Yan 'an Small Molecule Innovative Drug R&D Engineering Research Center, School of Medicine, Yan'an University, Yan'an, People's Republic of China.
Drug Des Devel Ther. 2024 Jun 21;18:2485-2529. doi: 10.2147/DDDT.S472178. eCollection 2024.
Ferroptosis, a unique form of programmed cell death, is initiated by an excess of iron accumulation and lipid peroxidation-induced damage. There is a growing body of evidence indicating that ferroptosis plays a critical role in the advancement of tumors. The increased metabolic activity and higher iron levels in tumor cells make them particularly vulnerable to ferroptosis. As a result, the targeted induction of ferroptosis is becoming an increasingly promising approach for cancer treatment. This review offers an overview of the regulatory mechanisms of ferroptosis, delves into the mechanism of action of traditional small molecule ferroptosis inducers and their effects on various tumors. In addition, the latest progress in inducing ferroptosis using new means such as proteolysis-targeting chimeras (PROTACs), photodynamic therapy (PDT), sonodynamic therapy (SDT) and nanomaterials is summarized. Finally, this review discusses the challenges and opportunities in the development of ferroptosis-inducing agents, focusing on discovering new targets, improving selectivity, and reducing toxic and side effects.
铁死亡是一种独特的程序性细胞死亡形式,由铁积累过多和脂质过氧化诱导的损伤引发。越来越多的证据表明,铁死亡在肿瘤的进展中起着关键作用。肿瘤细胞的代谢活性增加和铁水平升高,使它们特别容易受到铁死亡的影响。因此,靶向诱导铁死亡正成为癌症治疗的一种有前途的方法。本综述概述了铁死亡的调控机制,深入探讨了传统小分子铁死亡诱导剂的作用机制及其对各种肿瘤的影响。此外,还总结了使用新手段如蛋白水解靶向嵌合体(PROTACs)、光动力疗法(PDT)、声动力疗法(SDT)和纳米材料诱导铁死亡的最新进展。最后,本综述讨论了铁死亡诱导剂开发中的挑战和机遇,重点是发现新的靶点、提高选择性和降低毒性和副作用。
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