Coculture with macrophages alters ferroptosis susceptibility of triple-negative cancer cells
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Updated: Jul 1, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Hiroto Konishi1, Yuya Haga2, Moe Okumura3
1Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Abstract:
Various treatment options, such as molecular targeted drugs and immune checkpoint blockades, are available for patients with cancer. However, some cancer types are refractory to molecular targeted therapies or acquire drug resistance after long-term treatment. Thus, ferroptosis, a newly defined type of programmed cell death caused by the iron-dependent accumulation of lipid peroxidation, has gained attention as a novel cancer treatment strategy. Understanding cell-cell interactions in the tumor microenvironment is important for the clinical application of ferroptosis inducers. However, the effects of cell-cell interactions on ferroptosis sensitivity remain unclear. Thus, we aimed to evaluate the effects of macrophage-cancer cell interactions on ferroptosis induction. Coculture experiments showed that conditioned medium prepared from macrophages did not alter the ferroptosis sensitivity of cancer cells. By contrast, coculture via transwell, which enables cell-cell interactions through secretion, increased the sensitivity of cancer cells to ferroptosis inducers. Additionally, direct coculture increased the susceptibility of cancer cells to RSL3-induced ferroptosis. Mechanistically, coculture with macrophages upregulated the levels of intracellular ferrous ions and lipid peroxidation in cancer cells. These findings provide novel insights into the mechanisms by which cell-cell interactions influence ferroptosis induction and application of ferroptosis inducers as a cancer treatment option.
Insights
Cancer cells become more sensitive to ferroptosis (iron-dependent cell death) when interacting directly with macrophages. This interaction enhances lipid peroxidation, offering new strategies for cancer treatment.
Area of Science:
- Cancer biology
- Immunology
- Cell death mechanisms
Background:
- Cancer treatments like targeted drugs and immune checkpoint inhibitors face challenges with drug resistance.
- Ferroptosis, a form of programmed cell death driven by lipid peroxidation, is a promising new cancer therapy strategy.
- The tumor microenvironment, including cell-cell interactions, significantly impacts cancer treatment efficacy, but its effect on ferroptosis is unclear.
Purpose of the Study:
- To investigate the impact of macrophage-cancer cell interactions on ferroptosis induction.
- To understand how these interactions influence cancer cell sensitivity to ferroptosis inducers.
Main Methods:
- Co-culture experiments involving macrophages and cancer cells.
- Utilized transwell co-culture to allow paracrine signaling.
- Employed direct co-culture to facilitate cell-cell contact.
- Assessed ferroptosis sensitivity using ferroptosis inducers like RSL3.
Main Results:
- Macrophage-conditioned medium alone did not affect cancer cell ferroptosis sensitivity.
- Transwell co-culture, enabling secretion-mediated interactions, increased cancer cell sensitivity to ferroptosis inducers.
- Direct co-culture significantly enhanced cancer cell susceptibility to RSL3-induced ferroptosis.
- Macrophage co-culture upregulated intracellular ferrous ions and lipid peroxidation in cancer cells.
Conclusions:
- Direct cell-cell interactions between macrophages and cancer cells enhance ferroptosis sensitivity.
- This enhancement is mediated by increased intracellular iron and lipid peroxidation.
- Findings offer new insights into leveraging cell-cell interactions for effective ferroptosis-based cancer therapy.
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