KIF4A Inhibits Ferroptosis in Glioblastoma via the CHMP4B/GPX4 Axis and Promotes Temozolomide Resistance

Xinan Shen1,2, Honglei Cheng3, Jiarong Zheng1,2

  • 1Department of Radiotherapy & Oncology, The Second Affiliated Hospital of Soochow University, Suzhou, China.

PubMed

Insights

Kinesin 4A (KIF4A) promotes temozolomide (TMZ) resistance in glioblastoma by inhibiting ferroptosis via the CHMP4B/GPX4 pathway. Targeting KIF4A may improve glioblastoma treatment outcomes.

Area of Science:

  • Neuro-oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Glioblastoma (GBM) is a highly aggressive brain tumor with poor prognosis.
  • Temozolomide (TMZ) is the standard first-line chemotherapy, but resistance limits its efficacy.
  • The molecular mechanisms underlying TMZ resistance in GBM remain incompletely understood.

Purpose of the Study:

  • To investigate the role of KIF4A in temozolomide (TMZ) resistance in glioblastoma (GBM).
  • To elucidate the molecular mechanisms by which KIF4A influences GBM chemoresistance.
  • To explore KIF4A as a potential therapeutic target for overcoming TMZ resistance in GBM.

Main Methods:

  • Assessed ferroptosis levels using ROS, MDA, JC-1, and Western blot.
  • Evaluated TMZ resistance via CCK8, cell cloning, and cell cycle analysis.
  • Identified KIF4A downstream targets using protein profiling and immunofluorescence.

Main Results:

  • KIF4A was found to inhibit ferroptosis in GBM cells through the CHMP4B/GPX4 axis, promoting TMZ resistance.
  • Knockdown of KIF4A or CHMP4B sensitized GBM cells to TMZ chemotherapy.
  • KIF4A also induced epithelial-mesenchymal transition, further enhancing TMZ resistance.

Conclusions:

  • KIF4A plays a critical role in promoting TMZ resistance in glioblastoma by modulating ferroptosis and inducing EMT.
  • The KIF4A-CHMP4B-GPX4 axis represents a novel mechanism of chemoresistance in GBM.
  • Targeting KIF4A presents a promising therapeutic strategy for overcoming TMZ resistance in glioblastoma patients.