Loss of ACSL1 fuels ferroptosis resistance in clear cell renal carcinoma

Shangguo Wang1, Yuxiong Wang1, Bin Liu1

  • 1Department of Urology II, The First Hospital of Jilin University, Changchun, Jilin, China.

Cancer Biology & Therapy
|October 7, 2025
PubMed
Abstract

Insights

Acyl-CoA synthetase long-chain family member 1 (ACSL1) acts as a tumor suppressor in clear cell renal cell carcinoma (ccRCC). Its downregulation promotes ccRCC progression, while restoration induces ferroptosis, offering a potential therapeutic strategy for kidney cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Clear cell renal cell carcinoma (ccRCC) is the predominant kidney cancer subtype, characterized by altered lipid metabolism and resistance to therapies.
  • Ferroptosis, a form of cell death driven by lipid peroxidation, is an emerging therapeutic avenue for cancer treatment.
  • Acyl-CoA synthetase long-chain family member 1 (ACSL1), a crucial enzyme in lipid metabolism, is investigated for its role in ccRCC.

Purpose of the Study:

  • To investigate the expression and function of ACSL1 in ccRCC.
  • To elucidate the underlying mechanisms by which ACSL1 influences ccRCC progression and cell death.
  • To evaluate ACSL1 as a potential prognostic biomarker and therapeutic target for ccRCC.

Main Methods:

  • Analysis of ACSL1 expression in TCGA/GEO datasets, qPCR, immunohistochemistry, and immunofluorescence.
  • Functional assays involving ACSL1-overexpressing ccRCC cells and a xenograft mouse model.
  • Transcriptomic and lipidomic analyses, alongside experiments using reactive oxygen species (ROS), ferroptosis, and p53 inhibitors.

Main Results:

  • ACSL1 expression is significantly downregulated in ccRCC, correlating with a poor prognosis.
  • ACSL1 overexpression inhibited ccRCC cell proliferation and migration, reduced tumor growth, and induced cell death.
  • ACSL1 promotes ferroptosis by elevating ROS, activating p53, and downregulating SLC7A11/GPX4, establishing a ROS-p53-SLC7A11/GPX4 feedback loop.

Conclusions:

  • ACSL1 functions as a tumor suppressor in ccRCC by inducing ferroptosis through the ROS-p53-SLC7A11/GPX4 pathway.
  • ACSL1 demonstrates potential as a prognostic biomarker and a therapeutic target for ccRCC treatment.