Ferroptosis in cancer and cancer immunotherapy
Open accessAbstract
The hallmark of tumorigenesis is the successful circumvention of cell death regulation for achieving unlimited replication and immortality. Ferroptosis is a newly identified type of cell death dependent on lipid peroxidation which differs from classical programmed cell death in terms of morphology, physiology and biochemistry. The broad spectrum of injury and tumor tolerance are the main reasons for radiotherapy and chemotherapy failure. The effective rate of tumor immunotherapy as a new treatment method is less than 30%. Ferroptosis can be seen in radiotherapy, chemotherapy, and tumor immunotherapy; therefore, ferroptosis activation may be a potential strategy to overcome the drug resistance mechanism of traditional cancer treatments. In this review, the characteristics and causes of cell death by lipid peroxidation in ferroptosis are briefly described. In addition, the three metabolic regulations of ferroptosis and its crosstalk with classical signaling pathways are summarized. Collectively, these findings suggest the vital role of ferroptosis in immunotherapy based on the interaction of ferroptosis with tumor immunotherapy, chemotherapy and radiotherapy, thus, indicating the remarkable potential of ferroptosis in cancer treatment.
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Ferroptosis is an iron-dependent and lipid peroxidation-driven cell death cascade.
“ferroptosis, an iron-dependent and lipid peroxidation-driven cell death cascade, has recently been identified7,8.”
From An HDAC4-specific PROTAC degrader achieves radiation sensitization by enhancing ferroptosis in lung cancer (2026) · cites this paper as [8]
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Cited by
Sorted by citations
Shi, J., Cui, G., Jin, Y., Mi, B., Liu, K., Zhao, L., Bao, K., Lu, Z., Liu, J., Wang, Y., et al. (2024) · Advanced Healthcare Materials · doi:10.1002/adhm.202402474 · Cited by 18 · see citing works
Self-citationAP-1 inhibitor induces ferroptosis via the PI3K/AKT pathway in multiple myeloma cells
Tang, S., Liu, J., Li, F., Yan, Y., Long, X., & Fu, Y. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e34397 · Cited by 13 · see citing works
Cheng, C., Sun, L., Yang, J., Liu, Z., Zhang, F., Qiu, L., Yu, M., Wang, T., Huang, J., Wang, L., et al. (2026) · Nature Communications · doi:10.1038/s41467-026-73682-0
Self-citation
- Authors
- Zhao, L., Zhou, X., Xie, F., Zhang, L., Yan, H., Huang, J., Zhang, C., Zhou, F., Chen, J., & Zhang, L.
- Affiliations
- Zhejiang Hospital (CN)
- Zhejiang University (CN)
- Soochow University (CN)
- Ruian People's Hospital (CN)
- Corresponding author
- Zhang, Chong
- Zhou, Fangfang
- Chen, Jun
- Zhang, Long
- Venue
- Cancer Communications
- Published
- 2022-02
- Volume
- 42
- Issue
- 2
- Pages
- 88-116
- ISSN
- 1000-467X (ISSN-L)
- 2523-3548
- PMC
- PMC8822596
- OpenAlex
- W4210867925
- Cited by
- 684
- References
- 29
- Citations by year
- 2026: 108 · 2025: 185 · 2024: 227 · 2023: 119 · 2022: 44 · 2021: 1
- FWCI
- 25.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- 癌症:英文版 (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- ferroptosis, lipid peroxidation, cancer cell death, cancer immunotherapy, chemoresistance, radiotherapy resistance, signaling crosstalk, tumor immune tolerance
- MeSH terms
- Ferroptosis, Humans, Immunotherapy, Neoplasms, Signal Transduction, Carcinogenesis
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