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Global Translational Medicine                                         Mitochondria and ferroptotic cell death



            becoming more and more prominent. Recent research has   peroxidation, ROS accumulation, and cell death induced by
            revealed that neuronal cells are shielded against oxidative   BAY are all reduced by the ferroptosis inhibitor and GPX4
            death through the activation of small-conductance   overexpression. Conversely, inhibition of GPX4 increases
                            +
            calcium-activated K   (SK)  channels,  which  also  regulate   cell death. According to the suggested sequence of events,
            mitochondrial respiration. Investigations are underway to   CI inhibition leads to mPTP opening and depolarization,
            determine whether SK channel activation causes a change   triggering autophagy, an increase in ROS, and ultimately a
            in  glycolysis,  rendering  neuronal  cells  more  resistant  to   combination of necroptotic/ferroptotic cell death. 20
            ferroptosis. The findings indicate that activation of the   Through genome-wide CRISPR screening, scientists
            SK channel increases lactate production and glycolysis   have demonstrated that mitochondrial calcium uptake
            while mildly decreasing mitochondrial complex I (CI)   1 (MICU1) plays a crucial role in the production of lipid
            activity. Moreover, SK channel activation prevents   peroxide and subsequent ferroptosis during cold stress.
            neuronal cells from undergoing ferroptosis by scavenging   MICU1 acts as a regulator in this process by controlling
            mitochondrial ROS and blocking glycolysis. Furthermore,   the mitochondrial calcium uniporter. Under cold stress
            experiments involving  Caenorhabditis elegans, a model   conditions, MICU1 promotes an increase in mitochondrial
            worm, demonstrated that SK channel activation increases   calcium levels, hyperpolarization of the MMP, and the
            survival rates in the presence of mitochondrial toxins.   ensuing lipid peroxidation. These results demonstrate
            These results emphasize the metabolic pathways facilitated   the role of the MICU1-dependent mitochondrial calcium
            by SK channel activation, supporting neuronal resistance   homeostasis-MMP hyperpolarization axis in cold stress-
            to ferroptosis in vitro and extending lifespan in vivo. 16  induced lipid peroxidation and ferroptosis. 21
              A  well-known  protein  kinase,  glycogen  synthase   The process of brain cell death is a complex pathologic
            kinase-3 beta (GSK-3β), has recently been discovered as a   event that can be triggered by the oxidative stressor
            positive regulator for ferroptosis. Resistance to ferroptosis   tert-butylhydroperoxide (t-BHP). Researchers have
            is enhanced upon inhibition of GSK-3β, either through   discovered that t-BHP induces ferroptosis, a form of
            genetic knockdown or treatment with the medication   oxidative stress-related cell death, based on the presence
            LY2090314. GSK-3β disrupts iron homeostasis by     of ferroptosis indicators. During the dying process, various
            inhibiting the expression of DMT1, ferritin heavy chain/  pathophysiological  changes  occur,  primarily  related  to
            light chain, and other iron metabolic components, thereby   mitochondrial dysfunction, including reduced synthesis
            reducing the intracellular pool of labile free iron. These   of ATP, membrane potential, and increased production of
            results demonstrate that modulating GSK-3β activity to   ROS within the mitochondria. The ferroptosis inhibitor
            influence ferroptotic sensitivity represents a promising   ferrostatin-1 has been observed to ameliorate these
            strategy for cancer therapy. 19                    mitochondrial defects. Furthermore, ferroptosis and
              In melanoma cells, inhibition of mitochondrial CI by   mitochondrial malfunction have been linked to upstream
            BAY 87–2243 results in both inhibition of cancer growth   processes involving the activation of the JNK1/2 and
            and induction of cell death. Treatment with BAY leads to   ERK1/2 pathways. These findings suggest that targeting
            depolarization  of the  MMP, elevated  levels  of  ROS  and   oxidative stress pathways could serve as a viable strategy
            lipid peroxidation, and reduction of GSH levels. These   for protecting against neurodegenerative diseases. 22
            effects are accompanied by mitophagy, autophagosome   A novel medication class known as Abivertinib (AC)
            production, and enhanced opening of the mitochondrial   is recognized for its ability to suppress the function
            permeability transition pore (mPTP). The cell death   of epidermal growth factor receptors implicated in
            induced by BAY is not attributed to glucose deprivation   tumorigenesis. It is shown that AC induces cancer cells to
            and can be prevented by mPTP inhibitors and antioxidants.   undergo either ferroptosis or apoptosis, two different forms
            Knockdown of TRAP1 increases cell death, whereas its   of cell death. In addition, it has been demonstrated that AC
            overexpression decreases ROS levels and prevents cell   induces the accumulation of iron and ROS in a number of
            death. Knockdown of Atg5 prevents the production of   cancer cell lines, which results in cell death. Moreover, AC
            autophagosomes, an increase in ROS levels, and cell death.   triggers the accumulation of toxic lipid ROS and reduces
            PINK1 knockdown prevents cell death, mitochondrial   the production of certain proteins involved in cellular
            depolarization, mitophagy, and an increase in ROS. Drp1   defense, compromising the integrity of the cell membrane.
            knockdown prevents BAY-induced cell death and promotes   Furthermore, AC activates caspase-3 and other apoptosis-
            mitochondrial filamentation. Pancaspase inhibitors have   related enzymes, suggesting ROS-dependent apoptosis.
            no effect on BAY-induced cell death, whereas necroptosis   The processes of ferroptosis and apoptosis induced by AC
            inhibitors and necroptosis protein knockdown do. Lipid   are  significantly  influenced  by  mitochondria.  Moreover,


            Volume 3 Issue 2 (2024)                         7                        https://doi.org/10.36922/gtm.2208
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