State Key Laboratory of Medicinal Chemical Biology, Tianjin Key Laboratory of Protein Sciences, Department of Biochemistry and Molecular Biology, College of Life Sciences, Nankai University, Tianjin, 300071, China.
Acta Pharmacol Sin. 2023 Mar;44(3):622-634. doi: 10.1038/s41401-022-00981-9. Epub 2022 Sep 15.
Sorafenib, which inhibits multiple kinases, is an effective frontline therapy for hepatocellular carcinoma (HCC). Ferroptosis is a form of iron-dependent programmed cell death regulated by lipid peroxidation, which can be induced by sorafenib treatment. Oncoprotein hepatitis B X-interacting protein (HBXIP) participates in multiple biological pro-tumor processes, including growth, metastasis, drug resistance, and metabolic reprogramming. However, the role of HBXIP in sorafenib-induced ferroptotic cell death remains unclear. In this study, we demonstrated that HBXIP prevents sorafenib-induced ferroptosis in HCC cells. Sorafenib decreased HBXIP expression, and overexpression of HBXIP blocked sorafenib-induced HCC cell death. Interestingly, suppression of HBXIP increased malondialdehyde (MDA) production and glutathione (GSH) depletion to promote sorafenib-mediated ferroptosis and cell death. Ferrostatin-1, a ferroptosis inhibitor, reversed the enhanced anticancer effect of sorafenib caused by HBXIP silencing in HCC cells. Regarding the molecular mechanism, HBXIP transcriptionally induced the expression of stearoyl-CoA desaturase (SCD) via coactivating the transcriptional factor ZNF263, resulting in the accumulation of free fatty acids and suppression of ferroptosis. Functionally, activation of the HBXIP/SCD axis reduced the anticancer activity of sorafenib and suppressed ferroptotic cell death in vivo and in vitro. HBXIP/SCD axis-mediated ferroptosis can serve as a novel downstream effector of sorafenib. Our results provide new evidence for clinical decisions in HCC therapy.
索拉非尼能抑制多种激酶,是治疗肝细胞癌(HCC)的有效一线治疗药物。铁死亡是一种由脂质过氧化调节的铁依赖性程序性细胞死亡,可由索拉非尼治疗诱导。癌蛋白乙型肝炎病毒 X 交互蛋白(HBXIP)参与多种促进肿瘤的生物学过程,包括生长、转移、耐药和代谢重编程。然而,HBXIP 在索拉非尼诱导的铁死亡细胞死亡中的作用尚不清楚。在本研究中,我们证明了 HBXIP 可防止 HCC 细胞中索拉非尼诱导的铁死亡。索拉非尼降低了 HBXIP 的表达,而过表达 HBXIP 则阻断了索拉非尼诱导的 HCC 细胞死亡。有趣的是,抑制 HBXIP 增加了丙二醛(MDA)的产生和谷胱甘肽(GSH)的耗竭,从而促进了索拉非尼介导的铁死亡和细胞死亡。铁死亡抑制剂 Ferrostatine-1 逆转了 HBXIP 沉默增强 HCC 细胞中索拉非尼抗癌作用。就分子机制而言,HBXIP 通过共激活转录因子 ZNF263 转录诱导硬脂酰辅酶 A 去饱和酶(SCD)的表达,导致游离脂肪酸的积累和铁死亡的抑制。在功能上,HBXIP/SCD 轴的激活降低了索拉非尼的抗癌活性,并抑制了体内和体外的铁死亡细胞死亡。HBXIP/SCD 轴介导的铁死亡可作为索拉非尼的新型下游效应物。我们的研究结果为 HCC 治疗的临床决策提供了新的证据。
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