Fe-S Protein FDX1 Triggers Tumor-Intrinsic Innate Immunity via Mitochondrial Nucleic Acids Release to Orchestrate

Xing Huang1, Shaoqing Yu1, Wenjie Wei2

  • 1Senior Department of Urology, Chinese PLA General Hospital, Beijing, 100039, China.

Insights

Ferredoxin-1 (FDX1) activates innate immunity by releasing mitochondrial DNA and RNA, promoting T cell infiltration and suppressing clear cell renal cell carcinoma (ccRCC) growth. This dual regulator of ferroptosis and immunity offers new therapeutic avenues.

Area of Science:

  • Immunology
  • Oncology
  • Mitochondrial Biology

Background:

  • Cytosolic nucleic acid sensing pathways can 'warm' cold tumors for immunotherapy.
  • Iron-sulfur (Fe-S) enzymes regulate innate immunity and nucleic acid sensing, but their cancer roles are unclear.
  • Ferredoxin-1 (FDX1), an Fe-S protein, is often downregulated in clear cell renal cell carcinoma (ccRCC).

Purpose of the Study:

  • To investigate the role of Ferredoxin-1 (FDX1) in clear cell renal cell carcinoma (ccRCC).
  • To explore FDX1's function as a regulator of ferroptosis and antitumor immunity.
  • To understand the mechanism linking mitochondrial stress, nucleic acid release, and immune activation in ccRCC.

Main Methods:

  • Investigated FDX1's role in ccRCC using molecular biology techniques.
  • Analyzed FDX1-induced mitochondrial changes and cytosolic nucleic acid release.
  • Assessed the impact of FDX1 on cytosolic nucleic acid sensors (cGAS, RIG-I/MDA5) and type I interferon response.
  • Evaluated the effects on tumor microenvironment, T cell infiltration, and tumor growth in preclinical models.

Main Results:

  • FDX1 overexpression triggers mitochondrial permeability transition, releasing mitochondrial DNA (mtDNA) and double-stranded RNA (mt-dsRNA) into the cytosol.
  • Released mtDNA and mt-dsRNA activate cGAS and RIG-I/MDA5 sensors, inducing TBK1 phosphorylation and a type I interferon response.
  • This innate immune activation precedes ferroptosis, enhances MHC antigen presentation, recruits CD8+ T cells, and suppresses tumor growth and metastasis.
  • FDX1 acts as a tumor-intrinsic immunity activator linked to mitochondrial stress signaling.

Conclusions:

  • FDX1 is a dual regulator of ferroptosis and antitumor immunity in ccRCC.
  • FDX1 promotes immunogenic inflammation and T cell infiltration by linking mitochondrial nucleic acid release with ferroptosis.
  • Targeting the mitochondrial-immune crosstalk mediated by FDX1 presents novel therapeutic opportunities for ccRCC.

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