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Updated: Aug 5, 2026

Revealing the Ferroptotic Phenotype of Medulloblastoma
Published on: March 15, 2024
Two stress-responsive kinases suppress ferroptosis by activating antioxidant programs under mild oxidative stress
Yumiko Fujikawa1,2, Hirotatsu Imai1,3, Tetsuo Onuki4
1Department of Investigative Medicine, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.
Abstract:
Cancer cells maintain chronically elevated levels of reactive oxygen species (ROS) while relying on robust antioxidant programs to preserve redox homeostasis and viability. Although therapeutic strategies that disrupt this balance to induce lethal oxidative stress and ferroptosis have emerged as promising anticancer approaches, the upstream signaling mechanisms that constrain ROS accumulation under physiologically relevant stress conditions remain incompletely understood. Here, we identify the stress-responsive kinases SMG1 and DNA-dependent protein kinase (DNA-PK) as functionally redundant regulators of redox homeostasis and ferroptosis resistance. Genetic or pharmacological inhibition of either kinase triggers ferroptotic cell death, accompanied by marked accumulation of total ROS, ferrous iron, and lipid hydroperoxides. Mechanistically, under mild oxidative stress, SMG1 and DNA-PK cooperatively phosphorylate the central antioxidant transcription factor NRF2 at serine 13 and serine 40, weakening its interaction with the negative regulator KEAP1 and promoting NRF2 accumulation and transcriptional activation. Transcriptomic profiling of de novo mRNAs revealed that inhibition of either kinase is sufficient to suppress NRF2-driven antioxidant gene expression. In contrast, excessive oxidative stress overrides this pro-survival pathway and redirects signaling toward anti-survival responses mediated by ATF4, ATM-CHK2, and JNK/p38 pathways. Collectively, these findings uncover a previously unrecognized SMG1/DNA-PK-NRF2 signaling axis that functions as a redox stress-intensity-dependent switch governing cell fate decisions between antioxidant adaptation and ferroptotic death. Targeting this axis may represent a promising therapeutic strategy for cancer treatment.
Insights
Cancer cells use antioxidant defenses to survive. New research reveals SMG1 and DNA-PK kinases regulate these defenses, offering a potential new cancer therapy target.
Area of Science:
- Cell Biology
- Molecular Oncology
- Biochemistry
Background:
- Cancer cells exhibit high reactive oxygen species (ROS) levels, balanced by antioxidant systems.
- Understanding redox homeostasis regulation is key for developing novel cancer therapies targeting oxidative stress and ferroptosis.
Purpose of the Study:
- Identify upstream signaling mechanisms controlling ROS accumulation under stress.
- Investigate the role of stress-responsive kinases in redox homeostasis and ferroptosis resistance in cancer cells.
Main Methods:
- Genetic and pharmacological inhibition of SMG1 and DNA-PK kinases.
- Measurement of ROS, ferrous iron, and lipid hydroperoxides.
- Phosphorylation site analysis of NRF2.
- Transcriptomic profiling (RNA sequencing).
Main Results:
- SMG1 and DNA-PK act redundantly to maintain redox homeostasis and ferroptosis resistance.
- Inhibition of either kinase induces ferroptosis via ROS and iron accumulation.
- SMG1/DNA-PK phosphorylate NRF2, promoting its stability and antioxidant gene expression.
- Excessive oxidative stress shifts signaling towards pro-death pathways (ATF4, ATM-CHK2, JNK/p38).
Conclusions:
- A novel SMG1/DNA-PK-NRF2 signaling axis acts as a redox stress-intensity-dependent switch.
- This axis controls cell fate between adaptation and ferroptotic death.
- Targeting this axis presents a potential therapeutic strategy for cancer treatment.
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