[HTML][HTML] Sorafenib fails to trigger ferroptosis across a wide range of cancer cell lines

J Zheng, M Sato, E Mishima, H Sato, B Proneth… - Cell death & …, 2021 - nature.com
J Zheng, M Sato, E Mishima, H Sato, B Proneth, M Conrad
Cell death & disease, 2021nature.com
Sorafenib, a protein kinase inhibitor approved for the treatment of hepatocellular carcinoma
and advanced renal cell carcinoma, has been repeatedly reported to induce ferroptosis by
possibly involving inhibition of the cystine/glutamate antiporter, known as system xc−. Using
a combination of well-defined genetically engineered tumor cell lines and canonical small
molecule ferroptosis inhibitors, we now provide unequivocal evidence that sorafenib does
not induce ferroptosis in a series of tumor cell lines unlike the cognate system xc− inhibitors …
Abstract
Sorafenib, a protein kinase inhibitor approved for the treatment of hepatocellular carcinoma and advanced renal cell carcinoma, has been repeatedly reported to induce ferroptosis by possibly involving inhibition of the cystine/glutamate antiporter, known as system xc. Using a combination of well-defined genetically engineered tumor cell lines and canonical small molecule ferroptosis inhibitors, we now provide unequivocal evidence that sorafenib does not induce ferroptosis in a series of tumor cell lines unlike the cognate system xc inhibitors sulfasalazine and erastin. We further show that only a subset of tumor cells dies by ferroptosis upon sulfasalazine and erastin treatment, implying that certain cell lines appear to be resistant to system xc inhibition, while others undergo ferroptosis-independent cell death. From these findings, we conclude that sorafenib does not qualify as a bona fide ferroptosis inducer and that ferroptosis induced by system xc inhibitors can only be achieved in a fraction of tumor cell lines despite robust expression of SLC7A11, the substrate-specific subunit of system xc.
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