2020
DOI: 10.1038/s41422-019-0263-3
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The role of ferroptosis in ionizing radiation-induced cell death and tumor suppression

Abstract: Ferroptosis, a form of regulated cell death caused by lipid peroxidation, was recently identified as a natural tumor suppression mechanism. Here, we show that ionizing radiation (IR) induces ferroptosis in cancer cells. Mechanistically, IR induces not only reactive oxygen species (ROS) but also the expression of ACSL4, a lipid metabolism enzyme required for ferroptosis, resulting in elevated lipid peroxidation and ferroptosis. ACSL4 ablation largely abolishes IR-induced ferroptosis and promotes radioresistance… Show more

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Cited by 684 publications
(489 citation statements)
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“…IR induces ROS directly by inducing the ACSL4/LPCAT3/ALOX and SLC7A11/GPX4 pathways as an adaptive response. Inactivating SLC7A11 or GPX4 improves the radiosensitivity of cancer cells and xenograft tumors to IR (71). Additionally, ferroptosis has been considered as a direct link to improve tumor control after co-treatments with radiotherapy and CD8+ T cells.…”
Section: Ferroptosis In Cancer Radiotherapymentioning
confidence: 99%
“…IR induces ROS directly by inducing the ACSL4/LPCAT3/ALOX and SLC7A11/GPX4 pathways as an adaptive response. Inactivating SLC7A11 or GPX4 improves the radiosensitivity of cancer cells and xenograft tumors to IR (71). Additionally, ferroptosis has been considered as a direct link to improve tumor control after co-treatments with radiotherapy and CD8+ T cells.…”
Section: Ferroptosis In Cancer Radiotherapymentioning
confidence: 99%
“…Ferrroptosis is an iron-dependent form of cell death caused primarily by the peroxidation of phospholipids (PLs) containing polyunsaturated fatty acids (PUFAs) [8]. ACSL4 is a long-chain fatty acidcoenzyme A ligase that is required for PUFA-PLs biosynthesis, which in turn lead to elevated lipid peroxidation and ferroptosis [18,19]. Yuan et al 2016 [6] found that ACSL4 contributes to the accumulation of lipid intermediates during ferroptosis and identi ed ACSL4 as a biomarker and contributor to ferroptosis.…”
Section: Discussionmentioning
confidence: 99%
“…Employing ferroptosis in combination therapeutics may have the opportunities to enhance the efficacy of existing therapeutic approaches. Ferroptosis is found to enhance the efficacy of immunotherapies [65], chemotherapies [81], and ionization radiations [82][83][84]. DNA damage and ATM/ATR activation have been found to promote ferroptosis [58].…”
Section: Therapeutic Implication and Future Directionmentioning
confidence: 99%