguyen
Ashley I. Bush
Scott Ayton
In defence of ferroptosis
Signal Transduction and Targeted Therapy
title In defence of ferroptosis
title_full In defence of ferroptosis
title_fullStr In defence of ferroptosis
title_full_unstemmed In defence of ferroptosis
title_short In defence of ferroptosis
title_sort in defence of ferroptosis
url https://doi.org/10.1038/s41392-024-02088-5
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