Wang Yifan, He Zhengmei, Dong Xinyu, Yao Yiming, Chen Qiuni, Shi Yuye, Deng Yuan, Zhang Quane, Yu Liang, Wang Chunling
Department of Hematology, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, Huai'an, China.
Northern Jiangsu Institute of Clinical Medicine, Nanjing Medical University, Nanjing, China.
Front Pharmacol. 2025 Jan 6;15:1458412. doi: 10.3389/fphar.2024.1458412. eCollection 2024.
Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of B-cell non-Hodgkin's lymphoma (NHL), up to 30%-40% of patients will relapse and 10%-15% of patients have primary refractory disease, so exploring new treatment options is necessary. Ferroptosis is a non-apoptotic cell death mode discovered in recent years. Its occurrence pathway plays an essential impact on the therapeutic effect of tumors. Numerous studies have shown that modulating critical factors in the ferroptosis pathway can influence the growth of tumor cells in hematological malignancies including DLBCL. This review highlights recent advances in ferroptosis-related genes (FRGs), including STAT3, Nrf2, and ZEB1, and focuses on the clinical potential of ferroptosis inducers such as IKE, α-KG, DMF, and APR-246, which are currently being explored in clinical studies for their therapeutic effects in DLBCL. Correlational studies provide a novel idea for the research and treatment of ferroptosis in DLBCL and other hematological malignancies and lay a solid foundation for future studies.
弥漫性大B细胞淋巴瘤(DLBCL)是B细胞非霍奇金淋巴瘤(NHL)最常见的亚型,高达30%-40%的患者会复发,10%-15%的患者存在原发性难治性疾病,因此探索新的治疗选择很有必要。铁死亡是近年来发现的一种非凋亡性细胞死亡模式。其发生途径对肿瘤的治疗效果具有至关重要的影响。众多研究表明,调节铁死亡途径中的关键因子可影响包括DLBCL在内的血液系统恶性肿瘤中肿瘤细胞的生长。本综述重点介绍了铁死亡相关基因(FRGs)的最新进展,包括信号转导和转录激活因子3(STAT3)、核因子E2相关因子2(Nrf2)和锌指E盒结合蛋白1(ZEB1),并聚焦于铁死亡诱导剂的临床潜力,如艾克替康(IKE)、α-酮戊二酸(α-KG)、二甲基富马酸(DMF)和APR-246,目前这些药物正在临床研究中探索其对DLBCL的治疗效果。相关性研究为DLBCL和其他血液系统恶性肿瘤中铁死亡的研究和治疗提供了新思路,并为未来的研究奠定了坚实基础。