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肺癌中的铁死亡:一种调节细胞死亡的新途径及有前景的药物治疗靶点。

Ferroptosis in lung cancer: a novel pathway regulating cell death and a promising target for drug therapy.

作者信息

Xing Nan, Du Qinyun, Guo Sa, Xiang Gelin, Zhang Yi, Meng Xianli, Xiang Li, Wang Shaohui

机构信息

State Key Laboratory of Southwestern Chinese Medicine Resources, School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.

State Key Laboratory of Southwestern Chinese Medicine Resources, School of Ethnic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, China.

出版信息

Cell Death Discov. 2023 Apr 1;9(1):110. doi: 10.1038/s41420-023-01407-z.

Abstract

Lung cancer is a common malignant tumor that occurs in the human body and poses a serious threat to human health and quality of life. The existing treatment methods mainly include surgical treatment, chemotherapy, and radiotherapy. However, due to the strong metastatic characteristics of lung cancer and the emergence of related drug resistance and radiation resistance, the overall survival rate of lung cancer patients is not ideal. There is an urgent need to develop new treatment strategies or new effective drugs to treat lung cancer. Ferroptosis, a novel type of programmed cell death, is different from the traditional cell death pathways such as apoptosis, necrosis, pyroptosis and so on. It is caused by the increase of iron-dependent reactive oxygen species due to intracellular iron overload, which leads to the accumulation of lipid peroxides, thus inducing cell membrane oxidative damage, affecting the normal life process of cells, and finally promoting the process of ferroptosis. The regulation of ferroptosis is closely related to the normal physiological process of cells, and it involves iron metabolism, lipid metabolism, and the balance between oxygen-free radical reaction and lipid peroxidation. A large number of studies have confirmed that ferroptosis is a result of the combined action of the cellular oxidation/antioxidant system and cell membrane damage/repair, which has great potential application in tumor therapy. Therefore, this review aims to explore potential therapeutic targets for ferroptosis in lung cancer by clarifying the regulatory pathway of ferroptosis. Based on the study of ferroptosis, the regulation mechanism of ferroptosis in lung cancer was understood and the existing chemical drugs and natural compounds targeting ferroptosis in lung cancer were summarized, with the aim of providing new ideas for the treatment of lung cancer. In addition, it also provides the basis for the discovery and clinical application of chemical drugs and natural compounds targeting ferroptosis to effectively treat lung cancer.

摘要

肺癌是人体常见的恶性肿瘤,对人类健康和生活质量构成严重威胁。现有的治疗方法主要包括手术治疗、化疗和放疗。然而,由于肺癌具有较强的转移特性以及相关耐药性和放射抗性的出现,肺癌患者的总体生存率并不理想。迫切需要开发新的治疗策略或新的有效药物来治疗肺癌。铁死亡是一种新型的程序性细胞死亡,不同于凋亡、坏死、焦亡等传统细胞死亡途径。它是由于细胞内铁过载导致铁依赖性活性氧增加,进而导致脂质过氧化物积累,从而诱导细胞膜氧化损伤,影响细胞的正常生命过程,最终促进铁死亡进程。铁死亡的调控与细胞的正常生理过程密切相关,涉及铁代谢、脂质代谢以及自由基反应与脂质过氧化之间的平衡。大量研究证实,铁死亡是细胞氧化/抗氧化系统与细胞膜损伤/修复共同作用的结果,在肿瘤治疗中具有巨大的潜在应用价值。因此,本综述旨在通过阐明铁死亡的调控途径,探索肺癌中铁死亡的潜在治疗靶点。基于对铁死亡的研究,了解了肺癌中铁死亡的调控机制,总结了现有的针对肺癌中铁死亡的化学药物和天然化合物,旨在为肺癌治疗提供新思路。此外,它还为发现和临床应用靶向铁死亡的化学药物和天然化合物有效治疗肺癌提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a22/10067943/3e308a6deeb3/41420_2023_1407_Fig1_HTML.jpg

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