CDDO-Me triggers ROS-dependent ferroptosis and apoptosis in cervical cancer via targeting PI3K/Nrf2 pathway

Wenxuan Li1, Mengying Wang1, Pan Du1

  • 1Key Laboratory of Pathobiology (Yanbian University), State Ethnic Affairs Commission, Yanji, 133000, PR China.

Abstract

Insights

CDDO-Me, a modified oleanolic acid derivative, effectively reduces cervical cancer cell proliferation by inducing apoptosis and ferroptosis. This occurs via the PI3K/Nrf2 signaling pathway, offering a potential therapeutic strategy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Cervical cancer (CC) is a prevalent malignancy in women.
  • CDDO-Me, a chemically modified pentacyclic triterpenoid derived from oleanolic acid, exhibits demonstrated anti-tumor properties.

Purpose of the Study:

  • To investigate the anti-proliferative effects of CDDO-Me on cervical cancer cells.
  • To elucidate the underlying molecular mechanisms, including apoptosis and ferroptosis, involved in CDDO-Me's anti-cancer activity.

Main Methods:

  • In vitro and in vivo studies were conducted using cervical cancer cell models.
  • Mitochondrial morphology, reactive oxygen species (ROS), lipid peroxidation (MDA), and glutathione (GSH) levels were assessed.
  • Protein expression of key regulators such as GPX4, Nrf2, NQO1, and FTH1 was analyzed.
  • The role of the PI3K/AKT/Nrf2/NQO1 pathway was investigated, and ferroptosis was confirmed using DFO.

Main Results:

  • CDDO-Me significantly decreased cervical cancer cell proliferation both in vitro and in vivo.
  • Mechanistic studies revealed alterations in mitochondrial structure, increased ROS and MDA, and decreased GSH.
  • CDDO-Me inhibited the expression of GPX4, Nrf2, NQO1, and FTH1, indicating ferroptosis induction.
  • Apoptosis and ferroptosis induced by CDDO-Me were dependent on the PI3K/AKT-mediated Nrf2/NQO1 pathway.

Conclusions:

  • CDDO-Me effectively induces apoptosis and ferroptosis in cervical cancer cell lines.
  • The anti-proliferative effect of CDDO-Me is mediated through the PI3K/Nrf2 signaling pathway.
  • CDDO-Me presents a promising therapeutic agent for cervical cancer treatment.

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