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T cell lipid peroxidation induces ferroptosis and prevents immunity to infection
Open accessAbstract
The selenoenzyme glutathione peroxidase 4 (Gpx4) is a major scavenger of phospholipid hydroperoxides. Although Gpx4 represents a key component of the reactive oxygen species-scavenging network, its relevance in the immune system is yet to be defined. Here, we investigated the importance of Gpx4 for physiological T cell responses by using T cell–specific Gpx4-deficient mice. Our results revealed that, despite normal thymic T cell development, CD8+ T cells from TΔGpx4/ΔGpx4 mice had an intrinsic defect in maintaining homeostatic balance in the periphery. Moreover, both antigen-specific CD8+ and CD4+ T cells lacking Gpx4 failed to expand and to protect from acute lymphocytic choriomeningitis virus and Leishmania major parasite infections, which were rescued with diet supplementation of high dosage of vitamin E. Notably, depletion of the Gpx4 gene in the memory phase of viral infection did not affect T cell recall responses upon secondary infection. Ex vivo, Gpx4-deficient T cells rapidly accumulated membrane lipid peroxides and concomitantly underwent cell death driven by ferroptosis but not necroptosis. These studies unveil an essential role of Gpx4 for T cell immunity.
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“the inducible or tissue-specific ablation of Gpx4 in mice provokes a variety of pathological conditions, including acute renal or hepatic injury [547, 563, 589], neurodegeneration [550, 590, 591], and defective immunity to infection [567], all of which can be prevented or mitigated by ferroptosis-inhibiting strategies.”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [567]
In the citing paper
“GPX4 is essential for the survival and expansion of recently activated T cells, indicating the importance of preventing lipid peroxidation and of iron dysregulation resulting in ferroptosis, in T cell proliferation (Matsushita et al., 2015).”
From The Role of Iron Regulation in Immunometabolism and Immune-Related Disease (2019) · cites this paper as Matsushita et al., 2015
In the citing paper
“GPX4 is essential for the survival and expansion of recently activated T cells, indicating the importance of preventing lipid peroxidation and of iron dysregulation resulting in ferroptosis, in T cell proliferation (Matsushita et al., 2015).”
From The Role of Iron Regulation in Immunometabolism and Immune-Related Disease (2019) · cites this paper as Matsushita et al., 2015
In the citing paper
“Gpx4 exerts important effects on the immune system as it is crucial for the survival of CD8+ T cells and for the expansion of both CD4+ and CD8+ T cells upon T cell receptor triggering in response to infection by preventing membrane lipid peroxidation and ferroptosis”
From Iron in immune cell function and host defense (2021) · cites this paper as [112]
In the citing paper
“and high levels of reactive oxygen species in T cells impair cytotoxicity, perhaps mediated by T cell lipid peroxidation, resulting in failure to control viruses (Henson et al. 2014; Matsushita et al. 2015).”
From Is immunosenescence influenced by our lifetime “dose” of exercise? (2016) · cites this paper as Matsushita et al. 2015
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Citations
Cites
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Items 101–200 of 677
Ferroptosis: when metabolism meets cell death
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“In fact, recent data suggested an important role of Gpx4 for the survival of T cells and renal tubular cells by preventing ferroptosis.(14) In this study, we provide evidence that in erythroid cells, Gpx4 instead suppresses Rip3-dependent necroptosis.”
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BackgroundPeroxisome-driven ether-linked phospholipids biosynthesis is essential for ferroptosis
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“103 This is attributed to the rapid accumulation of membrane lipid peroxides and ferroptosis in CD8 + T cells.”
InfluentialSystematic Analysis of the Aberrances and Functional Implications of Ferroptosis in Cancer
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“However, further research has revealed that ferroptosis can also occur in non-cancer cells or normal tissues independently of RAS mutation [13–16], highlighting its broad implication in various physiological and pathological conditions.”
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“Indeed, it has been reported that Gpx4-deficient T cells have intrinsic defects in homeostatic balance maintenance and cell expansion upon stress [16].”
BackgroundFerroptosis: Opportunities and Challenges in Myocardial Ischemia‐Reperfusion Injury
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“constructed T cell-specific Gpx4-deficient mice and found that neither antigen-specific CD8 nor CD4 T cells lacking Gpx4 could expand and protect them from infection and that Gpx4-deficient T cells rapidly accumulated membrane lipid peroxides [157].”
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“Gpx4 Is Dispensable for the Development and Maintenance of Fo B2 Cells We have previously described the crucial role of Gpx4 in protecting activated T cells from accumulation of lipid peroxides and cell death by ferroptosis (Matsushita et al., 2015).”
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“This defect could be rescued with dietary α-tocopherol supplementation [59].”
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“It has been reported that T cells lacking GPX4 fail to expand and function upon activation and undergo ferroptosis (31).”
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“Moreover, the necessity of GPX4, in T cell survival, maintenance, and antigen-stimulated expansion further highlights the crucial role of GSH-mediated antioxidant pathways in T cell functionality (96).”
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Recommendations for robust and reproducible research on ferroptosis
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“Thus, the implication of fer-roptosis in each condition must be carefully evaluated as highlighted above, in the section on ferroptosis detection.”
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“The lower GPX4 activity is, the more pro-inflammatory lipid mediators such as 5-HETE and leukotriene B4 (LTB4) produced (57,58), whereas LTB4, a kind of proinflammatory leukotriene, is crucial to carcinogenesis.”
BackgroundFerroptosis in Neurological Diseases
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Lipid Metabolism in Ferroptosis
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“T cell lipid peroxidation induces ferroptosis and reduces immunity to infection, and Gpx4 is critical for the homeostatic survival of CD8 T cells and the expansion of CD4+ and CD8+ T cells in response to infection by preventing membrane lipid peroxidation and ferroptosis upon TCR triggering (106).”
BackgroundSelenium: Tracing Another Essential Element of Ferroptotic Cell Death
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“T cells lacking GPX4 (derived from mice with T-cell-specific Gpx4 deletion) rapidly accumulate lipid peroxides in their cell membranes and eventually succumb to ferroptosis [139].”
Regulation of T cell signalling by membrane lipids
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“In addition, cellular lipophilic antioxidants such as vitamin E and ubiquinol, the reduced form of CoQ10, inhibit lipid peroxidation and ferroptosis with their radical-trapping activities (Bersuker et al., 2019; Doll et al., 2019; Matsushita et al., 2015; Zilka et al., 2017).”
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Self-citationLipids as mediators of cancer progression and metastasis
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“Systemic induction of ferroptosis might even be tumor promoting, as it also limits the activity of CD8 + T cells 170 .”
Novel insights into ferroptosis: Implications for age-related diseases
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“Another study revealed that GPX4-deficient T cells could rapidly accumulate membrane lipid peroxides accompanied by ferroptosis-mediated cell death rather than necroptosis [60].”
BackgroundPPARG-mediated ferroptosis in dendritic cells limits antitumor immunity
Han, L., Bai, L., Qu, C., Dai, E., Liu, J., Kang, R., Zhou, D., Tang, D., & Zhao, Y. (2021) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2021.08.082 · Cited by 128
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Ferroptosis in immunostimulation and immunosuppression
Tang, D., Kroemer, G., & Kang, R. (2023) · Immunological Reviews · doi:10.1111/imr.13235 · Cited by 129
“72 On the other hand, the induction of TP53-dependent ferroptosis in liver cells limits infection by the Plasmodium parasite.”
BackgroundFerroptotic therapy in cancer: benefits, side effects, and risks
Diao, J., Jia, Y., Dai, E., Liu, J., Kang, R., Tang, D., Han, L., Zhong, Y., & Meng, L. (2024) · Molecular Cancer · doi:10.1186/s12943-024-01999-9 · Cited by 135
“GPX4 is not essential for T cell development, but plays a crucial role in maintaining T cell homeostasis and supporting T cell-dependent immune responses during acute viral infections [59].”
BackgroundInfluentialRecent progress on targeting ferroptosis for cancer therapy
Xu, G., Wang, H., Li, X., Huang, R., & Luo, L. (2021) · Biochemical Pharmacology · doi:10.1016/j.bcp.2021.114584 · Cited by 121
Shi, L., Liu, Y., Li, M., & Luo, Z. Y. (2021) · FEBS Journal · doi:10.1111/febs.16034 · Cited by 127
Detection of Ferroptosis by BODIPY™ 581/591 C11
Martinez, A. M., Kim, A., & Yang, W. S. (2020) · Methods in molecular biology · doi:10.1007/978-1-0716-0247-8_11 · Cited by 119
Crosstalk Between Autophagy and Ferroptosis and Its Putative Role in Ischemic Stroke
Liu, J., Guo, Z., Yan, X., Huang, S., Ren, J., Luo, Y., & Yang, Y. (2020) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2020.577403 · Cited by 120
Ferroptosis: an emerging player in immune cells
Xu, S., Min, J., & Wang, F. (2021) · 中国科学通报:英文版 · doi:10.1016/j.scib.2021.02.026 · Cited by 118
Lymphopenia in sepsis: a narrative review
Wang, Z., Zhang, W., Chen, L., Lu, X. B., & Tu, Y. (2024) · Critical Care · doi:10.1186/s13054-024-05099-4 · Cited by 137
“Antigen-specific CD4 + and CD8 + T cells lacking glutathione peroxidase four fail to expand, and the T cells rapidly accumulate membrane lipid peroxides with subsequent ferroptosis [104].”
BackgroundFerroptosis in mitochondrial cardiomyopathy
Ahola, S., & Langer, T. (2023) · Trends in Cell Biology · doi:10.1016/j.tcb.2023.06.002 · Cited by 118
Zheng, X., Jin, X., Ye, F., Liu, X., Yu, B., Li, Z., Zhao, T., Chen, W., Liu, X., Di, C., et al. (2023) · Experimental Hematology and Oncology · doi:10.1186/s40164-023-00427-w · Cited by 125
“Lipid peroxide accumulation and ferroptosis caused by GPX4 deficiency impair the ability of T lymphocytes to eradicate viral or parasitic infections [184].”
BackgroundThe peroxisome: an up-and-coming organelle in immunometabolism
Cara, F. D., Savary, S., Kovacs, W. J., Kim, P., & Rachubinski, R. A. (2022) · Trends in Cell Biology · doi:10.1016/j.tcb.2022.06.001 · Cited by 124
Is immunosenescence influenced by our lifetime “dose” of exercise?
Turner, J. E. (2016) · Biogerontology · doi:10.1007/s10522-016-9642-z · Cited by 112
The Multifaceted Regulation of Mitochondria in Ferroptosis
Wu, H., Wang, F., Ta, N., Zhang, T., & Gao, W. (2021) · Life · doi:10.3390/life11030222 · Cited by 111
“By using T lymphocytes specific GPX4 knockout mice as a model, it was reported that GPX4 is vital for the homeostatic survival of CD8+ T cells in the periphery (spleen, peripheral lymph node and mesenteric lymph node), as well as for the expansion of both CD4+ and CD8+ T cells upon T cell receptor triggering in respon…”
MethodBeggars banquet: Metabolism in the tumor immune microenvironment and cancer therapy
Zou, W., & Green, D. R. (2023) · Cell Metabolism · doi:10.1016/j.cmet.2023.06.003 · Cited by 122
Wang, Y., Qin, T., Hao, Y., Yao, W., Lu, J., Chen, C., Chen, X., Lin, Y., Huang, Q., Xu, L., et al. (2021) · Nature Immunology · doi:10.1038/s41590-021-01090-1 · Cited by 113
“…memory CD8 + T cells of Gpx4 deficiency appear to be resistant to ferroptosis and mount similar secondary responses as WT counterparts following reinfection 31 ; neverthe-less, in this study, Gpx4 deficiency was found to almost abolish the memory pool of antigen-specific CD4 + T cells.”
Metabolic regulation of ferroptosis in the tumor microenvironment
Mbah, N. E., & Lyssiotis, C. A. (2022) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2022.101617 · Cited by 113
“(2022) 298(3) 101617 Indeed, early studies on the role of GPX4 on T cell activity established that GPX4 is critical to antigen-specific CD4 T and CD8T cells by functioning to, not only prevent T cell-ferroptosis but to also, confer effective protection against viral and parasitic infections (100).”
BackgroundMitochondrial regulation of cell death: a phylogenetically conserved control
Galluzzi, L., Kepp, O., & Kroemer, G. (2016) · Microbial Cell · doi:10.15698/mic2016.03.483 · Cited by 110
“Ferroptosis is under the endogenous control of cytosolic glutathione peroxidase 4 (GPX4) [77, 78], and can be delayed by the small molecule ferrostatin-1 (Fer-1) as well OPEN ACCESS | www.microbialcell.com 104 Microbial Cell | March 2016 | Vol. 3 Nr. 3 as by other chemical agents that inhibit lipid peroxidation [79].”
GPX4 regulates cellular necrosis and host resistance in Mycobacterium tuberculosis infection
Amaral, E. P., Foreman, T. W., Namasivayam, S., Hilligan, K. L., Kauffman, K. D., Bomfim, C. C. B., Costa, D. L., Barreto‐Duarte, B., Rocha, C. A. G., Santana, M. F., et al. (2022) · The Journal of Experimental Medicine · doi:10.1084/jem.20220504 · Cited by 106
Nutritional and Metabolic Control of Ferroptosis
Mishima, E., & Conrad, M. (2022) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-062320-114541 · Cited by 107
Self-citationTrypsin-Mediated Sensitization to Ferroptosis Increases the Severity of Pancreatitis in Mice
Liu, K., Liu, J., Zou, B., Li, C., Zeh, H. J., Kang, R., Kroemer, G., Huang, J. X., & Tang, D. (2021) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2021.09.008 · Cited by 107
“In contrast to the pancreas, the depletion of Gpx4 in other, nonpancreatic tissues or cells, such as the kidney or T cells, may cause spontaneous tissue damage in a ferroptosis-dependent manner.(72,73) In addition, the loss of Gpx4 in myeloid cells increased susceptibility to bacterial infections through lipid peroxid…”
BackgroundArsenite induces testicular oxidative stress in vivo and in vitro leading to ferroptosis
Meng, P., Zhang, S., Jiang, X., Cheng, S., Zhang, J., Cao, X., Qin, X., Zou, Z., & Chen, C. (2020) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2020.110360 · Cited by 103
Broad Spectrum Deubiquitinase Inhibition Induces Both Apoptosis and Ferroptosis in Cancer Cells
Li, Y., Chen, X., Yang, Q., Chen, J., Huang, Q., Yao, L., Ding, Y., Wu, J., Zhang, P., Tang, D., et al. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.00949 · Cited by 102
“Conditional knockout of GPX4 in the kidney and T cells can cause lipid peroxidation and subsequent ferroptosis which finally promotes tissue injury and immune dysfunction, respectively (43, 44).”
BackgroundFerroptosis‐related gene signature predicts prognosis and immunotherapy in glioma
Wan, R., Wang, P., Xia, Q., Zhou, H., & Mao, X. (2021) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.13654 · Cited by 100
The Link Between Ferroptosis and Cardiovascular Diseases: A Novel Target for Treatment
Hu, H., Chen, Y., Jing, L., Zhai, C., & Shen, L. (2021) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2021.710963 · Cited by 101
Ferroptosis: Biological Rust of Lipid Membranes
Hassannia, B., Coillie, S. V., & Berghe, T. V. (2020) · Antioxidants and Redox Signaling · doi:10.1089/ars.2020.8175 · Cited by 93
“GPX4 deficiency in T cells results in abrogation of T cell expansion and failure of immune response in response to viral and parasitic infection in mice (124).”
Identification the ferroptosis-related gene signature in patients with esophageal adenocarcinoma
Zhu, L., Yang, F., Wang, L., Dong, L., Huang, Z., Wang, G., Chen, G., & Li, Q. (2021) · Cancer Cell International · doi:10.1186/s12935-021-01821-2 · Cited by 94
Recent Progress of Ferroptosis in Lung Diseases
Yu, S., Jia, J., Zheng, J., Zhou, Y., Jia, D., & Wang, J. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.789517 · Cited by 94
“GPX4-deficient T cells rapidly accumulated membrane LPO, underwent cell death driven by ferroptosis and subsequently affect immune function (Matsushita et al., 2015).”
BackgroundMa, T., Chen, J.-X., Zhu, P., Zhang, C.-B., Zhou, Y., & Duan, J. (2022) · Life Sciences · doi:10.1016/j.lfs.2022.120868 · Cited by 96
A lipid atlas of human and mouse immune cells provides insights into ferroptosis susceptibility
Morgan, P. K., Pernes, G., Huynh, K., Giles, C., Paul, S., Smith, A., Mellett, N. A., Liang, A., van Buuren-Milne, T., Veiga, C. B., et al. (2024) · Nature Cell Biology · doi:10.1038/s41556-024-01377-z · Cited by 103
“While ferroptosis does not appear to contribute to T cell development, T cells are highly susceptible to ferroptosis triggered by GPX4 deletion, leading to decreased numbers of T cells in the periphery and a failure to expand in number in response to infection 34 .”
Ferroptosis and its interaction with tumor immune microenvironment in liver cancer
Huang, Y., Wang, S., Ke, A., & Guo, K. (2022) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2022.188848 · Cited by 94
The role of ferroptosis in intervertebral disc degeneration
Fan, C., Chu, G., Yu, Z., Ji, Z., Kong, F., Yao, L., Wang, J., Geng, D., Wu, X., & Mao, H. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1219840 · Cited by 94
Targeting FSP1 triggers ferroptosis in lung cancer
Wu, K., Vaughan, A. J., Bossowski, J. P., Hao, Y., Ziogou, A., Kim, S. M., Kim, T. H., Nakamura, M. N., Pillai, R., Mancini, M. C. S., et al. (2025) · Nature · doi:10.1038/s41586-025-09710-8 · Cited by 102
Self-citationFerroptosis, a Regulated Neuronal Cell Death Type After Intracerebral Hemorrhage
Bai, Q., Liu, J., & Wang, G. (2020) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2020.591874 · Cited by 95
Dar, H. H., Anthonymuthu, T. S., Ponomareva, L. A., Souryavong, A. B., Shurin, G. V., Kapralov, A. A., Tyurin, V. A., Lee, J. S., Mallampalli, R. K., Wenzel, S. E., et al. (2021) · Redox Biology · doi:10.1016/j.redox.2021.102045 · Cited by 91
“For the host, GPx4/GSH anti-oxidant system is the central shield against lipid hydroperoxide driven ferroptotic cell death and is emerging as a prime target for pathogens to chase and exploit for their benefit [10, 18,45].”
BackgroundAltamura, S., Naidu, V. M., Hoppe, P. S., Schroeder, T., Aichler, M., Walch, A. K., Okreglicka, K. M., Hültner, L., Schneider, M., Ladinig, C., et al. (2019) · Haematologica · doi:10.3324/haematol.2018.212977 · Cited by 92
Self-citationSchomburg, L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22168532 · Cited by 90
“Glutathione peroxidase 4 (GPX4) reduces lipid hydroperoxides, prevents ferroptosis [161]”
BackgroundHealy, C. M., Muñoz‐Wolf, N., Strydom, J., Faherty, L., Williams, N. C., Kenny, S., Donnelly, S. C., & Cloonan, S. M. (2021) · Respiratory Research · doi:10.1186/s12931-021-01722-y · Cited by 90
“Gpx4 is essential for homeostasis of both CD4+ and CD8+ T cells, as mice lacking Gpx4 have impaired proliferate T cell responses during a viral challenge or Leishmania infection [217].”
Background
Metadata
- Authors
- Matsushita, M., Freigang, S., Schneider, C., Conrad, M., Bornkamm, G. W., & Kopf, M.
- Affiliations
- ETH Zurich (CH)
- Helmholtz Munich (DE)
- Molecular Biomedicine, Institute of Molecular Health Science, Department of Biology, ETH Zurich, 8093 Zurich, Switzerland 1
- Venue
- Journal of Experimental Medicine
- Publisher
- Rockefeller University Press
- Published
- 2015-03-30
- Volume
- 212
- Issue
- 4
- Pages
- 555-568
- ISSN
- 0022-1007 (ISSN-L)
- 1540-9538
- PMC
- PMC4387287
- OpenAlex
- W2065934830
- Cited by
- 672
- References
- 57
- Citations by year
- 2026: 65 · 2025: 77 · 2024: 90 · 2023: 90 · 2022: 95 · 2021: 92 · 2020: 56 · 2019: 28 · 2018: 25 · 2017: 22 · 2016: 24 · 2015: 8
- FWCI
- 12.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Experimental Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- Repository for Publications and Research Data (ETH Zurich) (publishedVersion, cc-by-nc-sa)
- Bern Open Repository and Information System (University of Bern) (submittedVersion, cc-by-nc-sa)
- Site cant be reached (submittedVersion)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
- ETH Zürich Research Collection
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (141175, 310030B_141175/1)
- National Institutes of Health
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Ferroptosis and cancer prognosis
- Health Sciences › Nursing › Nutrition and Dietetics › Selenium in Biological Systems
- Keywords
- GPX4, ferroptosis, lipid peroxidation, T cell immunity, CD8+ T cells, CD4+ T cells, phospholipid hydroperoxides, vitamin E, lymphocytic choriomeningitis virus, Leishmania major, antiviral immunity, antiparasitic immunity, T cell homeostasis, T cell-specific knockout mice
- MeSH terms
- Phospholipid Hydroperoxide Glutathione Peroxidase, Animals, Cell Membrane, Glutathione Peroxidase, Immunologic Memory, Lymphocytic Choriomeningitis, Lymphocytic choriomeningitis virus, Thymus Gland, Vitamin E, Vitamins, Lipid Peroxidation, CD4-Positive T-Lymphocytes, Leishmaniasis, Cutaneous, Cell Death, Leishmania major, Mice, Knockout, CD8-Positive T-Lymphocytes, Mice
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