Wu Ziyang, Zhang Yan, Zhong Wendi, Wu Kunjian, Zhong Tian, Jiang Tao
School of Life Sciences, Zhuhai College of Science and Technology, Zhuhai, Guangdong, China.
Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
Cell Death Discov. 2025 Jan 29;11(1):33. doi: 10.1038/s41420-025-02308-z.
Lung carcinoma incidence and fatality rates remain among the highest on a global scale. The efficacy of targeted therapies and immunotherapies is commonly compromised by the emergence of drug resistance and other factors, resulting in a lack of durable therapeutic benefits. Ferroptosis, a distinct pattern of cell death marked by the buildup of iron-dependent lipid peroxides, has been shown to be a novel and potentially more effective treatment for lung carcinoma. However, the mechanism and regulatory network of ferroptosis are exceptionally complex, and many unanswered questions remain. In addition, research on ferroptosis in the diagnosis and treatment of lung cancer has been growing exponentially. Therefore, it is necessary to provide a thorough summary of the latest advancements in the field of ferroptosis. Here, we comprehensively analyze the mechanisms underlying the preconditions of ferroptosis, the defense system, and the associated molecular networks. The potential strategies of ferroptosis in the treatment of lung carcinoma are also highlighted. Targeting ferroptosis improves tumor cell drug resistance and enhances the effectiveness of targeted drugs and immunotherapies. These findings may shed fresh light on the diagnosis and management of lung carcinoma, as well as the development of drugs related to ferroptosis.
肺癌的发病率和死亡率在全球范围内仍位居前列。靶向治疗和免疫治疗的疗效通常会因耐药性和其他因素的出现而受到影响,导致缺乏持久的治疗效果。铁死亡是一种以铁依赖性脂质过氧化物积累为特征的独特细胞死亡模式,已被证明是一种新型且可能更有效的肺癌治疗方法。然而,铁死亡的机制和调控网络异常复杂,仍有许多问题未得到解答。此外,关于铁死亡在肺癌诊断和治疗中的研究呈指数级增长。因此,有必要对铁死亡领域的最新进展进行全面总结。在此,我们全面分析了铁死亡的前提条件、防御系统及相关分子网络的潜在机制。还强调了铁死亡在肺癌治疗中的潜在策略。靶向铁死亡可提高肿瘤细胞的耐药性,并增强靶向药物和免疫治疗的有效性。这些发现可能为肺癌的诊断和治疗以及与铁死亡相关的药物开发提供新的思路。