The role of NCOA4-mediated ferritinophagy in health and disease
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Abstract
Nuclear receptor coactivator 4 (NCOA4) is a selective cargo receptor that mediates the autophagic degradation of ferritin (“ferritinophagy”), the cytosolic iron storage complex. NCOA4-mediated ferritinophagy maintains intracellular iron homeostasis by facilitating ferritin iron storage or release according to demand. Ferritinophagy is involved in iron-dependent physiological processes such as erythropoiesis, where NCOA4 mediates ferritin iron release for mitochondrial heme synthesis. Recently, ferritinophagy has been shown to regulate ferroptosis, a newly described form of iron-dependent cell death mediated by excess lipid peroxidation. Dysregulation of iron metabolism and ferroptosis have been described in neurodegeneration, cancer, and infection, but little is known about the role of ferritinophagy in the pathogenesis of these diseases. Here, we will review the biochemical regulation of NCOA4, its contribution to physiological processes and its role in disease. Finally, we will discuss the potential of activating or inhibiting ferritinophagy and ferroptosis for therapeutic purposes.
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In iron-loaded cells, turnover of NCOA4 is greatly enhanced to block ferritin degradation and increase iron storage.
“Conversely, in iron-loaded cells the turnover of NCOA4 is greatly enhanced to block ferritin degradation and thus increase iron storage (Mancias et al., 2014, 2015; Bellelli et al., 2016; Santana-Codina and Mancias, 2018).”
From The Role of Iron Regulation in Immunometabolism and Immune-Related Disease (2019) · cites this paper as Santana-Codina and Mancias, 2018
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- Authors
- Santana-Codina, N., & Mancias, J. D.
- Affiliations
- Harvard University (US)
- Corresponding author
- Mancias, Joseph D.
- Venue
- Pharmaceuticals
- Publisher
- MDPI AG
- Published
- 2018-10-23
- Volume
- 11
- Issue
- 4
- Pages
- 114
- ISSN
- 1424-8247 (ISSN-L)
- PMC
- PMC6316710
- OpenAlex
- W2896757864
- Cited by
- 410
- References
- 17
- Citations by year
- 2026: 72 · 2025: 81 · 2024: 71 · 2023: 60 · 2022: 34 · 2021: 48 · 2020: 24 · 2019: 18 · 2018: 1
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Pharmaceuticals (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Burroughs Wellcome Fund (1014767.01)
- Claudia Adams Barr Program for Innovative Cancer Research Award (na)
- Brigham and Women’s Hospital MFCD Award (na)
- Sidney Kimmel Foundation (Kimmel Scholar Program)
- Topics
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
- Keywords
- NCOA4, ferritinophagy, ferritin, iron homeostasis, ferroptosis, autophagy, erythropoiesis, heme biosynthesis, lipid peroxidation, neurodegeneration, cancer, infection, therapeutic targeting
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