Zhao Defeng, Li Wenze, Han Zhongyu, Wang Ziyi, Li Danni, Li Wenya
Department of Thoracic Surgery, The First Hospital of China Medical University, Shenyang, China.
Department of Hematology, The First Hospital of China Medical University, Shenyang, China.
Cell Death Discov. 2025 Aug 25;11(1):405. doi: 10.1038/s41420-025-02696-2.
With the development of medical and health care, esophageal cancer (EC) has become a disease of concern to the scientific research community. At present, among all treatment regimens for EC, surgical resection is conducive to the prognosis of early patients neoadjuvant therapies are recommended for advanced patients. However, treatments now are not satisfactory in suppressing the progression of EC. Ferroptosis is one distinctive cell death mode, noted for the accumulation of iron as well as lipotoxicity, which induce cell membrane to breakdown. As a star protein of ferroptosis related pathway, GPX4 is related to the homeostatic imbalance of tumor immune microenvironment (TIME) of EC, thereby regulating the onset as well as progression of the cancer. In our manuscript, we present the mechanisms involved in ferroptosis, the functions of ferroptosis in the TIME. We also focused on the progression about ferroptosis in EC, as well as targeting ferroptosis-related pathways to delay the development of EC. We expect that these contents can expand fresh insights and aim for EC therapeutic strategy in clinical practice.
随着医疗卫生事业的发展,食管癌(EC)已成为科研界关注的疾病。目前,在EC的所有治疗方案中,手术切除有利于早期患者的预后,晚期患者则推荐新辅助治疗。然而,目前的治疗方法在抑制EC进展方面并不令人满意。铁死亡是一种独特的细胞死亡模式,其特点是铁的积累以及脂毒性,从而导致细胞膜破裂。作为铁死亡相关途径的明星蛋白,GPX4与EC肿瘤免疫微环境(TIME)的稳态失衡有关,进而调节癌症的发生和进展。在我们的手稿中,我们阐述了铁死亡涉及的机制、铁死亡在TIME中的作用。我们还关注了EC中铁死亡的进展,以及针对铁死亡相关途径来延缓EC的发展。我们期望这些内容能够拓展新的见解,并为临床实践中的EC治疗策略提供方向。
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