Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2

Abstract Background Non-small cell lung cancer represents the main histological subtype of lung cancer. Periplocin is a major cardiac glycoside found in the traditional Chinese medicine Cortex periplocae administered in cardiovascular and autoimmune diseases. Inspired by recent findings reporting th...

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Main Authors: Jinhao Wang, Yue Zhu, Jialiang Song, Fengping Yang, Peng Wang, Ziyi Zhang, Yuxuan Li, Minghe Dai, Yinuo Wang, Waleed Yousuf, Jiayu Li, Dian Yang, Shaoxuan Cheng, Shuyan Liu, Zhaoxia Dai, Xun Qiu, Yingqiu Zhang, Zengchun Hu
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Cancer Cell International
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Online Access:https://doi.org/10.1186/s12935-025-03925-5
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author Jinhao Wang
Yue Zhu
Jialiang Song
Fengping Yang
Peng Wang
Ziyi Zhang
Yuxuan Li
Minghe Dai
Yinuo Wang
Waleed Yousuf
Jiayu Li
Dian Yang
Shaoxuan Cheng
Shuyan Liu
Zhaoxia Dai
Xun Qiu
Yingqiu Zhang
Zengchun Hu
author_facet Jinhao Wang
Yue Zhu
Jialiang Song
Fengping Yang
Peng Wang
Ziyi Zhang
Yuxuan Li
Minghe Dai
Yinuo Wang
Waleed Yousuf
Jiayu Li
Dian Yang
Shaoxuan Cheng
Shuyan Liu
Zhaoxia Dai
Xun Qiu
Yingqiu Zhang
Zengchun Hu
author_sort Jinhao Wang
collection DOAJ
description Abstract Background Non-small cell lung cancer represents the main histological subtype of lung cancer. Periplocin is a major cardiac glycoside found in the traditional Chinese medicine Cortex periplocae administered in cardiovascular and autoimmune diseases. Inspired by recent findings reporting the anticancer activities of periplocin, this study investigates its potential effects against lung cancer. Methods The influence of periplocin on non-small cell lung cancer cells was examined by CCK-8, colony formation, and EdU staining assays, followed by transcriptomic profiling with RNA sequencing. Gene set enrichment analysis was conducted to identify pathways affected by periplocin. Nrf2 expression was assessed by Western blotting and turnover was investigated by cycloheximide chase assays. Cellular ferroptosis was induced by the GPX4 inhibitor with or without periplocin treatment. The in vivo effects of periplocin were assessed using lung cancer xenograft mouse models. Results Periplocin inhibited lung cancer cell growth in vitro. Transcriptomic analysis showed significant downregulation of Nrf2 downstream targets. Biochemical characterization revealed that periplocin increased Nrf2 turnover by promoting proteasomal degradation, leading to decreased levels of downstream transcripts. Functionally, Nrf2 reduction imposed by periplocin treatment rendered lung cancer cells increased susceptibility to ferroptosis induction. Finally, periplocin treatment demonstrated similar inhibition to restrict lung cancer xenograft growth as compared to the ferroptosis inducer imidazole ketone erastin, with both compounds leading to elevated expression of the ferroptosis marker COX2 in xenograft tumor tissues. Conclusion Our investigation suggests periplocin as a potential agent in the development of ferroptosis-inducing therapies against non-small cell lung cancer. Graphical abstract
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issn 1475-2867
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spelling doaj-art-a40eb988f9cc4c0cae7223b22fc514132025-08-20T03:43:36ZengBMCCancer Cell International1475-28672025-08-0125111510.1186/s12935-025-03925-5Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2Jinhao Wang0Yue Zhu1Jialiang Song2Fengping Yang3Peng Wang4Ziyi Zhang5Yuxuan Li6Minghe Dai7Yinuo Wang8Waleed Yousuf9Jiayu Li10Dian Yang11Shaoxuan Cheng12Shuyan Liu13Zhaoxia Dai14Xun Qiu15Yingqiu Zhang16Zengchun Hu17The Second Affiliated Hospital, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityYidao Central HospitalInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityInstitute of Cancer Stem Cell, Dalian Medical UniversityDepartment of Oncology, Second Affiliated Hospital, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityThe Second Affiliated Hospital, Dalian Medical UniversityAbstract Background Non-small cell lung cancer represents the main histological subtype of lung cancer. Periplocin is a major cardiac glycoside found in the traditional Chinese medicine Cortex periplocae administered in cardiovascular and autoimmune diseases. Inspired by recent findings reporting the anticancer activities of periplocin, this study investigates its potential effects against lung cancer. Methods The influence of periplocin on non-small cell lung cancer cells was examined by CCK-8, colony formation, and EdU staining assays, followed by transcriptomic profiling with RNA sequencing. Gene set enrichment analysis was conducted to identify pathways affected by periplocin. Nrf2 expression was assessed by Western blotting and turnover was investigated by cycloheximide chase assays. Cellular ferroptosis was induced by the GPX4 inhibitor with or without periplocin treatment. The in vivo effects of periplocin were assessed using lung cancer xenograft mouse models. Results Periplocin inhibited lung cancer cell growth in vitro. Transcriptomic analysis showed significant downregulation of Nrf2 downstream targets. Biochemical characterization revealed that periplocin increased Nrf2 turnover by promoting proteasomal degradation, leading to decreased levels of downstream transcripts. Functionally, Nrf2 reduction imposed by periplocin treatment rendered lung cancer cells increased susceptibility to ferroptosis induction. Finally, periplocin treatment demonstrated similar inhibition to restrict lung cancer xenograft growth as compared to the ferroptosis inducer imidazole ketone erastin, with both compounds leading to elevated expression of the ferroptosis marker COX2 in xenograft tumor tissues. Conclusion Our investigation suggests periplocin as a potential agent in the development of ferroptosis-inducing therapies against non-small cell lung cancer. Graphical abstracthttps://doi.org/10.1186/s12935-025-03925-5Non-small cell lung cancerPeriplocinFerroptosisTranscriptomic profilingNrf2Proteasomal degradation
spellingShingle Jinhao Wang
Yue Zhu
Jialiang Song
Fengping Yang
Peng Wang
Ziyi Zhang
Yuxuan Li
Minghe Dai
Yinuo Wang
Waleed Yousuf
Jiayu Li
Dian Yang
Shaoxuan Cheng
Shuyan Liu
Zhaoxia Dai
Xun Qiu
Yingqiu Zhang
Zengchun Hu
Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
Cancer Cell International
Non-small cell lung cancer
Periplocin
Ferroptosis
Transcriptomic profiling
Nrf2
Proteasomal degradation
title Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
title_full Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
title_fullStr Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
title_full_unstemmed Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
title_short Periplocin potentiates ferroptotic cell death in non-small cell lung cancer by inducing the degradation of Nrf2
title_sort periplocin potentiates ferroptotic cell death in non small cell lung cancer by inducing the degradation of nrf2
topic Non-small cell lung cancer
Periplocin
Ferroptosis
Transcriptomic profiling
Nrf2
Proteasomal degradation
url https://doi.org/10.1186/s12935-025-03925-5
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