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Global Translational Medicine                                         Mitochondria and ferroptotic cell death



            Tumor cells, in particular, may trigger adaptive metabolic   mGPx4 expression. Conversely, SK-Hep1  ρ0  cells were
            responses, including upregulation of the PPP and glycolysis,   susceptible to RSL3-induced ferroptosis, which suppresses
            to defend against ferroptosis. Exploiting these metabolic   GPx4. In SK-Hep1 ρ+ cells or cells treated with RSL3 and
            vulnerabilities, such as changes in glucose metabolism   erastin,  there  was an accumulation  of  cellular  ROS  and
            and the reliance on Gln for metabolic compensation, may   oxidized lipids, whereas erastin-treated SK-Hep1 ρ0 cells
            offer new therapeutic avenues for inducing ferroptosis and   did not exhibit such accumulation. The action of RSL3 and
            disrupting  redox  homeostasis,  thereby  providing  novel   erastin on xCT on the plasma membrane led to increased
            therapeutic options for tumor treatments. 15       ROS and lipids peroxidation in SK-Hep1  ρ+ cells. The
              The mitochondria serve as the primary organelle in   inhibition of SK-Hep1 ρ+ cell death by erastin or a high
            both anabolic and catabolic processes. The breakdown   dosage of RSL3 was observed on mitochondrial ROS
            of  Gln,  which  is  crucial  for  ferroptosis,  is  facilitated  by   quenching, indicating a crucial function of mitochondrial
            enzymes such as glutamate dehydrogenase, glutamate   ROS in ferroptosis. Compared to DecylQ, a non-targeting
            oxaloacetate transaminase 2, glutaminase, and glutamate   equivalent, the concentration of MitoQ, a mitochondrial
            pyruvate transaminase. This process produces substrates   ROS quencher, required to reduce ferroptosis induced
            for lipid synthesis and the TCA cycle. During ferroptosis,   by erastin or RSL3, was more than 20  times lower.
            alpha-ketoglutarate and subsequent TCA metabolites can   Furthermore, a VDAC inhibitor significantly reduced the
            serve as substitutes for Gln. ACSF2 and CS regulate fatty   accumulation of mitochondria ROS, total peroxidized
            acid activation and synthesis, respectively, providing lipid   lipids, and mitochondrial peroxidized lipids, along with the
            precursors necessary for lipid oxidation. The cysteine/  ferroptosis of SK-Hep1 ρ+ cells induced by erastin or RSL3.
            glutamate antiporter system Xc , which imports cysteine   This finding supports the involvement of mitochondrial
                                      -
            for the production of GSH, is restrained by ferroptosis   events in ferroptotic death and the role of VDAC in the
            inducers. Ferroptotic cell death-causing lipid peroxides   mitochondrial  steps  of ferroptosis  induced by  erastin
            are eliminated by GPX4 through GSH supplementation.   or RSL3. In addition, mitochondrial ROS quenchers
            The amount of iron present in the cytosol is linked to   prevented sorafenib-induced mitochondrial ROS and
            iron absorption, storage, utilization, and efflux from cells,   mitochondrial peroxidized lipid accumulation while also
            processes controlled by iron regulatory proteins such as   suppressing the sorafenib-induced ferroptosis of SK-Hep1
            ferritin, FPN1, and TfR1. Mitochondrial iron absorption   ρ+ cells. According to these findings, it is suggested that
            is also mediated by voltage-dependent anion channels   SK-Hep1  ρ0  cells may be immune to ferroptosis due to
            (VDACs). Through the mitochondrial iron transporter   overexpression  of  mGPx4,  and  mitochondrial  processes
            mitoferrin, cytosolic iron enters the mitochondrial matrix,   may  play a  decisive role  in  determining the  ultimate
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            where it is primarily used to produce heme and Fe/S   destiny of the cell.
            clusters,  some  of  which  are  deposited  in  mitochondrial   Due to their altered morphology, mitochondria are
            ferritin. Lipid peroxidation and ROS accumulation   recognized as essential players in both the initiation and
            are induced by increased labile iron buildup in the   execution of ferroptosis. Mitochondrial involvement
            mitochondria. The mitochondrial inner membrane ATP-  significantly influences ferroptosis in a number of
            binding  cassette  (ABC) transporter  ABCB7  exports  the   pathological conditions, including cancers, heart diseases,
            Fe/S-cluster complex produced by the mitochondrial ISC   and neurological disorders. Further exploration of the
            (Fe/S cluster assembly) system into the cytosol, where it   interplay between ferroptosis and mitochondria in
            matures  further  in  the  cytosolic  Fe/S  protein  assembly   conditions such as diabetes, liver diseases, and renal
            (CIA) system. NEET proteins, localized to the outer   disorders is imperative. Future studies should focus
            mitochondrial membrane, mediate the import and export   on investigating mitochondria-targeted approaches as
            of iron and sulfur ions, facilitating the mobilization of 2Fe-  potential therapeutic therapies for conditions associated
            2S clusters to cytosolic apo-acceptor proteins. In addition,   with ferroptosis. 18
            the formation of mitochondrial Fe/S proteins uses the Fe/S   Eukaryotic cells require metabolic flexibility to respond
            cluster. 4
                                                               to changes in their environment. Mammalian cells exhibit
              In a study involving SK-Hep1 ρ0 cells,  there was an   remarkable flexibility in maintaining cellular energy
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            increase in the expression of mitochondrial-type  GPX4   homeostasis across diverse circumstances, including
            (mGPX4), while other types of GPX4 remained        neurodegenerative diseases, due to their capacity to
            unchanged. SK-Hep1  ρ0  cells exhibited resistance to   transition  from  mitochondrial  respiration  to  aerobic
            ferroptosis induced by erastin, which blocks the cystine-  glycolysis. In neurodegenerative research, ferroptosis,
            glutamate  exchanger  (xCT)  channel,  likely  due  to  high   a  form  of  cell  death  induced  by  redox  imbalance,  is


            Volume 3 Issue 2 (2024)                         6                        https://doi.org/10.36922/gtm.2208
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