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Updated: Aug 23, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Tanshinone functions as a coenzyme that confers gain of function of NQO1 to suppress ferroptosis
Tian-Xiang Wang1, Kun-Long Duan1, Zi-Xuan Huang1
1The Fifth People's Hospital of Shanghai, The Molecular and Cell Biology Research Lab of the Institutes of Biomedical Sciences and the School of Pharmacy, Fudan University, Shanghai, China.
Abstract:
Ferroptosis is triggered by the breakdown of cellular iron-dependent redox homeostasis and the abnormal accumulation of lipid ROS. Cells have evolved defense mechanisms to prevent lipid ROS accumulation and ferroptosis. Using a library of more than 4,000 bioactive compounds, we show that tanshinone from Salvia miltiorrhiza (Danshen) has very potent inhibitory activity against ferroptosis. Mechanistically, we found that tanshinone functions as a coenzyme for NAD(P)H:quinone oxidoreductase 1 (NQO1), which detoxifies lipid peroxyl radicals and inhibits ferroptosis both in vitro and in vivo. Although NQO1 is recognized as an oxidative stress response gene, it does not appear to have a direct role in ferroptosis inhibition in the absence of tanshinone. Here, we demonstrate a gain of function of NQO1 induced by tanshinone, which is a novel mechanism for ferroptosis inhibition. Using mouse models of acute liver injury and ischemia/reperfusion heart injury, we observed that tanshinone displays protective effects in both the liver and the heart in a manner dependent on NQO1. Our results link the clinical use of tanshinone to its activity in ferroptosis inhibition.
Insights
Tanshinone, derived from Danshen, potently inhibits ferroptosis by acting as a coenzyme for NQO1. This interaction detoxifies harmful lipid radicals, offering protection against liver and heart injury.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Ferroptosis, a regulated cell death, is driven by iron-dependent redox imbalance and lipid reactive oxygen species (ROS) accumulation.
- Cellular defense mechanisms exist to prevent ferroptosis, but novel inhibitors are sought for therapeutic applications.
Purpose of the Study:
- To identify novel inhibitors of ferroptosis from bioactive compounds.
- To elucidate the mechanism of action for ferroptosis inhibition by identified compounds.
Main Methods:
- Screening of over 4,000 bioactive compounds to identify ferroptosis inhibitors.
- Investigating the molecular mechanism of inhibition using biochemical assays and cell-based models.
- Evaluating the efficacy of the identified compound in mouse models of acute liver injury and ischemia/reperfusion heart injury.
Main Results:
- Tanshinone from Salvia miltiorrhiza (Danshen) demonstrated potent ferroptosis inhibitory activity.
- Tanshinone acts as a coenzyme for NAD(P)H:quinone oxidoreductase 1 (NQO1), enhancing its detoxification of lipid peroxyl radicals.
- This NQO1-tanshinone interaction inhibits ferroptosis in vitro and in vivo, showing protective effects in liver and heart injury models.
Conclusions:
- Tanshinone represents a novel ferroptosis inhibitor through a NQO1-dependent mechanism.
- This study reveals a gain-of-function for NQO1 induced by tanshinone, a new pathway for ferroptosis inhibition.
- The findings support the clinical relevance of tanshinone in mitigating ferroptosis-associated organ damage.
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