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Targeting FSP1 triggers ferroptosis in lung cancer
Katherine Wu1,2, Alec J Vaughan1,2, Jozef P Bossowski1,3
1Department of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Nature
|November 5, 2025
Summary
Lung tumors are sensitive to ferroptosis, a cell death pathway. Inhibiting ferroptosis suppressor protein 1 (FSP1) suppressed tumor growth and shows therapeutic potential for lung cancer.
Area of Science:
- Oncology
- Cell Death Mechanisms
- Biochemistry
Background:
- Ferroptosis, a form of regulated cell death, is triggered by lipid peroxidation and is being explored as an anti-cancer strategy.
- The role of ferroptosis as a barrier to tumorigenesis and its therapeutic potential remain unclear.
- GPX4 and ferroptosis suppressor protein 1 (FSP1) are key regulators of ferroptosis.
Purpose of the Study:
- To investigate the role of ferroptosis suppressors GPX4 and FSP1 in lung adenocarcinoma.
- To determine if ferroptosis can be therapeutically leveraged against lung tumors.
- To evaluate FSP1 as a potential therapeutic target in lung cancer.
Main Methods:
- Genetically engineered mouse models of lung adenocarcinoma were used for tumor-specific loss-of-function studies.
- GPX4 and FSP1 were genetically inhibited to assess their impact on tumorigenesis.
- Lipidomic analyses and various ferroptosis inhibition strategies (genetic, dietary, pharmacological) were employed.
Main Results:
- Loss of GPX4 or FSP1 led to increased lipid peroxidation and suppressed lung adenocarcinoma growth, indicating tumor sensitivity to ferroptosis.
- FSP1 was crucial for ferroptosis protection in vivo but not in vitro.
- Inhibition of ferroptosis restored tumor growth in Fsp1-knockout models.
- FSP1 expression correlated with poorer survival in lung adenocarcinoma patients.
- Pharmacologic inhibition of FSP1 demonstrated significant therapeutic benefits in preclinical models.
Conclusions:
- Lung tumors are highly sensitive to ferroptosis, and its suppression is critical in vivo.
- FSP1 is a key ferroptosis suppressor in vivo and a potential therapeutic target for lung cancer.
- FSP1 inhibition represents a promising therapeutic strategy for lung cancer treatment.