Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer

Abstract Ferroptosis is a type of regulated cell death characterized by iron accumulation and lipid peroxidation. The molecular mechanisms underlying ferroptosis regulation in non-small cell lung cancer (NSCLC) are poorly understood. In this study, we found that protein kinase A (PKA) inhibition enh...

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Main Authors: Guangyao Shan, Guoshu Bi, Guangyin Zhao, Jiaqi Liang, Yunyi Bian, Huan Zhang, Xing Jin, Zhengyang Hu, Guangyu Yao, Hong Fan, Cheng Zhan
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-023-02567-3
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author Guangyao Shan
Guoshu Bi
Guangyin Zhao
Jiaqi Liang
Yunyi Bian
Huan Zhang
Xing Jin
Zhengyang Hu
Guangyu Yao
Hong Fan
Cheng Zhan
author_facet Guangyao Shan
Guoshu Bi
Guangyin Zhao
Jiaqi Liang
Yunyi Bian
Huan Zhang
Xing Jin
Zhengyang Hu
Guangyu Yao
Hong Fan
Cheng Zhan
author_sort Guangyao Shan
collection DOAJ
description Abstract Ferroptosis is a type of regulated cell death characterized by iron accumulation and lipid peroxidation. The molecular mechanisms underlying ferroptosis regulation in non-small cell lung cancer (NSCLC) are poorly understood. In this study, we found that protein kinase A (PKA) inhibition enhanced ferroptosis susceptibility in NSCLC cells, as evidenced by reduced cell viability and increased lipid peroxidation. We further identified cAMP-responsive element protein 1 (CREB1), a transcription factor and a substrate of PKA, as a key regulator of ferroptosis. Knockdown of CREB1 sensitized NSCLC cells to ferroptosis inducers (FINs) and abolished the effects of PKA inhibitor and agonist, revealing the pivotal role of CREB1 in ferroptosis regulation. Using a high-throughput screening approach and subsequent validation by chromatin immunoprecipitation (ChIP) and dual-luciferase assays, we discovered that CREB1 transcriptionally activated stearoyl-CoA desaturase (SCD), an enzyme that catalyzes the conversion of saturated fatty acids to monounsaturated fatty acids. SCD conferred ferroptosis resistance by decreasing the availability of polyunsaturated fatty acids for lipid peroxidation, and its overexpression rescued the effect of CREB1 knockdown on ferroptosis in vitro. Besides, CREB1 knockdown suppressed xenograft tumor growth in the presence of Imidazole Ketone Erastin (IKE), a potent FIN, and this effect was reversed by SCD. Finally, we showed that high expression of CREB1 was associated with poor prognosis in NSCLC patients from public datasets and our institution. Collectively, this study illustrates the effect of PKA/CREB1/SCD axis in regulating ferroptosis of NSCLC, targeting this pathway may provide new strategies for treating NSCLC patients.
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spelling doaj.art-1472e787923a446ea3eaebca36dd55c82023-11-20T10:40:42ZengBMCRespiratory Research1465-993X2023-11-0124111510.1186/s12931-023-02567-3Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancerGuangyao Shan0Guoshu Bi1Guangyin Zhao2Jiaqi Liang3Yunyi Bian4Huan Zhang5Xing Jin6Zhengyang Hu7Guangyu Yao8Hong Fan9Cheng Zhan10Department of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDivision of Thoracic Surgery, School of Medicine, Sichuan Cancer Hospital and Research Institute, University of Electronic Science and Technology of China (UESTC)Department of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityDepartment of Thoracic Surgery, Zhongshan Hospital, Fudan UniversityAbstract Ferroptosis is a type of regulated cell death characterized by iron accumulation and lipid peroxidation. The molecular mechanisms underlying ferroptosis regulation in non-small cell lung cancer (NSCLC) are poorly understood. In this study, we found that protein kinase A (PKA) inhibition enhanced ferroptosis susceptibility in NSCLC cells, as evidenced by reduced cell viability and increased lipid peroxidation. We further identified cAMP-responsive element protein 1 (CREB1), a transcription factor and a substrate of PKA, as a key regulator of ferroptosis. Knockdown of CREB1 sensitized NSCLC cells to ferroptosis inducers (FINs) and abolished the effects of PKA inhibitor and agonist, revealing the pivotal role of CREB1 in ferroptosis regulation. Using a high-throughput screening approach and subsequent validation by chromatin immunoprecipitation (ChIP) and dual-luciferase assays, we discovered that CREB1 transcriptionally activated stearoyl-CoA desaturase (SCD), an enzyme that catalyzes the conversion of saturated fatty acids to monounsaturated fatty acids. SCD conferred ferroptosis resistance by decreasing the availability of polyunsaturated fatty acids for lipid peroxidation, and its overexpression rescued the effect of CREB1 knockdown on ferroptosis in vitro. Besides, CREB1 knockdown suppressed xenograft tumor growth in the presence of Imidazole Ketone Erastin (IKE), a potent FIN, and this effect was reversed by SCD. Finally, we showed that high expression of CREB1 was associated with poor prognosis in NSCLC patients from public datasets and our institution. Collectively, this study illustrates the effect of PKA/CREB1/SCD axis in regulating ferroptosis of NSCLC, targeting this pathway may provide new strategies for treating NSCLC patients.https://doi.org/10.1186/s12931-023-02567-3FerroptosisLipid metabolismTranscription factorNon-small cell lung cancer
spellingShingle Guangyao Shan
Guoshu Bi
Guangyin Zhao
Jiaqi Liang
Yunyi Bian
Huan Zhang
Xing Jin
Zhengyang Hu
Guangyu Yao
Hong Fan
Cheng Zhan
Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
Respiratory Research
Ferroptosis
Lipid metabolism
Transcription factor
Non-small cell lung cancer
title Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
title_full Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
title_fullStr Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
title_full_unstemmed Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
title_short Inhibition of PKA/CREB1 pathway confers sensitivity to ferroptosis in non-small cell lung cancer
title_sort inhibition of pka creb1 pathway confers sensitivity to ferroptosis in non small cell lung cancer
topic Ferroptosis
Lipid metabolism
Transcription factor
Non-small cell lung cancer
url https://doi.org/10.1186/s12931-023-02567-3
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