Li Qiuyu, Wu Zede, Chen Siwen, Liang Yu, Zhu Kai, Su Ning, Liu Tiancai, Zhao Bingxia
Guangzhou Key Laboratory of Tumor Immunology Research, Cancer Research Institute, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, P.R. China.
Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, P.R. China.
ACS Nano. 2025 Jan 14;19(1):1757-1770. doi: 10.1021/acsnano.4c15932. Epub 2024 Dec 27.
Ferroptosis plays an important role in radiotherapy (RT), and the induction of ferroptosis can effectively sensitize radiotherapy. However, the therapeutic efficiency is always affected by ferroptosis resistance, especially SLC7A11 (Solute Carrier Family 7 Member 11)-cystine-cysteine-GSH (glutathione)-GPX4 (glutathione peroxidase 4) pathway-mediated resistance. In this study, tumor-microenvironment self-activated high-Z element-containing nanoferroptosis inducers, PEGylated Fe-Bi-SS metal-organic frameworks (FBSP MOFs), were developed to sensitize RT. Unexpectedly, ferroptosis-resistant SLC7A11 would be self-adaptively upregulated, leading to self-responsive ferroptosis resistance. Since the conversion from SLC7A11-transported cystine to cysteine is highly glucose-dependent, glucose oxidase (GOx) was incorporated in the MOFs, causing the depletion of NADPH (nicotinamide adenine dinucleotide phosphate) to terminate the conversion from cystine to cysteine, relieving the self-adaptive ferroptosis resistance. Excitingly, the accumulation of cystine would synergistically lead to disulfide stress and trigger disulfidptosis, making a new contribution to enhance therapeutic efficiency. Moreover, the hydrogen peroxide produced during glucose oxidation could also cascade-react with the Fenton reaction, therefore enhancing ferropotosis. Both and results suggested that therapeutic efficiency of ferroptosis-mediated radiosensitization could be enhanced benefiting from synergistic disulfidptosis induction, indicating that disulfidptosis might be an efficient strategy to relieve ferroptosis resistance and enhance RT efficiency.
铁死亡在放射治疗(RT)中起重要作用,诱导铁死亡可有效增强放射治疗的敏感性。然而,治疗效果总是受到铁死亡抗性的影响,尤其是溶质载体家族7成员11(SLC7A11)-胱氨酸-半胱氨酸-谷胱甘肽(GSH)-谷胱甘肽过氧化物酶4(GPX4)途径介导的抗性。在本研究中,开发了肿瘤微环境自激活的含高Z元素的纳米铁死亡诱导剂,聚乙二醇化的铁铋硫属化合物金属有机框架(FBSP MOFs),以增强放射治疗的敏感性。出乎意料的是,抗铁死亡的SLC7A11会被自适应上调,导致自我响应性铁死亡抗性。由于从SLC7A11转运的胱氨酸到半胱氨酸的转化高度依赖葡萄糖,因此将葡萄糖氧化酶(GOx)掺入MOF中,导致烟酰胺腺嘌呤二核苷酸磷酸(NADPH)耗竭,从而终止从胱氨酸到半胱氨酸的转化,减轻自我适应性铁死亡抗性。令人兴奋的是,胱氨酸的积累会协同导致二硫键应激并触发二硫键死亡,为提高治疗效果做出新贡献。此外,葡萄糖氧化过程中产生的过氧化氢也可与芬顿反应级联反应,从而增强铁死亡。两者结果均表明,受益于协同诱导二硫键死亡,可提高铁死亡介导的放射增敏治疗效果,表明二硫键死亡可能是缓解铁死亡抗性和提高放射治疗效率的有效策略。