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Abstract
Ferroptosis is an iron-dependent, non-apoptotic form of cell death involving in various
disease processes. Mechanistically, glutathione peroxidase 4 (GPX4) which belongs
to the redox enzyme can convert lipid hydroperoxides into innocuous lipid alcohol
to protect cells from ferroptosis. Therefore, targeting manipulation of GPX4 may represent
a promising strategy for regulating cell redox homeostasis and ferroptosis. In this
work, we designed, synthesized and evaluated a series of RSL3-based GPX4 degraders
using PROTAC strategy. The structure-activity relationship of these compounds with
different E3 ligase ligands, linker lengths and chemical compositions was systematically
studied. Compound R17 with carbon chain linker and lenalidomide E3 ligand was selected
as the most potent GPX4 degrader for degrading GPX4 protein in nanomolar level either
in wild tumor cells or in drug-resistant tumor cells. We also optimized the POI ligand
of R17 with chloracetylamine replaced to propionamide to construct noncovalent GPX4
degrader NC-R17. Such noncovalent modification led to a moderate GPX4 degradation
activity and represents a promising strategy for the development of noncovalent GPX4
PROTACs. In general, we screened a set of GPX4 degraders to give the compound R17
with excellent protein degradation activity, and further optimization gave the noncovalent
degrader NC-R17 with moderate efficacy. These results lay a firm foundation for the
discovery of novel anti-tumor drugs targeting GPX4 and offer the proof of concept
for the design of noncovalent GPX4 PROTACs.
The research field of ferroptosis has seen exponential growth over the past few years, since the term was coined in 2012. This unique modality of cell death, driven by iron-dependent phospholipid peroxidation, is regulated by multiple cellular metabolic pathways, including redox homeostasis, iron handling, mitochondrial activity and metabolism of amino acids, lipids and sugars, in addition to various signalling pathways relevant to disease. Numerous organ injuries and degenerative pathologies are driven by ferroptosis. Intriguingly, therapy-resistant cancer cells, particularly those in the mesenchymal state and prone to metastasis, are exquisitely vulnerable to ferroptosis. As such, pharmacological modulation of ferroptosis, via both its induction and its inhibition, holds great potential for the treatment of drug-resistant cancers, ischaemic organ injuries and other degenerative diseases linked to extensive lipid peroxidation. In this Review, we provide a critical analysis of the current molecular mechanisms and regulatory networks of ferroptosis, the potential physiological functions of ferroptosis in tumour suppression and immune surveillance, and its pathological roles, together with a potential for therapeutic targeting. Importantly, as in all rapidly evolving research areas, challenges exist due to misconceptions and inappropriate experimental methods. This Review also aims to address these issues and to provide practical guidelines for enhancing reproducibility and reliability in studies of ferroptosis. Finally, we discuss important concepts and pressing questions that should be the focus of future ferroptosis research.
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