AP-1 inhibitor induces ferroptosis via the PI3K/AKT pathway in multiple myeloma cells

Sishi Tang1, Jing Liu1, Fangfang Li1

  • 1Department of Hematology, The Third Xiangya Hospital, Central South University, Changsha 410013, China.

Heliyon
|August 6, 2024
PubMed

Insights

T-5224, an AP-1 inhibitor, induces ferroptosis, a form of cell death, in multiple myeloma (MM) cells. This mechanism, mediated by the PI3K/AKT pathway, offers a new therapeutic strategy for MM.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Death Research

Background:

  • Multiple myeloma (MM) is an incurable plasma cell malignancy.
  • T-5224, an AP-1 inhibitor, shows anti-MM activity by inhibiting proliferation and inducing apoptosis.
  • The precise mechanisms of T-5224-induced MM cell death, particularly ferroptosis, remain unexplored.

Purpose of the Study:

  • To investigate the role of ferroptosis in T-5224-mediated killing of MM cells.
  • To elucidate the molecular pathways involved in T-5224-induced ferroptosis.
  • To explore the potential synergistic effects of T-5224 with bortezomib for MM treatment.

Main Methods:

  • In vitro and in vivo studies using MM cell lines and xenograft models.
  • Treatment with T-5224 and ferroptosis inhibitor (Fer-1).
  • Assessment of cell death, protein levels (GPX4, SLC7A11), and signaling pathway phosphorylation (PI3K/AKT).
  • Evaluation of combination therapy with bortezomib (BTZ).

Main Results:

  • T-5224 demonstrated antimyeloma properties in vitro and in vivo.
  • T-5224-induced MM cell death was significantly reversed by Fer-1.
  • T-5224 decreased GPX4 and SLC7A11 protein levels and inhibited PI3K/AKT phosphorylation.
  • T-5224 induces MM cell ferroptosis via the PI3K/AKT pathway.

Conclusions:

  • T-5224 induces multiple myeloma cell death through ferroptosis, mediated by the PI3K/AKT pathway.
  • This study provides a novel mechanistic insight into T-5224's antimyeloma effects.
  • T-5224 represents a potential therapeutic agent for MM, possibly in combination with existing treatments like BTZ.

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