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MDM4 inhibits ferroptosis in p53 mutant colon cancer via regulating TRIM21/GPX4 expression
Jie Liu1,2, Xujin Wei3, Yixuan Xie1
1Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, China.
Abstract:
MDM4 is one of the major regulators of p53. The biological effect of MDM4 on tumor is controversial, its role and molecular mechanism in colon cancer progression and prognosis are still unclear. In this study, we identify that MDM4 is significantly overexpressed in human colon cancer and high MDM4 expression was associated with poor prognosis of colon cancer with mutant p53. MDM4 inhibits the ubiquitination of the ferroptosis marker protein GPX4 at K167 and K191 by upregulating the protein expression level of the E3 ubiquitin ligase TRIM21, which promotes the polyubiquitination of GPX4 transfer from K48- to K63- linked ubiquitination. Thereby, MDM4 enhances the stability of GPX4 protein, inhibiting ferroptosis, increasing the resistance of colon cancer patients to chemotherapy, and promoting colon cancer progression. These findings elucidate the ferroptosis inhibition effect of MDM4 via regulating TRIM21/GPX4 on p53-mutated colon cancer and provide a potential therapeutic strategy for colon cancer therapy.
Insights
MDM4 overexpression in colon cancer hinders ferroptosis by stabilizing GPX4, leading to poor prognosis and chemotherapy resistance, particularly in p53-mutated tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- MDM4 is a key regulator of p53, but its role in colon cancer is not fully understood.
- The biological effects of MDM4 in tumor progression and prognosis remain controversial.
- Understanding MDM4's mechanism in colon cancer is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the role and molecular mechanism of MDM4 in colon cancer progression and prognosis.
- To elucidate how MDM4 influences ferroptosis and chemotherapy resistance in colon cancer.
- To identify potential therapeutic targets for MDM4-driven colon cancer.
Main Methods:
- Analysis of MDM4 expression in human colon cancer tissues.
- Correlation of MDM4 expression with patient prognosis, specifically in cases with mutant p53.
- Investigation of MDM4's effect on GPX4 ubiquitination and stability.
- Examination of the regulatory relationship between MDM4, TRIM21, and GPX4.
Main Results:
- MDM4 is significantly overexpressed in colon cancer, associated with poor prognosis in p53-mutant cases.
- MDM4 upregulates TRIM21, inhibiting GPX4 ubiquitination and enhancing GPX4 protein stability.
- MDM4 promotes ferroptosis inhibition, chemotherapy resistance, and colon cancer progression.
- The MDM4/TRIM21/GPX4 axis plays a critical role in p53-mutated colon cancer.
Conclusions:
- MDM4 promotes colon cancer progression and chemoresistance by inhibiting ferroptosis via the TRIM21/GPX4 pathway.
- High MDM4 expression is a marker of poor prognosis in p53-mutated colon cancer.
- Targeting the MDM4/TRIM21/GPX4 axis offers a potential therapeutic strategy for colon cancer.
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