Inhibition of TRF2 Leads to Ferroptosis, Autophagic Death, and Apoptosis by Causing Telomere Dysfunction

Qiuhui Yang1,2, Ziyang Nie1,2,3, Yukun Zhu1,2,4

  • 1Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin 300070, China.

Abstract

Insights

Telomeric repeat-binding factor 2 (TRF2) is elevated in gastric cancer, promoting cell growth. Inhibiting TRF2 triggers apoptosis, autophagic death, and ferroptosis, offering a potential therapeutic strategy for gastric cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Gastric cancer (GC) is a highly aggressive malignancy with poor patient prognosis.
  • Telomeric repeat-binding factor 2 (TRF2) is crucial for telomere protection.
  • Emerging evidence suggests TRF2's potential as a therapeutic target in GC, but its mechanisms are unclear.

Purpose of the Study:

  • To investigate the role and molecular mechanisms of TRF2 in gastric cancer pathogenesis.
  • To explore the functional significance of TRF2 in GC cell lines.

Main Methods:

  • Analysis of TRF2 gene expression and prognostic significance in GC using GEPIA and TCGA databases.
  • Assessment of telomere damage and dysfunction via immunofluorescence, metaphase spreads, and FISH after TRF2 depletion.
  • Evaluation of cell proliferation, survival, apoptosis, and migration using CCK8, trypan blue, colony formation, flow cytometry, and scratch-wound assays.
  • Analysis of mRNA and protein expression related to apoptosis, autophagy, and ferroptosis using qRT-PCR and Western blotting.

Main Results:

  • TRF2 expression is significantly elevated in GC tissues and correlates with adverse prognosis.
  • TRF2 knockdown inhibits GC cell growth, proliferation, and migration, inducing telomere dysfunction.
  • TRF2 depletion triggers apoptosis, autophagic death, and ferroptosis in GC cells.
  • Inhibitors of autophagy (chloroquine) and ferroptosis (ferrostatin-1) partially rescue cell survival.

Conclusions:

  • TRF2 depletion inhibits GC cell progression via combined ferroptosis, autophagic death, and apoptosis.
  • TRF2 represents a potential therapeutic target for developing novel treatment strategies for gastric cancer.

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