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Updated: Jan 18, 2026

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Published on: September 23, 2021
Tegavivint triggers TECR-dependent nonapoptotic cancer cell death
Logan Leak1, Ziwei Wang2, Alby J Joseph1
1Department of Biology, Stanford University, Stanford, CA, USA.
Abstract:
Small molecules that induce nonapoptotic cell death are of fundamental mechanistic interest and may be useful to treat certain cancers. Here we report that tegavivint, a drug candidate undergoing human clinical trials, can activate a unique mechanism of nonapoptotic cell death in sarcomas and other cancer cells. This lethal mechanism is distinct from ferroptosis, necroptosis and pyroptosis and requires the lipid metabolic enzyme trans-2,3-enoyl-CoA reductase (TECR). TECR is canonically involved in the synthesis of very-long-chain fatty acids but appears to promote nonapoptotic cell death in response to CIL56 and tegavivint via the synthesis of the saturated long-chain fatty acid palmitate. These findings outline a lipid-dependent nonapoptotic cell death mechanism that can be induced by a drug candidate currently being tested in humans.
Insights
Tegavivint, a drug candidate, triggers a novel nonapoptotic cell death pathway in cancer cells. This mechanism relies on the lipid enzyme trans-2,3-enoyl-CoA reductase (TECR), distinct from known cell death types.
Area of Science:
- Biochemistry
- Cell Biology
- Oncology
Background:
- Nonapoptotic cell death mechanisms are crucial for cancer treatment development.
- Identifying novel cell death pathways offers new therapeutic strategies for cancers resistant to conventional therapies.
Purpose of the Study:
- To investigate the mechanism of action of tegavivint, a drug candidate, in inducing cancer cell death.
- To identify the molecular players involved in tegavivint-induced nonapoptotic cell death.
Main Methods:
- Utilized cell-based assays to study cell death induction by tegavivint.
- Investigated the role of lipid metabolism and specific enzymes in the observed cell death.
- Compared the tegavivint-induced cell death pathway with known forms of regulated cell death.
Main Results:
- Tegavivint induces a unique form of nonapoptotic cell death in sarcomas and other cancer cells.
- This cell death mechanism requires the lipid metabolic enzyme trans-2,3-enoyl-CoA reductase (TECR).
- TECR promotes cell death via palmitate synthesis, a saturated long-chain fatty acid, differentiating it from ferroptosis, necroptosis, and pyroptosis.
Conclusions:
- Discovered a novel lipid-dependent nonapoptotic cell death pathway activated by tegavivint.
- TECR plays a critical role in this unique cell death mechanism.
- This finding provides a new therapeutic avenue for cancers treatable with tegavivint.
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