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Updated: Aug 13, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Ferroptosis-modulating small molecules for targeting drug-resistant cancer: Challenges and opportunities in
Solveigh C Koeberle1,2, Anna P Kipp2, Hermann Stuppner3
1Michael Popp Institute, Center for Molecular Biosciences Innsbruck (CMBI), University of Innsbruck, Tirol, Innsbruck, Austria.
Abstract:
Ferroptosis is an iron-dependent cell death program that is characterized by excessive lipid peroxidation. Triggering ferroptosis has been proposed as a promising strategy to fight cancer and overcome drug resistance in antitumor therapy. Understanding the molecular interactions and structural features of ferroptosis-inducing compounds might therefore open the door to efficient pharmacological strategies against aggressive, metastatic, and therapy-resistant cancer. We here summarize the molecular mechanisms and structural requirements of ferroptosis-inducing small molecules that target central players in ferroptosis. Focus is placed on (i) glutathione peroxidase (GPX) 4, the only GPX isoenzyme that detoxifies complex membrane-bound lipid hydroperoxides, (ii) the cystine/glutamate antiporter system Xc - that is central for glutathione regeneration, (iii) the redox-protective transcription factor nuclear factor erythroid 2-related factor (NRF2), and (iv) GPX4 repression in combination with induced heme degradation via heme oxygenase-1. We deduce common features for efficient ferroptotic activity and highlight challenges in drug development. Moreover, we critically discuss the potential of natural products as ferroptosis-inducing lead structures and provide a comprehensive overview of structurally diverse biogenic and bioinspired small molecules that trigger ferroptosis via iron oxidation, inhibition of the thioredoxin/thioredoxin reductase system or less defined modes of action.
Insights
Ferroptosis, an iron-dependent cell death, can be triggered by small molecules to fight cancer. Understanding these compounds
Area of Science:
- Biochemistry and Molecular Biology
- Cancer Research
- Pharmacology
Background:
- Ferroptosis is an iron-dependent form of regulated cell death driven by lipid peroxidation.
- Inducing ferroptosis is a promising strategy to combat aggressive, metastatic, and drug-resistant cancers.
- Targeting key molecular players in ferroptosis is crucial for developing effective cancer therapies.
Purpose of the Study:
- To summarize the molecular mechanisms and structural requirements of small molecules that induce ferroptosis.
- To focus on ferroptosis-inducing compounds targeting glutathione peroxidase 4 (GPX4), system Xc-, and NRF2.
- To discuss the potential of natural products as ferroptosis-inducing lead structures for drug development.
Main Methods:
- Review and synthesis of existing literature on ferroptosis-inducing small molecules.
- Analysis of molecular targets including GPX4, system Xc-, NRF2, and heme oxygenase-1.
- Evaluation of structural features and mechanisms of action for various ferroptosis inducers.
Main Results:
- Identified common structural features associated with efficient ferroptotic activity.
- Highlighted challenges in the drug development of ferroptosis-inducing agents.
- Provided an overview of natural products and bioinspired molecules that induce ferroptosis through diverse mechanisms.
Conclusions:
- Understanding ferroptosis molecular mechanisms and structural requirements is key for developing novel cancer therapies.
- Natural products offer promising lead structures for designing effective ferroptosis-inducing drugs.
- Further research into ferroptosis inducers can overcome limitations in current antitumor strategies.
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