Ferroptosis surveillance: Insights from in vivo contexts

Alec J Vaughan1,2, Mario Palma3, Jessalyn M Ubellacker3,4

  • 1Department of Pathology, New York University Grossman School of Medicine, New York, NY 10016, USA.

Ferroptosis and Oxidative Stress
|April 20, 2026
PubMed

Insights

Ferroptosis, a cell death pathway, shows promise for cancer therapy. Understanding differences between in vitro and in vivo studies is crucial for developing effective ferroptosis-targeted treatments.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Ferroptosis is a key cell death pathway with therapeutic potential in cancer treatment.
  • Research has identified genes and small molecules regulating ferroptosis, but optimal targets remain unclear.
  • Significant differences exist between in vitro and in vivo ferroptosis modulation.

Purpose of the Study:

  • To highlight the differences between in vitro and in vivo ferroptosis modulation.
  • To emphasize the role of the tumor microenvironment in ferroptosis.
  • To propose a framework for designing effective ferroptosis-targeted therapies.

Main Methods:

  • Review and integration of in vitro and in vivo studies on ferroptosis.
  • Analysis of mouse models and tumor microenvironment influences.
  • Focus on glutathione peroxidase 4 and ferroptosis suppressor protein 1 pathways.

Main Results:

  • In vitro studies do not fully capture the complexity of ferroptosis in vivo.
  • The tumor microenvironment significantly shapes ferroptosis surveillance pathways.
  • Key pathways like GPX4 and FSP1 are modulated differently in vivo.

Conclusions:

  • Integrating in vivo biological constraints is essential for ferroptosis therapy development.
  • Understanding microenvironmental complexity is critical for successful translation of ferroptosis-targeted drugs.
  • Future research should focus on in vivo validation of therapeutic strategies.