Abnormal Ferroptosis in Myelodysplastic Syndrome

BackgroundFerroptosis is a form of iron-dependent non-apoptotic cell death, with characteristics of loss of the activity of the lipid repair enzyme, glutathione (GSH) peroxidase 4 (GPX4), and accumulation of lethal reactive lipid oxygen species. The mechanism of ferroptosis in myelodysplastic syndro...

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Main Authors: Qi Lv, Haiyue Niu, Lanzhu Yue, Jiaxi Liu, Liyan Yang, Chunyan Liu, Huijuan Jiang, Shuwen Dong, Zonghong Shao, Limin Xing, Huaquan Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2020.01656/full
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author Qi Lv
Haiyue Niu
Lanzhu Yue
Jiaxi Liu
Liyan Yang
Chunyan Liu
Huijuan Jiang
Shuwen Dong
Zonghong Shao
Limin Xing
Huaquan Wang
author_facet Qi Lv
Haiyue Niu
Lanzhu Yue
Jiaxi Liu
Liyan Yang
Chunyan Liu
Huijuan Jiang
Shuwen Dong
Zonghong Shao
Limin Xing
Huaquan Wang
author_sort Qi Lv
collection DOAJ
description BackgroundFerroptosis is a form of iron-dependent non-apoptotic cell death, with characteristics of loss of the activity of the lipid repair enzyme, glutathione (GSH) peroxidase 4 (GPX4), and accumulation of lethal reactive lipid oxygen species. The mechanism of ferroptosis in myelodysplastic syndrome (MDS) is unclear.MethodsCell viability assay, reactive oxygen species (ROS) assay, GSH assay, and GPX activity assay were performed to study the regulation of ferroptosis in MDS cells obtained from MDS patients, the iron overload model mice, and cell lines.ResultsThe growth-inhibitory effect of decitabine could be partially reversed by ferrostatin-1 and iron-chelating agent [desferrioxamine (DFO)] in MDS cell lines. Erastin could increase the cytotoxicity of decitabine on MDS cells. The level of GSH and the activity of GPX4 decreased, whereas the ROS level increased in MDS cells upon treatment with decitabine, which could be reversed by ferrostatin-1. The concentration of hemoglobin in peripheral blood of iron overload mice was negatively correlated with intracellular Fe2+ level and ferritin concentration. Iron overload (IO) led to decreased viability of bone marrow mononuclear cells (BMMNCs), which was negatively correlated with intracellular Fe2+ level. Ferrostatin-1 partially reversed the decline of cell viability in IO groups. The level of GSH and the activity of GPX4 decreased, whereas the ROS level increased in BMMNCs of IO mice. DFO could increase the level of GSH. Ferrostatin-1 and DFO could increase the GPX4 activity of BMMNCs in IO mice. Ferrostatin-1 could significantly reverse the growth-inhibitory effect of decitabine in MDS patients. Decitabine could significantly increase the ROS level in MDS groups, which could be inhibited by ferrostatin-1 or promoted by erastin. Ferrostatin-1 could significantly reverse the inhibitory effect of decitabine on GSH levels in MDS patients. Erastin combined with decitabine could further reduce the GSH level. Erastin could further decrease the activity of GPX4 compared with the decitabine group.ConclusionFerroptosis may account for the main mechanisms of how decitabine induced death of MDS cells. Decitabine-induced ROS raise leads to ferroptosis in MDS cells by decreasing GSH level and GPX4 activity.
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spelling doaj.art-7b65c64b32304e099a253e1da00ee66b2022-12-21T19:57:50ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-09-011010.3389/fonc.2020.01656566450Abnormal Ferroptosis in Myelodysplastic SyndromeQi LvHaiyue NiuLanzhu YueJiaxi LiuLiyan YangChunyan LiuHuijuan JiangShuwen DongZonghong ShaoLimin XingHuaquan WangBackgroundFerroptosis is a form of iron-dependent non-apoptotic cell death, with characteristics of loss of the activity of the lipid repair enzyme, glutathione (GSH) peroxidase 4 (GPX4), and accumulation of lethal reactive lipid oxygen species. The mechanism of ferroptosis in myelodysplastic syndrome (MDS) is unclear.MethodsCell viability assay, reactive oxygen species (ROS) assay, GSH assay, and GPX activity assay were performed to study the regulation of ferroptosis in MDS cells obtained from MDS patients, the iron overload model mice, and cell lines.ResultsThe growth-inhibitory effect of decitabine could be partially reversed by ferrostatin-1 and iron-chelating agent [desferrioxamine (DFO)] in MDS cell lines. Erastin could increase the cytotoxicity of decitabine on MDS cells. The level of GSH and the activity of GPX4 decreased, whereas the ROS level increased in MDS cells upon treatment with decitabine, which could be reversed by ferrostatin-1. The concentration of hemoglobin in peripheral blood of iron overload mice was negatively correlated with intracellular Fe2+ level and ferritin concentration. Iron overload (IO) led to decreased viability of bone marrow mononuclear cells (BMMNCs), which was negatively correlated with intracellular Fe2+ level. Ferrostatin-1 partially reversed the decline of cell viability in IO groups. The level of GSH and the activity of GPX4 decreased, whereas the ROS level increased in BMMNCs of IO mice. DFO could increase the level of GSH. Ferrostatin-1 and DFO could increase the GPX4 activity of BMMNCs in IO mice. Ferrostatin-1 could significantly reverse the growth-inhibitory effect of decitabine in MDS patients. Decitabine could significantly increase the ROS level in MDS groups, which could be inhibited by ferrostatin-1 or promoted by erastin. Ferrostatin-1 could significantly reverse the inhibitory effect of decitabine on GSH levels in MDS patients. Erastin combined with decitabine could further reduce the GSH level. Erastin could further decrease the activity of GPX4 compared with the decitabine group.ConclusionFerroptosis may account for the main mechanisms of how decitabine induced death of MDS cells. Decitabine-induced ROS raise leads to ferroptosis in MDS cells by decreasing GSH level and GPX4 activity.https://www.frontiersin.org/article/10.3389/fonc.2020.01656/fullmyelodysplastic syndromeferroptosisdecitabineapoptosispyroptosis
spellingShingle Qi Lv
Haiyue Niu
Lanzhu Yue
Jiaxi Liu
Liyan Yang
Chunyan Liu
Huijuan Jiang
Shuwen Dong
Zonghong Shao
Limin Xing
Huaquan Wang
Abnormal Ferroptosis in Myelodysplastic Syndrome
Frontiers in Oncology
myelodysplastic syndrome
ferroptosis
decitabine
apoptosis
pyroptosis
title Abnormal Ferroptosis in Myelodysplastic Syndrome
title_full Abnormal Ferroptosis in Myelodysplastic Syndrome
title_fullStr Abnormal Ferroptosis in Myelodysplastic Syndrome
title_full_unstemmed Abnormal Ferroptosis in Myelodysplastic Syndrome
title_short Abnormal Ferroptosis in Myelodysplastic Syndrome
title_sort abnormal ferroptosis in myelodysplastic syndrome
topic myelodysplastic syndrome
ferroptosis
decitabine
apoptosis
pyroptosis
url https://www.frontiersin.org/article/10.3389/fonc.2020.01656/full
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