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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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Cites
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“Further works on T cells have revealed that deficiency of GPX4 in antigen-specific CD4+ and CD8+ T cells are unable to expand and experience ferroptotic cell death induction with an accumulation of lipid peroxides, thereby precluding their immune response to protect the host from infections [114,123].”
BackgroundImmune imbalance in Lupus Nephritis: The intersection of T-Cell and ferroptosis
Fan, Y., Ma, K., Lin, Y., Ren, J., Peng, H., Yuan, L., Nasser, M. I., Jiang, X., & Wang, K. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1520570 · Cited by 16
“Research has shown that during external pathogen infection, the xCT ‒ GPX4 antioxidant system helps to suppress the occurrence of ferroptosis in effector CD8+ and CD4+ T cells, promoting their expansion and enabling them to mount an immune response against pathogen invasion (4).”
InfluentialThe dynamic role of ferroptosis in cancer immunoediting: Implications for immunotherapy
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“2020), CD8+ and CD4+ T cells lacking Gpx4 failed to protect from virus and parasite infections (Matsushita et al. 2015).”
Endogenous chemicals guard health through inhibiting ferroptotic cell death
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“Researchers identified that ferroptosis was related to the immune response process (44).”
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“This “ killing-self-destruction ” effect may weaken the synergistic therapeutic effect of immune checkpoint inhibitors and ferroptosis inducers (45, 46).”
Zhao, J., Liu, Z., Zheng, X., Gao, H., & Li, L. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2021.753680 · Cited by 14
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“found that GPX4 deficiencyinduced T cell death was caused by a lipid peroxidation-mediated pathway that involves ferroptosis [34].”
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Fan, X., Fan, Y.-T., Zeng, H., Dong, X.-Q., Lu, M., & Zhang, Z. (2023) · World Journal of Gastrointestinal Oncology · doi:10.4251/wjgo.v15.i7.1105 · Cited by 14
ATP-dependent transporters: emerging players at the crossroads of immunity and metabolism
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“It was shown that glutathione peroxidase 4-deficient T cells rapidly accumulate lipid peroxides and undergo ferroptosis in vitro, resulting in ineffective T-cell protection against infection [19].”
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“Ferroptosis is thought to be affected by PUFA metabolism, and a key point of its regulation is the peroxidation of the cell membranes [61–63].”
BackgroundTargeting Ferroptosis as an Advance Strategy in Cancer Therapy
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Selenoprotein-mediated redox regulation shapes the cell fate of HSCs and mature lineages
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“Additionally, tetrahydrobiopterin decreases superoxide production, preventing ferroptosis by phospholipid modification [41].”
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“Indeed, knockout of GPX4 results in embryonic lethality and postnatal deletion causes degeneration of several tissues and cell types, such as in the kidney ( 13 ), brain ( 14 ), and immune system ( 15 ).”
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“Immune cells were also involved in the regulation of ferroptosis in tumor cells, and CD8+ T cells functioned in enhancing ferroptosis-specific lipid peroxidation [14,15].”
BackgroundLekva, T., Michelsen, A. E., Roland, M. C. P., Norwitz, E. R., Estensen, M. E., Olstad, O. K., Akkouh, I. A., Henriksen, T., Bollerslev, J., Aukrust, P., et al. (2023) · Journal of Internal Medicine · doi:10.1111/joim.13732 · Cited by 13
“For example, CD4 + and CD8 + T cells lacking GPX4 undergo rapid ferroptosis with an accumulation of lipid peroxides [15].”
BackgroundFerroptosis-Mediated Immune Microenvironment and Therapeutic Response in Inflammatory Bowel Disease
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“Dysregulated lipid metabolism and the resulting lipid peroxidation could sensitize T cells to undergo ferroptosis, leading to their functional impairment and reduced immune responses in tumor (Ma et al., 2021) and infection (Matsushita et al., 2015).”
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“peroxidation of ferroptosis by releasing interferon-γ and increase the occurrence of ferroptosis, thus improving the effect of immunotherapy [48].”
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Diet and Hygiene in Modulating Autoimmunity During the Pandemic Era
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“For instance, oxidative degradation of lipids that occur in the cellular membrane in a process known as lipid peroxidation is mediated by free radicals (101, 102), which could impair the integrity of the cell membrane (103), induce cellular death (101) and accumulate apoptotic products, subsequently initiating autoimm…”
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“Frontiers in Immunology 08 publication of direct evidence that CD8 can function in cancer via ferroptosis (20), numerous previous works unveiled that ferroptosis enhances anti-cancer immunity by boosting cancer immunosurveillance and deciding the fate of CD8+ T cells via glutathione oxidase 4 (GPX4), which is a key en…”
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“A mouse model with conditional knockout of GPX4 in T cells displays an accumulated membrane lipid peroxide phenotype, resulting in an intrinsic defect in protection against acute lymphocytic choriomeningitis virus and Leishmania infection [41].”
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“21,49 67-70 Collectively, the above-mentioned studies established the cyst(e)ine/GSH/ GPX4 system as the mainstay of ferroptosis control.”
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“CD8 + T cells and CD4 + T cells de fi cient in GPX4 exhibit impaired resistance against viral and parasitic infections [34].”
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“This course can be rescued by vitamin E that is considered as the lipid peroxidation inhibitor [193,194].”
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“In contrast, CD8 + T cells were protected from ferroptosis when GPX4 and FSP1 were overexpressed, or ACSL4 was knocked down [105, 109].”
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“Very recently, ferroptosis has also been described in T cells in immunity to infection [66].”
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“By prevention of lipid peroxidation and ferroptotic cell death, GPX4 is important in the survival and expansion of recently activated T-cells [179,190].”
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BackgroundHeat Shock Proteins: Endogenous Modulators of Ferroptosis
Kang, R., & Tang, D. (2019) · Springer eBooks · doi:10.1007/978-3-030-26780-3_4 · Cited by 10
Baseline T-lymphocyte and cytokine indices in sheep peripheral blood
Yang, J., Lv, Y., Zhu, Y., Li, S., Tao, J., Chang, L., Zhu, M., Zhao, J., Wang, Y., Wu, C. Y., et al. (2022) · BMC Veterinary Research · doi:10.1186/s12917-022-03268-7 · Cited by 12
“T lymphocytes play an essential role in the immune response against infections, such as those caused by viruses and bacteria [17, 18]; both CD4+ and CD8+ T cells help in removing pathogens during infection [19, 20].”
BackgroundChen, C., Huang, Y., Grillet, L., Hsieh, Y.-C., Yang, Y., & Lo, K. (2023) · Cellular Oncology · doi:10.1007/s13402-023-00804-x · Cited by 11
Ferroptosis and WDFY4 as novel targets for immunotherapy of lung adenocarcinoma
Huang, L., Zhong, L., Cheng, R., Chang, L., Qin, M., Liang, H., & Liao, Z. (2023) · Aging · doi:10.18632/aging.205042 · Cited by 10
LncRNA MALAT1 promotes Erastin-induced ferroptosis in the HBV-infected diffuse large B-cell lymphoma
Bai, X., Li, J., Guo, X., Huang, Y., Xu, X., Tan, A., Jia, Y., Sun, Q., Guo, X., Chen, J., et al. (2024) · Cell Death and Disease · doi:10.1038/s41419-024-07209-0 · Cited by 11
Ferroptosis and its impact on common diseases
Zou, P., He, Q., Xia, H., & Zhong, W. (2024) · PeerJ · doi:10.7717/peerj.18708 · Cited by 10
Shimura, T., Yin, C., Ma, R., Zhang, A., Nagai, Y., Shiratori, A., Ozaki, H., Yamashita, S., Higashi, K., Sato, Y., et al. (2025) · Oncology Letters · doi:10.3892/ol.2025.14890 · Cited by 10
Zhu, Z., Wu, X., Zhang, J., Zhu, M., Tian, M., & Zhao, P. (2025) · Discover Oncology · doi:10.1007/s12672-025-01911-x · Cited by 13
Zhu, L., Chen, M., Huang, B., Zhang, T., Chen, K., Lian, H., Liu, M., Zhao, K., Pang, Y. K., Zhang, J., et al. (2022) · Frontiers in Genetics · doi:10.3389/fgene.2021.819632 · Cited by 10
“Further evidence demonstrated that CD4 and CD8 T cells lacking GPX4 failed to expand and could not prevent immunity to infection (Matsushita et al., 2015).”
BackgroundFree Radical and Viral Infection: A Review from the Perspective of Ferroptosis
Jun, C., Fu, J., Zhao, S., Zhang, X., Chao, Y., Pan, Q., Sun, H., Zhang, J., Li, B., Xue, T., et al. (2023) · Veterinary Sciences · doi:10.3390/vetsci10070456 · Cited by 10
“VE, as part of the non-enzymatic antioxidant system, is considered an inhibitor of ferroptosis because of its antioxidant activity [97].”
BackgroundTargeting of regulated necrosis in kidney disease
Martín‐Sánchez, D., Poveda, J., Fontecha‐Barriuso, M., Ruiz‐Andrés, O., Sánchez-Niño, M. D., Ruiz‐Ortega, M., Ortíz, A., & Sanz, A. B. (2018) · Nefrología (English Edition) · doi:10.1016/j.nefroe.2018.02.004 · Cited by 10
Ferroptosis exacerbates the clonal deletion of virus-specific exhausted CD8+ T cells
Qin, T., Chen, C., Lu, J., Zheng, X., Zhai, X., Yang, Y., Zhao, Z., Hao, J., Yang, K., Ye, L., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1490845 · Cited by 9
“Accumulating studies have shed light on the role of ferroptosis in anti-tumor function of CD8 + T cells in tumorigenesis (24 – 27) and clonal expansion and homeostasis of CD8 + T cells in acute viral infection (23).”
MicroRNAs at the crossroads of exercise and ferroptosis: a regulatory bridge
Lin, Z. J., & Feng, Z. (2025) · Clinical and Experimental Medicine · doi:10.1007/s10238-025-01766-0 · Cited by 11
Wang, P., Zhang, S., Chen, X., Yang, X.-D., Huang, S., Yin, H., Duan, H.-Y., Zhou, F., Yu, J., Zhong, B., et al. (2025) · Protein & Cell · doi:10.1093/procel/pwaf101 · Cited by 9
Sepsis-associated immunosuppression: mechanistic Insights, Biomarkers, and therapeutic perspectives
Ovalı, M. A., & Percin, S. (2025) · Molecular Biology Reports · doi:10.1007/s11033-025-11312-6 · Cited by 11
“Due to the lack of cellular energy, essential functions of monocytes and macrophages such as the capacity to phagocytize pathogens, antigen presentation and cytokine release are severely restricted [62].”
Ferroptosis in the post-transplantation inflammatory response
Bai, Y. Z., Kopecky, B. J., Lavine, K. J., & Kreisel, D. (2023) · Cellular Immunology · doi:10.1016/j.cellimm.2023.104774 · Cited by 10
The Interaction between NKAP and HDAC3 Is Critical for T Cell Maturation
Dash, B., Shapiro, M. J., Thapa, P., Arocha, S. R. R., Chung, J. Y., Schwab, A. D., McCue, S. A., Rajcula, M. J., & Shapiro, V. S. (2019) · ImmunoHorizons · doi:10.4049/immunohorizons.1900052 · Cited by 9
CD4+ T-cell metabolism in the pathogenesis of Sjogren's syndrome
Chen, B., Zhang, C., Zhou, M., Deng, H., Xu, J., Yin, J., Chen, C., Zhang, D., Pu, Y., Zheng, L., et al. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.114320 · Cited by 9
Role of Ferroptosis in Alveolar Epithelial Cells in Acute Respiratory Distress Syndrome
Sun, B., Wang, L., & Zhang, T. (2025) · Journal of Inflammation Research · doi:10.2147/jir.s528482 · Cited by 8
“114 Conversely, CD36-mediated ferroptosis exerts biphasic effects on T-cell immunity: it suppresses CD8+ T cell effector functions while simultaneously disrupting CD4+ T cell homeostasis.”
Uncovering spatially resolved functional genomics with CRISPR screen sequencing
Zhang, H., Zhang, Z., Wang, P., Xu, T., Chen, X., Zhao, Y., Lin, S., Cai, W., Ren, P., Luo, C., et al. (2026) · Cell · doi:10.1016/j.cell.2026.04.049 · Cited by 9
Duan, Y., Wu, Y., Tian, J., Yin, Y., Yuan, Z., Zhu, W., Zhou, S., Chen, L., & Feng, S. (2025) · Frontiers in Pharmacology · doi:10.3389/fphar.2025.1571178 · Cited by 8
“…in cancer, recent studies have identi fi ed ferroptosis — a form of programmed cell death dependent on iron — as a signi fi cant in fl uencer of immune cell behavior, affecting their survival, differentiation, and effector functions (Matsushita et al., 2015; Ito et al., 2020; Muri et al., 2019).”
The Effect of FOXP3+ Regulatory T Cells on Infectious and Inflammatory Diseases
Bai, Y., Gao, F., Li, D., Ji, S., Zhang, S., Guo, W., & Li, B. (2021) · Infectious Microbes & Diseases · doi:10.1097/im9.0000000000000070 · Cited by 8
Ferroptosis in Cancer Immunotherapy—Implications for Hepatocellular Carcinoma
Kusnick, J., Bruneau, A., Tacke, F., & Hammerich, L. (2022) · Immuno · doi:10.3390/immuno2010014 · Cited by 9
“GPX4 also plays a pivotal role in preventing ferroptosis after T-cell activation by only expanding GPX4-expressing CD4+ and CD8+ T cells [72].”
BackgroundFerroptosis: A potential opportunity for intervention of pre-metastatic niche
Zhuo, S., Yang, L., Chen, S., Tang, C., Li, W., Gao, Z., Feng, J., & Yang, K. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.980620 · Cited by 8
“Notably, conditional deletion of Gpx4 induced ferroptosis by lipid peroxidation in mouse T cells (27), while CD36 reportedly mediated AA uptake by CD8 T cells, thereby causing lipid peroxidation and ferroptosis, as well as impairing the antitumor function of CD8 T cells (28).”
BackgroundLiu, B., Li, Y., Xiang, J., Li, Y., Zhou, M., Ren, Y., Fu, Z., & Ding, F. (2023) · Journal of Inflammation Research · doi:10.2147/jir.s422585 · Cited by 8
“In response to inflammatory stimulation, severe hypoxemia is induced by diffuse injury of the alveolar–capillary barrier, immune infiltration, flooding of alveolar airspaces with protein-rich edema fluid, and severe gas exchange abnormalities.(8,36) Increasing evidence has suggested that the pyroptosis of AMs is invol…”
BackgroundYan, T., & Wang, L. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e27194 · Cited by 7
“T cells that lack GPX4 quickly accumulate membrane lipid peroxides and undergo ferroptosis [37].”
BackgroundHDAC3: A Multifaceted Modulator in Immunotherapy Sensitization
Han, R., Luo, Y., Gao, J., Zhou, H., Wang, Y., Chen, J., Zheng, G., & Ling, C. (2025) · Vaccines · doi:10.3390/vaccines13020182 · Cited by 10
“Notably, overexpression of GPX4 effectively mitigates T-cell dysfunction [98].”
Ghadban, C., García-Unzueta, M., Agüero, J., Martín-Audera, P., Lavín, B. A., Guerra, A. R., Berja, A., Aranda, N., Guzun, A., Insua, A. I., et al. (2025) · Internal and Emergency Medicine · doi:10.1007/s11739-025-04016-z · Cited by 7
Li, H., Xiao, S., Huo, C., Yang, S., Wang, J., Lan, X., Li, M., Shi, L., Zhuo, L., Zhang, J., et al. (2025) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2025.101612 · Cited by 7
“…protective function of antigen-specific CD8 + and CD4 + T cells against acute lymphocytic choriomeningitis virus and Leishmania major infections, 39 and selenium supplementation promotes the survival follicular helper T cells, boosting the germinal center and antibody response following…”
Wei, W., Tian, L., Zheng, X., Zhong, L., Chen, Y., Dong, H., Zhang, G., Wang, S., & Tong, X. (2024) · OncoImmunology · doi:10.1080/2162402x.2024.2322173 · Cited by 7
“46 According to some studies, CD8 + T cells underwent CD36-mediated excessive uptake of fatty acids and GPX4 inhibitors, leading to ferroptosis and tumor immune evasion.”
BackgroundGenetic analysis of diagnostic and therapeutic potential for ferroptosis in postoperative sepsis
Pei, S., Liu, J., Wang, Z., Fan, Y., Meng, S., Huang, X., Cui, Y., & Xie, K. (2025) · International Immunopharmacology · doi:10.1016/j.intimp.2025.114042 · Cited by 7
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Alteration of m6A-Tagged RNA Profiles in Bone Originated from Periprosthetic Joint Infection
Cai, Y., Chen, X., Huang, C., Chen, Y., Zhang, C., Huang, Z., Zhang, W., Tang, Y., & Fang, X. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12082863 · Cited by 7
Mudgal, V., Garg, A. K., Dass, R. S., & Rawat, M. (2019) · Livestock Science · doi:10.1016/j.livsci.2019.04.019 · Cited by 7
Crucial neuroprotective roles of the metabolite BH4 in dopaminergic neuronsPreprint
Cronin, S. J. F., Yu, W., Hale, A., Licht‐Mayer, S., Crabtree, M. J., Korecka, J. A., Tretiakov, E. O., Sealey‐Cardona, M., Somlyay, M., Onji, M., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.05.08.539795 · Cited by 7
“GCH1 has been associated with an iron-dependent mode of cell death called ferroptosis (Dixon et al., 2012; Matsushita et al., 2015), which, has been implicated in PD pathogenesis given the high iron load in midbrain DAergic neurons, (Matak et al.”
BackgroundImmunoregulation: the interplay between metabolism and redox homeostasis
Perpiñán, E., Fueyo, A. S., & Safinia, N. (2023) · Frontiers in Transplantation · doi:10.3389/frtra.2023.1283275 · Cited by 6
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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