Fibroblast lipid metabolism through ACSL4 regulates epithelial sensitivity to ferroptosis in IBD

Wesley Huang1,2,3, Yuezhong Zhang1,4,5, Nupur K Das1

  • 1Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, MI, USA.

Nature Metabolism
|June 26, 2025
PubMed

Insights

Inflammatory bowel disease (IBD) involves cell death. Targeting fibroblast ACSL4 reduces lipid peroxidation and ferroptosis, offering a new therapeutic strategy for IBD.

Area of Science:

  • Gastroenterology
  • Cell Biology
  • Biochemistry

Background:

  • Reactive oxygen species (ROS) increase in inflammatory bowel disease (IBD), causing epithelial cell death.
  • Broad ROS inhibition shows limited efficacy in IBD treatment.
  • Lipid peroxidation and ferroptosis are implicated in IBD pathophysiology.

Purpose of the Study:

  • To investigate the role of lipid peroxidation and ferroptosis in IBD.
  • To elucidate the mechanism of heterocellular crosstalk between fibroblasts and epithelial cells in IBD.
  • To identify potential therapeutic targets for IBD.

Main Methods:

  • Analysis of IBD tissues and chronic colitis mouse models.
  • Assessment of acyl-CoA synthetase long-chain family 4 (ACSL4) expression in fibroblasts.
  • Investigation of fibroblast ACSL4's role in lipid metabolism and epithelial cell ferroptosis.
  • Pharmacological inhibition and genetic deletion of fibroblast ACSL4 in mouse models.

Main Results:

  • ACSL4 is overexpressed in fibroblasts in IBD tissues and colitis models.
  • Fibroblast ACSL4 reprograms lipid metabolism, increasing epithelial cell ferroptosis sensitivity.
  • Fibroblast-specific ACSL4 overexpression exacerbates colitis.
  • Inhibition or deletion of fibroblast ACSL4 ameliorates colitis in mouse models.

Conclusions:

  • Lipid peroxidation, mediated by fibroblast ACSL4, promotes ferroptosis and exacerbates IBD.
  • Targeting fibroblast ACSL4 offers a novel, targeted therapeutic strategy for IBD.
  • This approach provides a new avenue for antioxidant-based IBD treatments.

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