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TRIB3 inhibition by palbociclib sensitizes prostate cancer to ferroptosis via downregulating SOX2/SLC7A11 expression
Yangyi Zhang1,2, Chenyu Liu1,2, Yalan Yang1,2
1Department of Oncology, Beijing Shijitan Hospital of Capital Medical University, 10 TIEYI Road, Beijing, 10038, China.
Abstract:
Palbociclib is a CDK4/6 inhibitor approved for the treatment of breast cancer by suppressing cell proliferation. However, monotherapy with palbociclib was discouraging in prostate cancer, calling for a mechanism-based effective therapy. In this study, we reported in prostate cancer that palbociclib is a potent sensitizer of ferroptosis, which is worked out by downregulating the expression of TRIB3, a gene highly expressed in prostate cancer. Specifically, TRIB3 knockdown augmented the response of prostate cancer cells to ferroptosis inducers, whereas, TRIB3 overexpression rescued prostate cancer cells from palbociclib-induced ferroptosis. Mechanistically, TRIB3 inhibition by palbociclib resulted in downregulation of SOX2, which subsequently led to compromised expression of SLC7A11, a cystine/glutamate antiporter that counteracts ferroptosis. Functionally, a combined treatment of palbociclib with ferroptosis inducer significantly suppressed prostate cancer growth in a xenograft tumor model. Together, these results uncover an essential role of TRIB3/SOX2/SLC7A11 axis in palbociclib-induced ferroptosis, suggesting palbociclib a promising targeted therapy in combine with ferroptosis induction for the treatment of prostate cancer.
Insights
Palbociclib sensitizes prostate cancer to ferroptosis by downregulating TRIB3, SOX2, and SLC7A11. Combining palbociclib with ferroptosis inducers shows promise for treating prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Palbociclib, a CDK4/6 inhibitor, is effective in breast cancer but not as monotherapy in prostate cancer.
- There is a need for mechanism-based therapies for prostate cancer.
Purpose of the Study:
- To investigate the role of palbociclib in prostate cancer treatment.
- To explore the mechanism of palbociclib's action in prostate cancer, focusing on ferroptosis.
Main Methods:
- Investigated palbociclib's effect on prostate cancer cell lines and ferroptosis.
- Analyzed the expression of TRIB3, SOX2, and SLC7A11.
- Utilized a prostate cancer xenograft tumor model to assess combined therapy efficacy.
Main Results:
- Palbociclib sensitizes prostate cancer cells to ferroptosis by downregulating TRIB3.
- TRIB3 knockdown enhanced ferroptosis response, while TRIB3 overexpression rescued cells from palbociclib-induced ferroptosis.
- Palbociclib-induced TRIB3 downregulation led to reduced SOX2 and SLC7A11 expression, compromising ferroptosis resistance.
- Combined palbociclib and ferroptosis inducer treatment suppressed tumor growth in vivo.
Conclusions:
- Palbociclib acts as a ferroptosis sensitizer in prostate cancer via the TRIB3/SOX2/SLC7A11 pathway.
- Combined therapy of palbociclib with ferroptosis inducers represents a promising strategy for prostate cancer treatment.
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