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A targetable CoQ-FSP1 axis drives ferroptosis- and radiation-resistance in KEAP1 inactive lung cancers

Open access
Koppula, Pranavi, Lei, Guang, Zhang, Yilei, Yan, Yuelong, Mao, Chao, Kondiparthi, Lavanya, Shi, Jiejun, Liu, Xiaoguang, Horbath, Amber, Das, Molina, Li, Wei, Poyurovsky, Masha V., Olszewski, Kellen, Gan, Boyi·2022·Nature Communications

Abstract

Targeting ferroptosis, a unique cell death modality triggered by unrestricted lipid peroxidation, in cancer therapy is hindered by our incomplete understanding of ferroptosis mechanisms under specific cancer genetic contexts.KEAP1(kelch-like ECH associated protein 1) is frequently mutated or inactivated in lung cancers, and KEAP1 mutant lung cancers are refractory to most therapies, including radiotherapy. In this study, we identify ferroptosis suppressor protein 1 (FSP1, also known as AIFM2) as a transcriptional target of nuclear factor erythroid 2-related factor 2 (NRF2) and reveal that the ubiquinone (CoQ)-FSP1 axis mediates ferroptosis- and radiation- resistance in KEAP1 deficient lung cancer cells. We further show that pharmacological inhibition of the CoQ-FSP1 axis sensitizes KEAP1 deficient lung cancer cells or patient-derived xenograft tumors to radiation through inducing ferroptosis. Together, our study identifies CoQ-FSP1 as a key downstream effector of KEAP1-NRF2 pathway and as a potential therapeutic target for treating KEAP1 mutant lung cancers.

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Metadata

Authors
Koppula, P., Lei, G., Zhang, Y., Yan, Y., Mao, C., Kondiparthi, L., Shi, J., Liu, X., Horbath, A., Das, M., Li, W., Poyurovsky, M. V., Olszewski, K., & Gan, B.
Venue
Nature Communications
Published
2022-04-22
Volume
13
Issue
1
Pages
2206-2206
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4224295505
Cited by
464
References
21
FWCI
54.40
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: A targetable CoQ-FSP1 axis drives ferroptosis- and radiation-resistance in KEAP1 inactive lung cancers. https://app.cochat.ai/papers/10.1038/s41467-022-29905-1
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Koppula, P., Lei, G., Zhang, Y., Yan, Y., Mao, C., Kondiparthi, L., Shi, J., Liu, X., Horbath, A., Das, M., Li, W., Poyurovsky, M. V., Olszewski, K., & Gan, B. (2022). A targetable CoQ-FSP1 axis drives ferroptosis- and radiation-resistance in KEAP1 inactive lung cancers. Nature Communications. https://doi.org/10.1038/s41467-022-29905-1

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