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.

Archives of Toxicology
|February 10, 2025
PubMed

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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