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Polyphyllin II regulates ROS levels and promotes ferroptosis in bladder cancer cells.
Quanlai Qiao1, Ruifang Guo2, Zhonghua Sun1
1Medical Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250014, P.R. China.
Molecular Medicine Reports
|March 27, 2026
Summary
Polyphyllin II (PPII) inhibits bladder cancer cell proliferation by inducing ferroptosis, an iron-dependent cell death. PPII treatment increases reactive oxygen species and iron accumulation while downregulating GPX4.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Bladder cancer presents significant challenges due to high recurrence rates and limited therapeutic strategies.
- Ferroptosis, a regulated form of cell death dependent on iron, plays a critical role in cancer development and treatment response.
Purpose of the Study:
- To investigate the regulatory mechanisms of polyphyllin II (PPII) on ferroptosis in bladder cancer cells.
- To determine the effect of PPII on bladder cancer cell proliferation and identify associated molecular pathways.
Main Methods:
- Cell viability and colony formation assays were used to assess PPII's impact on proliferation.
- RNA sequencing and subsequent Gene Ontology/pathway enrichment analyses identified differentially expressed genes and affected pathways.
- Measurements of reactive oxygen species (ROS) levels, Fe²+ accumulation, and glutathione peroxidase 4 (GPX4) expression were performed.
Main Results:
- PPII significantly inhibited bladder cancer cell proliferation in a dose-dependent manner.
- RNA sequencing revealed that ferroptosis-related pathways were enriched following PPII treatment.
- PPII treatment led to increased ROS levels, enhanced Fe²+ accumulation, and decreased GPX4 expression in bladder cancer cells.
Conclusions:
- Polyphyllin II effectively promotes ferroptosis in bladder cancer cells.
- The mechanism involves modulating ROS levels and GPX4 activity, offering a potential therapeutic strategy.
- Further research is needed to explore PPII's molecular mechanisms and its potential in combination therapies for bladder cancer.
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