Is it possible to starve cancer and kill it?
Ferroptosis Protocol Research Report
Understanding Ferroptosis
Ferroptosis is a form of regulated cell death characterized by iron dependency and the accumulation of lipid peroxides on cell membranes. It is distinct from other forms of cell death such as apoptosis, necrosis, and autophagy . The process is initiated when the cell's antioxidant defenses, particularly the glutathione-dependent system, fail, leading to unchecked lipid peroxidation and cell death
Molecular Mechanisms
Ferroptosis is regulated at multiple levels, including epigenetic, transcriptional, posttranscriptional, and posttranslational layers. It can occur through two major pathways: the extrinsic or transporter-dependent pathway and the intrinsic or enzyme-regulated pathway . The core molecular mechanism involves an imbalance between oxidative damage generated by intracellular free radicals and the intracellular antioxidant system.
Role in Diseases and Cancer
Ferroptosis has been implicated in various diseases, including neurodegenerative disorders like Alzheimer's disease, amyotrophic lateral sclerosis, and Parkinson's disease, as well as in several types of cancer. It plays a key pathogenic role in these diseases and is recognized as a target for the development of treatment and prevention strategies.
Ferroptosis and Cancer Therapy
Ferroptosis inducers can disable ferroptosis defense systems in cancer cells, triggering them to undergo ferroptosis. This is particularly important as many cancer cells can evade apoptosis, the primary cell death pathway targeted by most cancer treatments . Inducing ferroptosis has been shown to reverse drug resistance in cancer therapy, offering new opportunities for tumor suppression.
Pharmacological Aspects
There has been considerable progress in developing pharmacological agonists and antagonists for the treatment of ferroptosis-related conditions. Iron chelators and small lipophilic antioxidants can prevent ferroptosis, while certain compounds have been identified as selectively lethal to cancer cells with specific mutations.
Genetic and Biochemical Distinctions
Ferroptosis is genetically, morphologically, and biochemically distinct from other types of cell death
. It involves the accumulation of iron and lethal lipid species derived from lipid peroxidation . The sensitivity of cells to ferroptosis can be affected by the iron redox cycle and the synthesis of polyunsaturated fatty acids.
Implications for Cancer Treatment
Targeting ferroptosis may be a viable strategy to treat cancer, but many mechanisms regulating ferroptosis are still unknown. Tumor cells, due to their high proliferation rate, are more dependent on iron, a phenomenon known as iron addiction . This makes them potentially more susceptible to ferroptosis-inducing strategies.
Immunological Considerations
Ferroptosis has been linked to sterile inflammation and is involved in T cell immunity and cancer immunotherapy. Inducing ferroptosis in cancer cells may stimulate antitumor immunity, overcoming immunotherapy resistance.
Conclusion
Ferroptosis is a regulated form of cell death that is distinct from other cell death mechanisms, with significant implications for the treatment of various diseases, particularly cancer. It is characterized by iron dependency, lipid peroxidation, and the failure of antioxidant defenses. The development of ferroptosis inducers and inhibitors is an active area of research, offering potential new avenues for cancer therapy and the reversal of drug resistance. As research continues, the understanding of ferroptosis will deepen, potentially leading to more effective treatments for cancer and other diseases where ferroptosis plays a pathogenic role.