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Updated: Aug 6, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
ALOX5-mediated ferroptosis acts as a distinct cell death pathway upon oxidative stress in Huntington's disease
Shujuan Song1,2, Zhenyi Su1, Ning Kon1
1Institute for Cancer Genetics, Department of Pathology and Cell Biology, Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York 10032, USA.
Abstract:
Although it is well established that Huntington's disease (HD) is mainly caused by polyglutamine-expanded mutant huntingtin (mHTT), the molecular mechanism of mHTT-mediated actions is not fully understood. Here, we showed that expression of the N-terminal fragment containing the expanded polyglutamine (HTTQ94) of mHTT is able to promote both the ACSL4-dependent and the ACSL4-independent ferroptosis. Surprisingly, inactivation of the ACSL4-dependent ferroptosis fails to show any effect on the life span of Huntington's disease mice. Moreover, by using RNAi-mediated screening, we identified ALOX5 as a major factor required for the ACSL4-independent ferroptosis induced by HTTQ94. Although ALOX5 is not required for the ferroptotic responses triggered by common ferroptosis inducers such as erastin, loss of ALOX5 expression abolishes HTTQ94-mediated ferroptosis upon reactive oxygen species (ROS)-induced stress. Interestingly, ALOX5 is also required for HTTQ94-mediated ferroptosis in neuronal cells upon high levels of glutamate. Mechanistically, HTTQ94 activates ALOX5-mediated ferroptosis by stabilizing FLAP, an essential cofactor of ALOX5-mediated lipoxygenase activity. Notably, inactivation of the Alox5 gene abrogates the ferroptosis activity in the striatal neurons from the HD mice; more importantly, loss of ALOX5 significantly ameliorates the pathological phenotypes and extends the life spans of these HD mice. Taken together, these results demonstrate that ALOX5 is critical for mHTT-mediated ferroptosis and suggest that ALOX5 is a potential new target for Huntington's disease.
Insights
Huntington's disease (HD) involves mutant huntingtin (mHTT) promoting ferroptosis. ALOX5 is identified as critical for mHTT-induced ferroptosis, suggesting it as a therapeutic target for HD.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Huntington's disease (HD) pathogenesis is linked to mutant huntingtin (mHTT).
- The precise molecular mechanisms driving mHTT-induced cellular damage, particularly ferroptosis, remain incompletely understood.
- Ferroptosis, a regulated form of cell death, has emerged as a key process in neurodegenerative diseases.
Purpose of the Study:
- To elucidate the molecular pathways by which mutant huntingtin (mHTT) induces ferroptosis.
- To identify novel factors involved in mHTT-mediated ferroptosis.
- To evaluate the therapeutic potential of targeting these factors in Huntington's disease.
Main Methods:
- Expression of N-terminal mutant huntingtin fragment (HTTQ94) in cellular and mouse models.
- RNA interference (RNAi)-mediated genetic screening to identify key regulatory genes.
- Assessment of ferroptosis markers, reactive oxygen species (ROS) levels, and cell viability.
- Analysis of gene and protein expression, including FLAP stabilization.
- Evaluation of pathological phenotypes and lifespan in Huntington's disease mouse models.
Main Results:
- HTTQ94 induced both ACSL4-dependent and ACSL4-independent ferroptosis.
- Inactivation of ACSL4-dependent ferroptosis did not affect the lifespan of HD mice.
- RNAi screening identified ALOX5 as crucial for HTTQ94-induced ACSL4-independent ferroptosis.
- ALOX5, but not common ferroptosis inducers, mediated ferroptosis upon ROS or glutamate stress in HD models.
- HTTQ94 stabilized FLAP, activating ALOX5-mediated ferroptosis.
- Loss of ALOX5 ameliorated pathological phenotypes and extended lifespan in HD mice.
Conclusions:
- ALOX5 is a critical mediator of mutant huntingtin-induced ferroptosis.
- Targeting ALOX5 presents a promising therapeutic strategy for Huntington's disease.
- Understanding the role of ALOX5 in ferroptosis opens new avenues for HD treatment.
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