» Articles » PMID: 38759628

Unraveling ETC Complex I Function in Ferroptosis Reveals a Potential Ferroptosis-inducing Therapeutic Strategy for LKB1-deficient Cancers

Abstract

The role of the mitochondrial electron transport chain (ETC) in regulating ferroptosis is not fully elucidated. Here, we reveal that pharmacological inhibition of the ETC complex I reduces ubiquinol levels while decreasing ATP levels and activating AMP-activated protein kinase (AMPK), the two effects known for their roles in promoting and suppressing ferroptosis, respectively. Consequently, the impact of complex I inhibitors on ferroptosis induced by glutathione peroxidase 4 (GPX4) inhibition is limited. The pharmacological inhibition of complex I in LKB1-AMPK-inactivated cells, or genetic ablation of complex I (which does not trigger apparent AMPK activation), abrogates the AMPK-mediated ferroptosis-suppressive effect and sensitizes cancer cells to GPX4-inactivation-induced ferroptosis. Furthermore, complex I inhibition synergizes with radiotherapy (RT) to selectively suppress the growth of LKB1-deficient tumors by inducing ferroptosis in mouse models. Our data demonstrate a multifaceted role of complex I in regulating ferroptosis and propose a ferroptosis-inducing therapeutic strategy for LKB1-deficient cancers.

Citing Articles

WBP1 regulates mitochondrial function and ferroptosis to modulate chemoresistance in colorectal cancer.

Wang Y, Qi D, Ge G, Cao N, Liu X, Zhu N Mol Med. 2025; 31(1):93.

PMID: 40075333 PMC: 11900258. DOI: 10.1186/s10020-025-01151-3.


Ferroptosis: iron release mechanisms in the bioenergetic process.

Lee J, Roh J Cancer Metastasis Rev. 2025; 44(1):36.

PMID: 40000477 DOI: 10.1007/s10555-025-10252-8.


Ferroptosis: a novel mechanism of cell death in ophthalmic conditions.

Yang Y, Lin Y, Han Z, Wang B, Zheng W, Wei L Front Immunol. 2024; 15:1440309.

PMID: 38994366 PMC: 11236620. DOI: 10.3389/fimmu.2024.1440309.

References
1.
Ye L, Chaudhary K, Zandkarimi F, Harken A, Kinslow C, Upadhyayula P . Radiation-Induced Lipid Peroxidation Triggers Ferroptosis and Synergizes with Ferroptosis Inducers. ACS Chem Biol. 2020; 15(2):469-484. PMC: 7180072. DOI: 10.1021/acschembio.9b00939. View

2.
Noble R, Thomas H, Zhao Y, Herendi L, Howarth R, Dragoni I . Simultaneous targeting of glycolysis and oxidative phosphorylation as a therapeutic strategy to treat diffuse large B-cell lymphoma. Br J Cancer. 2022; 127(5):937-947. PMC: 9428179. DOI: 10.1038/s41416-022-01848-w. View

3.
Gan B, Peng X, Nagy T, Alcaraz A, Gu H, Guan J . Role of FIP200 in cardiac and liver development and its regulation of TNFalpha and TSC-mTOR signaling pathways. J Cell Biol. 2006; 175(1):121-33. PMC: 2064504. DOI: 10.1083/jcb.200604129. View

4.
Xiao Z, Han L, Lee H, Zhuang L, Zhang Y, Baddour J . Energy stress-induced lncRNA FILNC1 represses c-Myc-mediated energy metabolism and inhibits renal tumor development. Nat Commun. 2017; 8(1):783. PMC: 5627275. DOI: 10.1038/s41467-017-00902-z. View

5.
Stockwell B . Ferroptosis turns 10: Emerging mechanisms, physiological functions, and therapeutic applications. Cell. 2022; 185(14):2401-2421. PMC: 9273022. DOI: 10.1016/j.cell.2022.06.003. View