Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin

IntroductionFerroptosis, an iron-dependent form of regulated cell death, is characterized by the lethal accumulation of lipid peroxides on cellular membranes. It not only inhibits tumor growth but also enhances immunotherapy responses and overcomes drug resistance in cancer therapy. The inhibition o...

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Main Authors: Ziwei Yang, Tixin Han, Ruibin Yang, Yinuo Zhang, Yifei Qin, Jialu Hou, Fei Huo, Zhuan Feng, Yaxin Ding, Jiali Yang, Gang Zhou, Shijie Wang, Xiaohang Xie, Peng Lin, Zhi-Nan Chen, Jiao Wu
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Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1531874/full
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author Ziwei Yang
Ziwei Yang
Tixin Han
Ruibin Yang
Ruibin Yang
Yinuo Zhang
Yinuo Zhang
Yifei Qin
Yifei Qin
Yifei Qin
Jialu Hou
Jialu Hou
Fei Huo
Fei Huo
Zhuan Feng
Zhuan Feng
Yaxin Ding
Yaxin Ding
Jiali Yang
Jiali Yang
Gang Zhou
Gang Zhou
Shijie Wang
Shijie Wang
Xiaohang Xie
Xiaohang Xie
Peng Lin
Peng Lin
Zhi-Nan Chen
Zhi-Nan Chen
Jiao Wu
Jiao Wu
author_facet Ziwei Yang
Ziwei Yang
Tixin Han
Ruibin Yang
Ruibin Yang
Yinuo Zhang
Yinuo Zhang
Yifei Qin
Yifei Qin
Yifei Qin
Jialu Hou
Jialu Hou
Fei Huo
Fei Huo
Zhuan Feng
Zhuan Feng
Yaxin Ding
Yaxin Ding
Jiali Yang
Jiali Yang
Gang Zhou
Gang Zhou
Shijie Wang
Shijie Wang
Xiaohang Xie
Xiaohang Xie
Peng Lin
Peng Lin
Zhi-Nan Chen
Zhi-Nan Chen
Jiao Wu
Jiao Wu
author_sort Ziwei Yang
collection DOAJ
description IntroductionFerroptosis, an iron-dependent form of regulated cell death, is characterized by the lethal accumulation of lipid peroxides on cellular membranes. It not only inhibits tumor growth but also enhances immunotherapy responses and overcomes drug resistance in cancer therapy. The inhibition of the cystine-glutamate antiporter, system Xc–, induces ferroptosis. Imidazole ketone erastin (IKE), an inhibitor of the system Xc– functional subunit solute carrier family 7 member 11 (SLC7A11), is an effective and metabolically stable inducer of ferroptosis with potential in vivo applications. However, tumor cells exhibited differential sensitivity to IKE-induced ferroptosis. The intrinsic factors determining sensitivity to IKE-induced ferroptosis remain to be explored to improve its efficacy.MethodsBulk RNA-sequencing data from hepatocellular carcinoma (HCC) and normal liver tissues were collected from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) databases. Differentially expressed genes were identified and intersected with the ferroptosis-related genes (FRGs) listed in the FerrDb database, yielding the identification of 13 distinct FRGs.ResultsA ferroptosis signature index model (Risk Score) was developed to predict HCC prognosis. And SLC7A11 and NAD(P)H quinone dehydrogenase 1 (NQO1) were identified as candidate FRGs indicating poor prognosis of HCC. Dicoumarol (DIC), an inhibitor of NQO1, was subsequently employed to assess its sensitizing effects on IKE in HCC treatment. In HCC cell lines and the subcutaneous xenograft model, the combined suppression of SLC7A11 and NQO1 significantly enhanced the inhibitory effect on tumor growth by inducing ferroptosis.DiscussionIn conclusion, our findings demonstrate that DIC sensitized HCC cells to IKE-induced ferroptosis in HCC. Moreover, the identification of potential drugs that enhance the susceptibility of HCC cells to ferroptosis could provide novel therapeutic strategies for the treatment of HCC.
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spelling doaj-art-2893da42353b4a61b7afe2bdcabe21762025-02-11T15:04:50ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.15318741531874Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastinZiwei Yang0Ziwei Yang1Tixin Han2Ruibin Yang3Ruibin Yang4Yinuo Zhang5Yinuo Zhang6Yifei Qin7Yifei Qin8Yifei Qin9Jialu Hou10Jialu Hou11Fei Huo12Fei Huo13Zhuan Feng14Zhuan Feng15Yaxin Ding16Yaxin Ding17Jiali Yang18Jiali Yang19Gang Zhou20Gang Zhou21Shijie Wang22Shijie Wang23Xiaohang Xie24Xiaohang Xie25Peng Lin26Peng Lin27Zhi-Nan Chen28Zhi-Nan Chen29Jiao Wu30Jiao Wu31Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaShaanxi Key Laboratory of Bio-electromagnetic Detection and Intelligent Sensing, Military Biomedical Engineering School, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaInstitutes of Biomedicine and Department of Cell Biology, Jinan University, Guangzhou, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaDepartment of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, Xi'an, Shaanxi, ChinaState Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Department of Cell Biology, Fourth Military Medical University, Xi'an, ChinaIntroductionFerroptosis, an iron-dependent form of regulated cell death, is characterized by the lethal accumulation of lipid peroxides on cellular membranes. It not only inhibits tumor growth but also enhances immunotherapy responses and overcomes drug resistance in cancer therapy. The inhibition of the cystine-glutamate antiporter, system Xc–, induces ferroptosis. Imidazole ketone erastin (IKE), an inhibitor of the system Xc– functional subunit solute carrier family 7 member 11 (SLC7A11), is an effective and metabolically stable inducer of ferroptosis with potential in vivo applications. However, tumor cells exhibited differential sensitivity to IKE-induced ferroptosis. The intrinsic factors determining sensitivity to IKE-induced ferroptosis remain to be explored to improve its efficacy.MethodsBulk RNA-sequencing data from hepatocellular carcinoma (HCC) and normal liver tissues were collected from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) databases. Differentially expressed genes were identified and intersected with the ferroptosis-related genes (FRGs) listed in the FerrDb database, yielding the identification of 13 distinct FRGs.ResultsA ferroptosis signature index model (Risk Score) was developed to predict HCC prognosis. And SLC7A11 and NAD(P)H quinone dehydrogenase 1 (NQO1) were identified as candidate FRGs indicating poor prognosis of HCC. Dicoumarol (DIC), an inhibitor of NQO1, was subsequently employed to assess its sensitizing effects on IKE in HCC treatment. In HCC cell lines and the subcutaneous xenograft model, the combined suppression of SLC7A11 and NQO1 significantly enhanced the inhibitory effect on tumor growth by inducing ferroptosis.DiscussionIn conclusion, our findings demonstrate that DIC sensitized HCC cells to IKE-induced ferroptosis in HCC. Moreover, the identification of potential drugs that enhance the susceptibility of HCC cells to ferroptosis could provide novel therapeutic strategies for the treatment of HCC.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1531874/fullhepatocellular carcinomaferroptosisNRF2NQO1SLC7A11prognostic model
spellingShingle Ziwei Yang
Ziwei Yang
Tixin Han
Ruibin Yang
Ruibin Yang
Yinuo Zhang
Yinuo Zhang
Yifei Qin
Yifei Qin
Yifei Qin
Jialu Hou
Jialu Hou
Fei Huo
Fei Huo
Zhuan Feng
Zhuan Feng
Yaxin Ding
Yaxin Ding
Jiali Yang
Jiali Yang
Gang Zhou
Gang Zhou
Shijie Wang
Shijie Wang
Xiaohang Xie
Xiaohang Xie
Peng Lin
Peng Lin
Zhi-Nan Chen
Zhi-Nan Chen
Jiao Wu
Jiao Wu
Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
Frontiers in Immunology
hepatocellular carcinoma
ferroptosis
NRF2
NQO1
SLC7A11
prognostic model
title Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
title_full Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
title_fullStr Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
title_full_unstemmed Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
title_short Dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
title_sort dicoumarol sensitizes hepatocellular carcinoma cells to ferroptosis induced by imidazole ketone erastin
topic hepatocellular carcinoma
ferroptosis
NRF2
NQO1
SLC7A11
prognostic model
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1531874/full
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