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      Loss of COPZ1 induces NCOA4 mediated autophagy and ferroptosis in glioblastoma cell lines

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          Abstract

          Dysregulated iron metabolism is a hallmark of many cancers, including glioblastoma (GBM). However, its role in tumor progression remains unclear. Herein, we identified coatomer protein complex subunit zeta 1 (COPZ1) as a therapeutic target candidate which significantly dysregulated iron metabolism in GBM cells. Overexpression of COPZ1 was associated with increasing tumor grade and poor prognosis in glioma patients based on analysis of expression data from the publicly available database The Cancer Genome Atlas ( P < 0.001). Protein levels of COPZ1 were significantly increased in GBM compared to non-neoplastic brain tissue samples in immunohistochemistry and western blot analysis. SiRNA knockdown of COPZ1 suppressed proliferation of U87MG, U251 and P3#GBM in vitro. Stable expression of a COPZ1 shRNA construct in U87MG inhibited tumor growth in vivo by ~60% relative to controls at day 21 after implantation ( P < 0.001). Kaplan–Meier analysis of the survival data demonstrated that the overall survival of tumor bearing animals increased from 20.8 days (control) to 27.8 days (knockdown, P < 0.05). COPZ1 knockdown also led to the increase in nuclear receptor coactivator 4 (NCOA4), resulting in the degradation of ferritin, and a subsequent increase in the intracellular levels of ferrous iron and ultimately ferroptosis. These data demonstrate that COPZ1 is a critical mediator in iron metabolism. The COPZ1/NCOA4/FTH1 axis is therefore a novel therapeutic target for the treatment of human GBM.

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          Hallmarks of Cancer: The Next Generation

          The hallmarks of cancer comprise six biological capabilities acquired during the multistep development of human tumors. The hallmarks constitute an organizing principle for rationalizing the complexities of neoplastic disease. They include sustaining proliferative signaling, evading growth suppressors, resisting cell death, enabling replicative immortality, inducing angiogenesis, and activating invasion and metastasis. Underlying these hallmarks are genome instability, which generates the genetic diversity that expedites their acquisition, and inflammation, which fosters multiple hallmark functions. Conceptual progress in the last decade has added two emerging hallmarks of potential generality to this list-reprogramming of energy metabolism and evading immune destruction. In addition to cancer cells, tumors exhibit another dimension of complexity: they contain a repertoire of recruited, ostensibly normal cells that contribute to the acquisition of hallmark traits by creating the "tumor microenvironment." Recognition of the widespread applicability of these concepts will increasingly affect the development of new means to treat human cancer. Copyright © 2011 Elsevier Inc. All rights reserved.
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            Ferroptosis: an iron-dependent form of nonapoptotic cell death.

            Nonapoptotic forms of cell death may facilitate the selective elimination of some tumor cells or be activated in specific pathological states. The oncogenic RAS-selective lethal small molecule erastin triggers a unique iron-dependent form of nonapoptotic cell death that we term ferroptosis. Ferroptosis is dependent upon intracellular iron, but not other metals, and is morphologically, biochemically, and genetically distinct from apoptosis, necrosis, and autophagy. We identify the small molecule ferrostatin-1 as a potent inhibitor of ferroptosis in cancer cells and glutamate-induced cell death in organotypic rat brain slices, suggesting similarities between these two processes. Indeed, erastin, like glutamate, inhibits cystine uptake by the cystine/glutamate antiporter (system x(c)(-)), creating a void in the antioxidant defenses of the cell and ultimately leading to iron-dependent, oxidative death. Thus, activation of ferroptosis results in the nonapoptotic destruction of certain cancer cells, whereas inhibition of this process may protect organisms from neurodegeneration. Copyright © 2012 Elsevier Inc. All rights reserved.
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              Radiotherapy plus Concomitant and Adjuvant Temozolomide for Glioblastoma

              Glioblastoma, the most common primary brain tumor in adults, is usually rapidly fatal. The current standard of care for newly diagnosed glioblastoma is surgical resection to the extent feasible, followed by adjuvant radiotherapy. In this trial we compared radiotherapy alone with radiotherapy plus temozolomide, given concomitantly with and after radiotherapy, in terms of efficacy and safety. Patients with newly diagnosed, histologically confirmed glioblastoma were randomly assigned to receive radiotherapy alone (fractionated focal irradiation in daily fractions of 2 Gy given 5 days per week for 6 weeks, for a total of 60 Gy) or radiotherapy plus continuous daily temozolomide (75 mg per square meter of body-surface area per day, 7 days per week from the first to the last day of radiotherapy), followed by six cycles of adjuvant temozolomide (150 to 200 mg per square meter for 5 days during each 28-day cycle). The primary end point was overall survival. A total of 573 patients from 85 centers underwent randomization. The median age was 56 years, and 84 percent of patients had undergone debulking surgery. At a median follow-up of 28 months, the median survival was 14.6 months with radiotherapy plus temozolomide and 12.1 months with radiotherapy alone. The unadjusted hazard ratio for death in the radiotherapy-plus-temozolomide group was 0.63 (95 percent confidence interval, 0.52 to 0.75; P<0.001 by the log-rank test). The two-year survival rate was 26.5 percent with radiotherapy plus temozolomide and 10.4 percent with radiotherapy alone. Concomitant treatment with radiotherapy plus temozolomide resulted in grade 3 or 4 hematologic toxic effects in 7 percent of patients. The addition of temozolomide to radiotherapy for newly diagnosed glioblastoma resulted in a clinically meaningful and statistically significant survival benefit with minimal additional toxicity. Copyright 2005 Massachusetts Medical Society.
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                Author and article information

                Contributors
                Frits.Thorsen@uib.no
                Jian.Wang@uib.no
                lixg@sdu.edu.cn
                Journal
                Oncogene
                Oncogene
                Oncogene
                Nature Publishing Group UK (London )
                0950-9232
                1476-5594
                8 January 2021
                8 January 2021
                2021
                : 40
                : 8
                : 1425-1439
                Affiliations
                [1 ]GRID grid.27255.37, ISNI 0000 0004 1761 1174, Department of Neurosurgery, Qilu Hospital and Institute of Brain and Brain-Inspired Science, Cheeloo College of Medicine, , Shandong University, ; Shandong 107 Wenhua Xi Road, Jinan, 250012 P.R. China
                [2 ]Shandong Key Laboratory of Brain Function Remodeling, Shandong 107 Wenhua Xi Road, Jinan, 250012 P.R. China
                [3 ]GRID grid.7914.b, ISNI 0000 0004 1936 7443, Department of Biomedicine, , University of Bergen, ; Jonas Lies vei 91, 5009 Bergen, Norway
                [4 ]GRID grid.7914.b, ISNI 0000 0004 1936 7443, Molecular Imaging Center, Department of Biomedicine, , University of Bergen, ; Jonas Lies vei 91, 5009 Bergen, Norway
                Author information
                http://orcid.org/0000-0002-0031-1808
                http://orcid.org/0000-0002-2925-6144
                http://orcid.org/0000-0002-7762-3703
                http://orcid.org/0000-0002-9482-5227
                http://orcid.org/0000-0002-0878-0211
                Article
                1622
                10.1038/s41388-020-01622-3
                7906905
                33420375
                a895b9c0-b0ca-4826-a976-0e8bbb3d1b28
                © The Author(s) 2021

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 16 June 2020
                : 25 November 2020
                : 11 December 2020
                Funding
                Funded by: FundRef https://doi.org/10.13039/100012905, Department of Science and Technology of Shandong Province;
                Award ID: 2018CXGC1503
                Award ID: 2018GSF118094
                Award ID: 2017CXGC1502
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100010029, Taishan Scholar Foundation of Shandong Province;
                Award ID: ts20110814
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100001809, National Natural Science Foundation of China (National Science Foundation of China);
                Award ID: 81874082
                Award ID: 81702474
                Award ID: 82073219
                Award ID: 81972351
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/100007785, Jinan Science and Technology Bureau (Jinan Science & Technology Bureau);
                Award ID: 201821049
                Award ID: 2019GXRC006
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/100012620, Taishan Scholar Foundation of Shandong Province;
                Award ID: tsqn201909173
                Award ID: tshw201502056
                Award Recipient :
                Funded by: FundRef https://doi.org/10.13039/501100002858, China Postdoctoral Science Foundation;
                Award ID: 2018M642666
                Award Recipient :
                Funded by: Jinan Science and Technology Bureau (Jinan Science & Technology Bureau)
                Categories
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                © Springer Nature Limited 2021

                Oncology & Radiotherapy
                cancer metabolism,cancer therapy,cns cancer
                Oncology & Radiotherapy
                cancer metabolism, cancer therapy, cns cancer

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