Department of Neurosurgery, Jinling Hospital, Southeast University, School of Medicine, Nanjing 210002, P.R. China.
Department of Neurosurgery, Jinling Hospital, Nanjing University, School of Medicine, Nanjing 210002, P.R. China.
Biosci Rep. 2020 Jun 26;40(6). doi: 10.1042/BSR20193314.
It has been demonstrated from previous studies about the killing effect of dihydroartemisinin (DHA) on glioblastoma, which involves multiple aspects: cytotoxicity, cell cycle arrest and invasion inhibition. DHA has the advantages of low cytotoxicity to normal cells, selective killing effect and low drug resistance, making it one of the popular anti-tumor research directions. Ferroptosis is a newly discovered form of cell death characterized by iron dependence and lipid reactive oxygen species (ROS) accumulation. In the present study, we found differences in the expression of transferrin receptors in normal human astrocytes (NHA) and glioblastoma cells (U87 and A172), which may be one of the mechanisms of DHA selective killing effect. Through the determination of ferroptosis-related protein expression, we found that the significant decrease of GPX4, accompanied by the constant expression of xCT and ACSL4, suggesting GPX4 was a pivotal target for DHA-activated ferroptosis in glioblastoma. Total and lipid ROS levels were increased and all these results could be reversed by the ferroptosis inhibitor, ferrostatin-1. These findings demonstrated ferroptosis would be a critical component of cell death caused by DHA and GPX4 was the main target. All these results provide a novel treatment direction to glioblastoma. The association between ferroptosis and polyamines is also discussed, which will provide new research directions for ferroptosis caused by DHA in glioblastoma.
已有研究表明,双氢青蒿素(DHA)对神经胶质瘤具有杀伤作用,涉及多个方面:细胞毒性、细胞周期停滞和侵袭抑制。DHA 具有对正常细胞低细胞毒性、选择性杀伤作用和低耐药性的优点,使其成为热门的抗肿瘤研究方向之一。铁死亡是一种新发现的细胞死亡形式,其特征是铁依赖性和脂质活性氧(ROS)的积累。在本研究中,我们发现正常人类星形胶质细胞(NHA)和神经胶质瘤细胞(U87 和 A172)中转铁蛋白受体的表达存在差异,这可能是 DHA 选择性杀伤作用的机制之一。通过测定铁死亡相关蛋白的表达,我们发现 GPX4 显著减少,同时 xCT 和 ACSL4 持续表达,提示 GPX4 是 DHA 激活神经胶质瘤铁死亡的关键靶点。总 ROS 和脂质 ROS 水平升高,所有这些结果均可被铁死亡抑制剂 ferrostatin-1 逆转。这些发现表明铁死亡将成为 DHA 引起的细胞死亡的一个重要组成部分,GPX4 是主要靶点。所有这些结果为神经胶质瘤的治疗提供了新的方向。还讨论了铁死亡与多胺之间的关系,这将为 DHA 引起的神经胶质瘤铁死亡提供新的研究方向。
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