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Updated: Sep 21, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Ribosome stalling during selenoprotein translation exposes a ferroptosis vulnerability
Zhipeng Li1,2, Lucas Ferguson1, Kirandeep K Deol1,2
1Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA, USA.
Abstract:
The selenoprotein glutathione peroxidase 4 (GPX4) prevents ferroptosis by converting lipid peroxides into nontoxic lipid alcohols. GPX4 has emerged as a promising therapeutic target for cancer treatment, but some cancer cells are resistant to ferroptosis triggered by GPX4 inhibition. Using a chemical-genetic screen, we identify LRP8 (also known as ApoER2) as a ferroptosis resistance factor that is upregulated in cancer. Loss of LRP8 decreases cellular selenium levels and the expression of a subset of selenoproteins. Counter to the canonical hierarchical selenoprotein regulatory program, GPX4 levels are strongly reduced due to impaired translation. Mechanistically, low selenium levels result in ribosome stalling at the inefficiently decoded GPX4 selenocysteine UGA codon, leading to ribosome collisions, early translation termination and proteasomal clearance of the N-terminal GPX4 fragment. These findings reveal rewiring of the selenoprotein hierarchy in cancer cells and identify ribosome stalling and collisions during GPX4 translation as ferroptosis vulnerabilities in cancer.
Insights
Researchers discovered that LRP8 protein upregulation confers cancer cell resistance to ferroptosis, a cell death pathway. This resistance stems from impaired glutathione peroxidase 4 (GPX4) translation, revealing a new vulnerability for cancer therapy.
Area of Science:
- Molecular Biology
- Cancer Research
- Biochemistry
Background:
- Glutathione peroxidase 4 (GPX4) is a key selenoprotein that prevents ferroptosis by neutralizing lipid peroxides.
- GPX4 inhibition is a cancer treatment strategy, but resistance mechanisms limit its efficacy.
- Understanding ferroptosis resistance is crucial for developing effective cancer therapies.
Purpose of the Study:
- To identify novel factors contributing to cancer cell ferroptosis resistance.
- To elucidate the molecular mechanisms underlying GPX4 inhibition resistance in cancer.
- To uncover potential therapeutic vulnerabilities associated with ferroptosis resistance.
Main Methods:
- Chemical-genetic screening to identify ferroptosis resistance factors.
- Analysis of LRP8 expression and its impact on cellular selenium and selenoprotein levels.
- Investigation of GPX4 translation efficiency, ribosome dynamics, and protein degradation pathways.
Main Results:
- LRP8 (ApoER2) was identified as a ferroptosis resistance factor upregulated in cancer.
- Loss of LRP8 reduced cellular selenium, leading to decreased GPX4 expression via impaired translation.
- Ribosome stalling and collisions at the GPX4 selenocysteine codon caused translation termination and proteasomal degradation.
Conclusions:
- Cancer cells exhibit a rewired selenoprotein hierarchy, with LRP8 influencing GPX4 levels.
- Impaired GPX4 translation due to ribosome stalling presents a novel ferroptosis vulnerability in cancer.
- Targeting LRP8 or overcoming translation defects could enhance ferroptosis-based cancer treatments.
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