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Updated: May 28, 2025

Ferritinophagy: Assessing the Selective Degradation of Iron by Autophagy in Human Fibroblasts
Published on: February 23, 2024
Nuclear receptor coactive 4-mediated ferritinophagy: a key role of heavy metals toxicity
Wan-Xue Xu1,2, Xue Wen1,2, Yi-Tong Fu1,2
1College of Veterinary Medicine, Shandong Agricultural University, 7 Panhe Street, Tai'an, 271017, Shandong, China.
Abstract:
Nuclear receptor coactive 4 (NCOA4) is a specific receptor for ferritinophagy, transporting ferritin to lysosomal degradation, releasing free iron, and excessive iron levels may lead to cellular redox imbalance, contributing to cell death, predominantly ferroptosis. NCOA4 is regulated by a variety of transcriptional, post-transcriptional, translational, and post-translational modifications. Targeted modulation of NCOA4-mediated ferritinophagy has been successfully used as a therapeutic strategy in several disease models. Recent evidences have elucidated that ferritinophagy and ferroptosis played a major role in heavy metals toxicity. In this review, we explored the regulatory mechanism of NCOA4 as the sole receptor for ferritinophagy from multiple perspectives based on previous studies. The significant role of ferritinophagy-mediated ferroptosis in heavy metals toxicity was discussed in detail, emphasizing the great potential of NCOA4 as a target for heavy metals toxicity.
Insights
Nuclear receptor coactivator 4 (NCOA4) drives ferritinophagy, a process linked to iron release and cell death. Targeting NCOA4 shows promise for treating heavy metal toxicity.
Area of Science:
- Cellular Biology
- Toxicology
- Molecular Mechanisms
Background:
- Nuclear receptor coactivator 4 (NCOA4) is the primary receptor mediating ferritinophagy, the process of lysosomal degradation of ferritin.
- Ferritinophagy releases iron, and excessive iron can cause cellular redox imbalance, leading to ferroptosis, a form of programmed cell death.
- NCOA4 activity is precisely controlled through multiple regulatory layers, including transcriptional, post-transcriptional, translational, and post-translational modifications.
Purpose of the Study:
- To comprehensively review the regulatory mechanisms of NCOA4 in ferritinophagy.
- To elucidate the critical role of NCOA4-mediated ferritinophagy and ferroptosis in the context of heavy metal toxicity.
- To highlight the therapeutic potential of targeting NCOA4 for mitigating heavy metal-induced cellular damage.
Main Methods:
- Literature review of existing studies on NCOA4, ferritinophagy, ferroptosis, and heavy metal toxicity.
- Analysis of regulatory pathways governing NCOA4 function.
- Synthesis of evidence linking ferritinophagy and ferroptosis to heavy metal-induced pathology.
Main Results:
- NCOA4 acts as the sole receptor for selective ferritinophagy, controlling iron release from ferritin.
- Dysregulation of NCOA4-mediated ferritinophagy contributes to iron overload and ferroptosis.
- Emerging evidence strongly implicates ferritinophagy and ferroptosis in the pathogenesis of heavy metal toxicity.
Conclusions:
- NCOA4 is a key regulator of cellular iron homeostasis through ferritinophagy.
- Targeting NCOA4-mediated ferritinophagy presents a promising therapeutic strategy for heavy metal toxicity.
- Further research into NCOA4 regulation and its role in metal toxicity is warranted.
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