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Updated: May 8, 2026

Generation of Prostate Cancer Cell Models of Resistance to the Anti-mitotic Agent Docetaxel
Published on: September 8, 2017
Nuclear Factor Erythroid 2-Related Factor 2 Negatively Regulates Docetaxel-Induced Ferroptosis in
Chunjin Ke1,2, Jiahua Gan3,4, Zilong Guo5
1Institute of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Purpose:
We explored whether docetaxel (DTX) induced ferroptosis in castration-resistant prostate cancer (CRPC) cells and further investigated its mechanism of action and its regulation of the tumor immune microenvironment.
Materials And Methods:
First, DTX-induced characteristic changes in the morphology, metabolism and protein expression of CRPC cells as well as electron microscopy ultrastructure were used to verify the occurrence of ferroptosis. Then, through transcriptome sequencing and gene set enrichment analysis, the nuclear factor erythroid 2-related factor 2 (NRF2) gene was screened out according to the differentially expressed genes and their key signaling pathways. Silencing NRF2 (si-NRF2) to explore its regulatory mechanism on DTX-induced ferroptosis in CRPC cells. Finally, TFRC-CAR-T cells combined with DTX were constructed to explore their antitumour ability and immune regulation.
Results:
The cell viability of CRPC cells decreased with increasing DTX concentration, and this downwards trend could be partially rescued by ferroptosis inhibitor (ferrostatin-1). Intracellular lipid reactive oxygen species and malondialdehyde levels were significantly increased in DTX-induced CRPC cells, while the levels of glutathione and glutathione peroxidase activity were significantly decreased. Transmission electron microscopy reveals marked mitochondrial shrinkage, spheroidal remodeling, and membrane densification. Transcriptome sequencing and gene set enrichment analysis revealed that the NRF2 gene in the antioxidant stress pathway is primarily involved in regulating ferroptosis. Immunohistochemistry and cytological Western Blot showed DTX chemotherapy activates NRF2 while also up-regulating transferrin receptor (TFRC) in CRPC cells. si-NRF2 gene enhance the sensitivity of DTX-induced ferroptosis in CRPC cells. The killing effect of TFRC-CAR-T cells alone on CRPC cells was weak, while DTX combined with TFRC-CAR-T cells demonstrated stronger killing ability and enhanced cytokine secretion compared to DTX alone.
Conclusions:
DTX induces ferroptosis in CRPC cells, a process negatively regulated by NRF2. DTX combined with TFRC-CAR-T cells had a stronger lethal effect to CRPC cells and increase cytokine secretion.
Insights
Docetaxel (DTX) triggers ferroptosis in castration-resistant prostate cancer (CRPC) cells, a process negatively regulated by nuclear factor erythroid 2-related factor 2 (NRF2). Combining DTX with TFRC-CAR-T cells enhances anti-tumor effects and cytokine secretion.
Area of Science:
- Oncology
- Cancer Cell Biology
- Immunotherapy
Background:
- Castration-resistant prostate cancer (CRPC) remains a significant clinical challenge.
- Docetaxel (DTX) is a standard chemotherapy agent for CRPC.
- Understanding novel mechanisms of DTX action and combination therapies is crucial.
Purpose of the Study:
- To investigate if DTX induces ferroptosis in CRPC cells.
- To elucidate the mechanism of DTX-induced ferroptosis, focusing on the role of NRF2.
- To evaluate the combined anti-tumor efficacy and immune regulation of DTX with TFRC-CAR-T cells.
Main Methods:
- DTX treatment of CRPC cells, assessing morphological, metabolic, and protein changes indicative of ferroptosis.
- Transcriptome sequencing and gene set enrichment analysis to identify key regulatory pathways, including NRF2.
- Silencing NRF2 (si-NRF2) to confirm its role in ferroptosis.
- Construction and evaluation of TFRC-CAR-T cells combined with DTX for anti-tumor activity.
Main Results:
- DTX induced ferroptosis in CRPC cells, evidenced by characteristic morphological and biochemical changes, partially reversed by ferroptosis inhibitors.
- NRF2 was identified as a key negative regulator of DTX-induced ferroptosis.
- Silencing NRF2 enhanced ferroptosis sensitivity.
- Combined DTX and TFRC-CAR-T cells exhibited superior tumor killing and increased cytokine secretion compared to DTX alone.
Conclusions:
- DTX effectively induces ferroptosis in CRPC cells, with NRF2 negatively regulating this process.
- The combination of DTX and TFRC-CAR-T cells demonstrates enhanced anti-cancer efficacy and immunomodulatory effects in CRPC.
- This combination therapy holds promise for improving treatment outcomes in CRPC.
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