Artemisinin derivatives induce iron-dependent cell death (ferroptosis) in tumor cells

Edna Ooko1, Mohamed E M Saeed1, Onat Kadioglu1

  • 1Department of Pharmaceutical Biology, Institute of Pharmacy and Biochemistry, Johannes Gutenberg University, Staudinger Weg 5, 55128 Mainz, Germany.

Abstract

Insights

Artemisinin derivatives induce cancer cell death via ferroptosis, a process dependent on iron metabolism. Gene expression analysis revealed correlations between iron-related genes and drug sensitivity, suggesting potential for targeted cancer therapy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cancer Research

Background:

  • Apoptosis and other cell death forms are key to understanding anticancer drug mechanisms.
  • Ferroptosis, a novel iron-dependent cell death pathway, has emerged as a significant area of research.
  • This study investigates the role of iron metabolism genes in the cytotoxicity of artemisinin derivatives.

Purpose of the Study:

  • To systematically investigate the role of genes involved in iron metabolism and homeostasis in the cytotoxicity of ten artemisinin derivatives.
  • To correlate gene expression data with drug sensitivity to identify biomarkers for artemisinin efficacy.
  • To explore ferroptosis as a mechanism of action for artemisinin derivatives in cancer therapy.

Main Methods:

  • Correlated Log10IC50 values of 10 artemisinin derivatives with microarray-based mRNA expression of 30 iron-related genes in 60 NCI cell lines.
  • Assessed the effect of deferoxamine (iron chelator) and ferrostatin-1 (ferroptosis inhibitor) on artemol cytotoxicity using resazurin assays.
  • Validated mRNA expression of TFRC via immunohistochemical detection of transferrin receptor protein.

Main Results:

  • Significant correlations were found between mRNA expression of 20 iron-related genes and artemisinin log10IC50 values, including genes for transferrin (TF), transferrin receptors (TFRC, TFR2), and ceruloplasmin (CP).
  • Ferrostatin-1 and deferoxamine significantly reduced the cytotoxicity of artenimol, confirming ferroptosis as the mode of cell death.
  • Expression of iron-related genes is linked to sensitivity to artemisinin derivatives.

Conclusions:

  • The strong correlation between iron-related gene expression and artemisinin derivative response highlights iron's critical role in their cytotoxic activity.
  • Artemisinin derivatives, as ferroptosis-inducing agents, represent a promising strategy for cancer therapy.
  • Pre-therapeutic assessment of iron-related genes could predict tumor sensitivity to artemisinins, paving the way for individualized cancer treatment.

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