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Ferroptosis inhibitor alleviates sorafenib-induced cardiotoxicity by attenuating KLF11-mediated FSP1-dependent ferroptosis
Li, Yilan1,2; Yan, Jingru1,2; Sun, Heng3,4; Liang, Yating1,2; Zhao, Qianqian1,2; Yu, Shan5; Zhang, Yao1,2
2024-04
Source PublicationINTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES
ISSN1449-2288
Volume20Issue:7Pages:2622-2639
Abstract

Sorafenib is a standard first-line drug for advanced hepatocellular carcinoma, but the serious cardiotoxic effects restrict its therapeutic applicability. Here, we show that iron-dependent ferroptosis plays a vital role in sorafenib-induced cardiotoxicity. Remarkably, our in vivo and in vitro experiments demonstrated that ferroptosis inhibitor application neutralized sorafenib-induced heart injury. By analyzing transcriptome profiles of adult human sorafenib-treated cardiomyocytes, we found that Krüppel-like transcription factor 11 (KLF11) expression significantly increased after sorafenib stimulation. Mechanistically, KLF11 promoted ferroptosis by suppressing transcription of ferroptosis suppressor protein 1 (FSP1), a seminal breakthrough due to its ferroptosis-repressing properties. Moreover, FSP1 knockdown showed equivalent results to glutathione peroxidase 4 (GPX4) knockdown, and FSP1 overexpression counteracted GPX4 inhibition-induced ferroptosis to a substantial extent. Cardiac-specific overexpression of FSP1 and silencing KLF11 by an adeno-associated virus serotype 9 markedly improved cardiac dysfunction in sorafenib-treated mice. In summary, FSP1-mediated ferroptosis is a crucial mechanism for sorafenib-provoked cardiotoxicity, and targeting ferroptosis may be a promising therapeutic strategy for alleviating sorafenib-induced cardiac damage.

KeywordCardiotoxicity Ferroptosis Inhibitor Fsp1 Gpx4 Klf11 Sorafenib
DOI10.7150/ijbs.86479
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaBiochemistry & Molecular Biology ; Life Sciences & Biomedicine - Other Topics
WOS SubjectBiochemistry & Molecular Biology ; Biology
WOS IDWOS:001229795500015
PublisherIVYSPRING INT PUBL, PO BOX 4546, LAKE HAVEN, NSW 2263, AUSTRALIA
Scopus ID2-s2.0-85192804325
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
Cancer Centre
Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau
Corresponding AuthorYu, Shan; Zhang, Yao
Affiliation1.Department of Cardiology, Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, China
2.Key Laboratory of Myocardial Ischemia, Ministry of Education, Harbin Medical University, Harbin, 150086, China
3.Cancer Centre, Faculty of Health Sciences, University of Macau, Macau, China
4.Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Macau, China
5.Department of Pathology, Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, China
Recommended Citation
GB/T 7714
Li, Yilan,Yan, Jingru,Sun, Heng,et al. Ferroptosis inhibitor alleviates sorafenib-induced cardiotoxicity by attenuating KLF11-mediated FSP1-dependent ferroptosis[J]. INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES, 2024, 20(7), 2622-2639.
APA Li, Yilan., Yan, Jingru., Sun, Heng., Liang, Yating., Zhao, Qianqian., Yu, Shan., & Zhang, Yao (2024). Ferroptosis inhibitor alleviates sorafenib-induced cardiotoxicity by attenuating KLF11-mediated FSP1-dependent ferroptosis. INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES, 20(7), 2622-2639.
MLA Li, Yilan,et al."Ferroptosis inhibitor alleviates sorafenib-induced cardiotoxicity by attenuating KLF11-mediated FSP1-dependent ferroptosis".INTERNATIONAL JOURNAL OF BIOLOGICAL SCIENCES 20.7(2024):2622-2639.
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