Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab

Head and neck squamous cell carcinomas (HNSCCs) are a type of cancer originating in the mucosal epithelium of the mouth, pharynx, and larynx, the sixth most common cancer in the world. However, there is no effective treatment for HNSCCs. More than 90% of HNSCCs overexpress epidermal growth factor re...

Full description

Bibliographic Details
Main Authors: Shujie Liu, Shuai Yan, Jie Zhu, Ruiqing Lu, Chujie Kang, Kang Tang, Jinfeng Zeng, Mingmei Ding, Zixiang Guo, Xianxin Lai, Yinan Jiang, Siqing Wu, Lihua Zhou, Litao Sun, Zhong-Wei Zhou
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/16/9014
_version_ 1797432082276810752
author Shujie Liu
Shuai Yan
Jie Zhu
Ruiqing Lu
Chujie Kang
Kang Tang
Jinfeng Zeng
Mingmei Ding
Zixiang Guo
Xianxin Lai
Yinan Jiang
Siqing Wu
Lihua Zhou
Litao Sun
Zhong-Wei Zhou
author_facet Shujie Liu
Shuai Yan
Jie Zhu
Ruiqing Lu
Chujie Kang
Kang Tang
Jinfeng Zeng
Mingmei Ding
Zixiang Guo
Xianxin Lai
Yinan Jiang
Siqing Wu
Lihua Zhou
Litao Sun
Zhong-Wei Zhou
author_sort Shujie Liu
collection DOAJ
description Head and neck squamous cell carcinomas (HNSCCs) are a type of cancer originating in the mucosal epithelium of the mouth, pharynx, and larynx, the sixth most common cancer in the world. However, there is no effective treatment for HNSCCs. More than 90% of HNSCCs overexpress epidermal growth factor receptors (EGFRs). Although small molecule inhibitors and monoclonal antibodies have been developed to target EGFRs, few EGFR-targeted therapeutics are approved for clinical use. Ferroptosis is a new kind of programmed death induced by the iron catalyzed excessive peroxidation of polyunsaturated fatty acids. A growing body of evidence suggests that ferroptosis plays a pivotal role in inhibiting the tumor process. However, whether and how ferroptosis-inducers (FINs) play roles in hindering HNSCCs are unclear. In this study, we analyzed the sensitivity of different HNSCCs to ferroptosis-inducers. We found that only tongue squamous cell carcinoma cells and laryngeal squamous cell carcinoma cells, but not nasopharyngeal carcinoma cells, actively respond to ferroptosis-inducers. The different sensitivities of HNSCC cells to ferroptosis induction may be attributed to the expression of <i>KRAS</i> and ferritin heavy chain (<i>FTH1</i>) since a high level of <i>FTH1</i> is associated with the poor prognostic survival of HNSCCs, but knocked down <i>FTH1</i> can promote HNSCC cell death. Excitingly, the ferroptosis-inducer RSL3 plays a synthetic role with EGFR monoclonal antibody <i>Cetuximab</i> to inhibit the survival of nasopharyngeal carcinoma cells (CNE-2), which are insensitive to both ferroptosis induction and EGFR inhibition due to a high level of <i>FTH1</i> and a low level of <i>EGFR</i>, respectively. Our findings prove that <i>FTH1</i> plays a vital role in ferroptosis resistance in HNSCCs and also provide clues to target HNSCCs resistant to ferroptosis induction and/or EGFR inhibition.
first_indexed 2024-03-09T09:56:11Z
format Article
id doaj.art-363e1cb0fc1e492cbe3d5fe875ac3a82
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T09:56:11Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-363e1cb0fc1e492cbe3d5fe875ac3a822023-12-01T23:47:08ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-08-012316901410.3390/ijms23169014Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to CetuximabShujie Liu0Shuai Yan1Jie Zhu2Ruiqing Lu3Chujie Kang4Kang Tang5Jinfeng Zeng6Mingmei Ding7Zixiang Guo8Xianxin Lai9Yinan Jiang10Siqing Wu11Lihua Zhou12Litao Sun13Zhong-Wei Zhou14School of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Public Health (Shenzhen), Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaSchool of Medicine, Shenzhen Campus of Sun Yat-sen University, Shenzhen 518107, ChinaHead and neck squamous cell carcinomas (HNSCCs) are a type of cancer originating in the mucosal epithelium of the mouth, pharynx, and larynx, the sixth most common cancer in the world. However, there is no effective treatment for HNSCCs. More than 90% of HNSCCs overexpress epidermal growth factor receptors (EGFRs). Although small molecule inhibitors and monoclonal antibodies have been developed to target EGFRs, few EGFR-targeted therapeutics are approved for clinical use. Ferroptosis is a new kind of programmed death induced by the iron catalyzed excessive peroxidation of polyunsaturated fatty acids. A growing body of evidence suggests that ferroptosis plays a pivotal role in inhibiting the tumor process. However, whether and how ferroptosis-inducers (FINs) play roles in hindering HNSCCs are unclear. In this study, we analyzed the sensitivity of different HNSCCs to ferroptosis-inducers. We found that only tongue squamous cell carcinoma cells and laryngeal squamous cell carcinoma cells, but not nasopharyngeal carcinoma cells, actively respond to ferroptosis-inducers. The different sensitivities of HNSCC cells to ferroptosis induction may be attributed to the expression of <i>KRAS</i> and ferritin heavy chain (<i>FTH1</i>) since a high level of <i>FTH1</i> is associated with the poor prognostic survival of HNSCCs, but knocked down <i>FTH1</i> can promote HNSCC cell death. Excitingly, the ferroptosis-inducer RSL3 plays a synthetic role with EGFR monoclonal antibody <i>Cetuximab</i> to inhibit the survival of nasopharyngeal carcinoma cells (CNE-2), which are insensitive to both ferroptosis induction and EGFR inhibition due to a high level of <i>FTH1</i> and a low level of <i>EGFR</i>, respectively. Our findings prove that <i>FTH1</i> plays a vital role in ferroptosis resistance in HNSCCs and also provide clues to target HNSCCs resistant to ferroptosis induction and/or EGFR inhibition.https://www.mdpi.com/1422-0067/23/16/9014head and neck squamous cell carcinomasferroptosis<i>FTH1</i>cetuximab resistance
spellingShingle Shujie Liu
Shuai Yan
Jie Zhu
Ruiqing Lu
Chujie Kang
Kang Tang
Jinfeng Zeng
Mingmei Ding
Zixiang Guo
Xianxin Lai
Yinan Jiang
Siqing Wu
Lihua Zhou
Litao Sun
Zhong-Wei Zhou
Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
International Journal of Molecular Sciences
head and neck squamous cell carcinomas
ferroptosis
<i>FTH1</i>
cetuximab resistance
title Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
title_full Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
title_fullStr Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
title_full_unstemmed Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
title_short Combination RSL3 Treatment Sensitizes Ferroptosis- and EGFR-Inhibition-Resistant HNSCCs to Cetuximab
title_sort combination rsl3 treatment sensitizes ferroptosis and egfr inhibition resistant hnsccs to cetuximab
topic head and neck squamous cell carcinomas
ferroptosis
<i>FTH1</i>
cetuximab resistance
url https://www.mdpi.com/1422-0067/23/16/9014
work_keys_str_mv AT shujieliu combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT shuaiyan combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT jiezhu combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT ruiqinglu combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT chujiekang combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT kangtang combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT jinfengzeng combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT mingmeiding combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT zixiangguo combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT xianxinlai combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT yinanjiang combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT siqingwu combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT lihuazhou combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT litaosun combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab
AT zhongweizhou combinationrsl3treatmentsensitizesferroptosisandegfrinhibitionresistanthnsccstocetuximab