APG-115 Induces SLC7A11-Mediated Ferroptosis and Upregulates PD-L1 Expression in Thyroid Cancer

Lei Liang1, Zhulan Chen1,2, Defeng Lei1

  • 1Department of Nuclear Medicine, Peking University Shenzhen Hospital, 1120 Lianhua Road, Shenzhen 518036, Guangdong, China.

ACS Omega
|July 29, 2025
PubMed

Insights

The MDM2-p53 inhibitor APG-115 shows therapeutic promise in thyroid cancer (TC) by restoring p53 function and upregulating PD-L1 expression. This study reveals APG-115

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunotherapy

Background:

  • The MDM2-p53 inhibitor APG-115 has shown potential in advanced cancers.
  • Its precise mechanism in thyroid cancer (TC), particularly concerning PD-L1 immunotherapy, is not well understood.
  • Understanding these mechanisms is crucial for optimizing cancer treatment strategies.

Purpose of the Study:

  • To investigate the therapeutic efficacy of APG-115 in thyroid cancer (TC) both in vitro and in vivo.
  • To elucidate the molecular mechanisms underlying APG-115's effects in TC, focusing on p53, PD-L1, and ferroptosis.
  • To evaluate the potential clinical applicability of APG-115 in TC treatment.

Main Methods:

  • In vitro studies using CCK-8 and cell scratch assays to assess APG-115's impact on TC cell behavior.
  • In vivo animal experiments to evaluate the therapeutic effect of APG-115 in a TC model.
  • Utilizing patient-derived organoids to assess the clinical potential of APG-115.

Main Results:

  • APG-115 demonstrated significant therapeutic benefits in both in vitro and in vivo TC models.
  • APG-115 reactivated p53 antitumor activity by inhibiting MDM2-p53 binding and increasing PD-L1 expression.
  • APG-115 reduced SLC7A11 expression, inducing lipid peroxidation and influencing PD-L1 levels in TC.

Conclusions:

  • APG-115 exhibits promising therapeutic effects for thyroid cancer.
  • The study clarifies APG-115's role in modulating PD-L1 expression and its connection to ferroptosis in TC.
  • These findings support the expanded clinical application of APG-115, particularly in combination with PD-L1 immunotherapy.