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Updated: Aug 11, 2025

Ferritinophagy: Assessing the Selective Degradation of Iron by Autophagy in Human Fibroblasts
Published on: February 23, 2024
ATM orchestrates ferritinophagy and ferroptosis by phosphorylating NCOA4
Hao Wu1,2,3, Qian Liu1,2,3, Xinyi Shan1,2,3
1State Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
Abstract:
Ferroptosis is a newly characterized form of programmed cell death, which is driven by the lethal accumulation of lipid peroxides catalyzed by the intracellular bioactive iron. Targeted induction of ferroptotic cell death holds great promise for therapeutic design against other therapy-resistant cancers. To date, multiple post-translational modifications have been elucidated to impinge on the ferroptotic sensitivity. Here we report that the Ser/Thr protein kinase ATM, the major sensor of DNA double-strand break damage, is indispensable for ferroptosis execution. Pharmacological inhibition or genetic ablation of ATM significantly antagonizes ferroptosis. Besides, ATM ablation-induced ferroptotic resistance is largely independent of its downstream target TRP53, as cells defective in both Trp53 and Atm are still more insensitive to ferroptotic inducers than the trp53 single knockout cells. Mechanistically, ATM dominates the intracellular labile free iron by phosphorylating NCOA4, facilitating NCOA4-ferritin interaction and therefore sustaining ferritinophagy, a selective type of macroautophagy/autophagy specifically degrading ferritin for iron recycling. Our results thus uncover a novel regulatory circuit of ferroptosis comprising ATM-NCOA4 in orchestrating ferritinophagy and iron bioavailability.Abbreviations: AMPK: AMP-activated protein kinase; ATM: ataxia telangiectasia mutated; BSO: buthionine sulphoximine; CDKN1A: cyclin-dependent kinase inhibitor 1A (P21); CQ: chloroquine; DFO: deferoxamine; DFP: deferiprone; Fer: ferrostatin-1; FTH1: ferritin heavy polypeptide 1; GPX4: glutathione peroxidase 4; GSH: glutathione; MEF: mouse embryonic fibroblast; NCOA4: nuclear receptor coactivator 4; PFTα: pifithrin-α; PTGS2: prostaglandin-endoperoxide synthase 2; Slc7a11: solute carrier family 7 member 11; Sul: sulfasalazine; TFRC: transferrin receptor; TRP53: transformation related protein 53.
Insights
The protein kinase ATM is essential for ferroptosis, a cell death pathway involving iron. ATM regulates iron levels by affecting ferritinophagy, offering new therapeutic targets for cancer.
Area of Science:
- Cell Biology
- Molecular Oncology
- Programmed Cell Death
Background:
- Ferroptosis is a programmed cell death characterized by lipid peroxide accumulation, driven by intracellular iron.
- Targeting ferroptosis is a promising strategy for treating therapy-resistant cancers.
- Post-translational modifications influence ferroptosis sensitivity, but regulatory mechanisms are still being uncovered.
Purpose of the Study:
- To investigate the role of the DNA damage sensor ATM (ataxia telangiectasia mutated) in ferroptosis execution.
- To elucidate the molecular mechanisms by which ATM influences ferroptosis.
- To identify novel regulatory pathways for ferroptosis.
Main Methods:
- Pharmacological inhibition and genetic ablation of ATM in cellular models.
- Assessment of ferroptosis sensitivity using cell viability assays and ferroptosis markers.
- Analysis of downstream signaling pathways, including TRP53 (transformation related protein 53) and NCOA4 (nuclear receptor coactivator 4) interactions.
- Investigation of ferritinophagy and iron bioavailability.
Main Results:
- Pharmacological or genetic inhibition of ATM significantly reduces ferroptosis.
- ATM ablation confers resistance to ferroptosis, largely independent of TRP53.
- ATM phosphorylates NCOA4, promoting its interaction with ferritin and sustaining ferritinophagy, which regulates iron recycling.
Conclusions:
- The Ser/Thr protein kinase ATM is indispensable for ferroptosis.
- A novel regulatory circuit involving ATM, NCOA4, and ferritinophagy controls iron bioavailability and ferroptosis.
- This finding provides new insights into ferroptosis regulation and potential therapeutic strategies targeting cancer.
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