Arteannuin B Induces Ferroptosis in Colorectal Cancer Cells via GDF15/HMGCS1/GPX4 Axis

Xiaozheng Ou1,2, Jinghong Xu2, Yuting Jin2

  • 1Biotechnological Institute of Chinese Materia Medica, Jinan University, Guangzhou, China.

Journal of Cancer
|July 29, 2026
PubMed
Abstract

Insights

Arteannuin B, derived from Artemisia annua, effectively combats colorectal cancer (CRC) by inducing ferroptosis, a form of cell death. This sesquiterpene lactone targets the mevalonate pathway and enhances CRC cell sensitivity to this cell death mechanism.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Colorectal cancer (CRC) drug resistance necessitates novel therapeutic approaches.
  • Arteannuin B, a sesquiterpene lactone from Artemisia annua, is explored for its anti-cancer potential.

Purpose of the Study:

  • To investigate if arteannuin B induces ferroptosis in colorectal cancer cells.
  • To elucidate the molecular mechanisms underlying arteannuin B's effects on CRC.

Main Methods:

  • Cell viability assays (MTT) and xenograft models assessed anti-CRC effects.
  • Proteomics, ROS, lipid peroxidation, Fe²⁺, GPX4, and mitochondrial morphology evaluated ferroptosis.
  • Mevalonate pathway analysis involved western blotting and metabolite quantification.
  • GDF15's role was studied using knockdown and overexpression cell lines.

Main Results:

  • Arteannuin B demonstrated significant anti-CRC activity in vitro and in vivo.
  • Proteomics revealed arteannuin B impacts the mevalonate pathway and ferroptosis, upregulating GDF15.
  • Arteannuin B increased oxidative stress markers and iron, decreased GPX4, and altered mitochondrial morphology.
  • Inhibition of mevalonate pathway enzymes (HMGCS1) and downstream metabolites (squalene, CoQ10, cholesterol) was observed.
  • GDF15 knockdown attenuated arteannuin B's effects on the mevalonate pathway, GPX4, and CRC cell sensitivity.

Conclusions:

  • Arteannuin B induces ferroptosis-like cell death in CRC cells and inhibits tumor growth by targeting the mevalonate pathway.
  • GDF15 plays a crucial role in mediating arteannuin B's effects on HMGCS1, GPX4, and ferroptosis sensitivity in CRC.