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Metadherin enhances vulnerability of cancer cells to ferroptosis
Journal article   Open access   Peer reviewed

Metadherin enhances vulnerability of cancer cells to ferroptosis

Jianling Bi, Shujie Yang, Long Li, Qun Dai, Nicholas Borcherding, Brett A Wagner, Garry R Buettner, Douglas R Spitz, Kimberly K Leslie, Jun Zhang, …
Cell death & disease, Vol.10(10), pp.682-14
09/17/2019
DOI: 10.1038/s41419-019-1897-2
PMCID: PMC6746770
PMID: 31527591
url
https://doi.org/10.1038/s41419-019-1897-2View
Published (Version of record) Open Access

Abstract

Ferroptosis is an iron-dependent, non-apoptotic form of regulated cell death driven by lipid hydroperoxides within biological membranes. Although therapy-resistant mesenchymal-high cancers are particularly vulnerable to ferroptosis inducers, especially phospholipid glutathione peroxidase 4 (GPx4) inhibitors, the underlying mechanism is yet to be deciphered. As such, the full application of GPx4 inhibitors in cancer therapy remains challenging. Here we demonstrate that metadherin (MTDH) confers a therapy-resistant mesenchymal-high cell state and enhanced sensitivity to inducers of ferroptosis. Mechanistically, MTDH inhibited GPx4, as well as the solute carrier family 3 member 2 (SLC3A2, a system X heterodimerization partner), at both the messenger RNA and protein levels. Our metabolomic studies demonstrated that MTDH reduced intracellular cysteine, but increased glutamate levels, ultimately decreasing levels of glutathione and setting the stage for increased vulnerability to ferroptosis. Finally, we observed an enhanced antitumor effect when we combined various ferroptosis inducers both in vitro and in vivo; the level of MTDH correlated with the ferroptotic effect. We have demonstrated for the first time that MTDH enhances the vulnerability of cancer cells to ferroptosis and may serve as a therapeutic biomarker for future ferroptosis-centered cancer therapy.
Biomarkers, Tumor Cell Death - drug effects Cell Line, Tumor Ferroptosis - genetics Humans Membrane Proteins - metabolism Neoplasms - drug therapy RNA-Binding Proteins - metabolism

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