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Published on: March 15, 2024
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.
Abstract:
Multiple myeloma (MM) is an incurable malignancy of plasma cells that is sensitive to T-5224, an AP-1 inhibitor. Previous study indicated that T-5224 inhibits proliferation and induces apoptosis in MM cells. However, the high mortality cannot be fully explained. To date, no studies have investigated ferroptosis induced by T-5224 in MM. Therefore, we further investigated the mechanism by which T-5224 kills MM cells. We observed that T-5224 exhibits antimyeloma properties both in vitro and in vivo. T-5224-induced MM cell death was reversed by the ferroptosis-specific inhibitor ferropstatin-1 (Fer-1). The protein levels of the key ferroptosis regulators GPX4 and SLC7A11 were decreased by T-5224 in MM cells. Furthermore, T-5224 reduced the phosphorylation of PI3K and AKT signaling pathway components, ultimately causing MM cell death. Using 740 Y-P, a PI3K activator, and Fer-1, a ferroptosis inhibitor, we discovered that T-5224 induces ferroptosis through the PI3K/AKT pathway. Bortezomib (BTZ), an FDA-approved drug for MM treatment, can be administered in combination with other agents. We evaluated the synergistic effect of BTZ combined with AP-1 inhibitors on MM in vivo. Our findings provide a better theoretical basis for the potential mechanism of T-5224 and a new perspective on MM treatment.
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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