Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer

Abstract Prostate cancer (PCa) is a leading cause of death in the male population commonly treated with androgen deprivation therapy that often relapses as androgen-independent and aggressive castration-resistant prostate cancer (CRPC). Ferroptosis is a recently described form of cell death that req...

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Main Authors: Federica Maccarinelli, Daniela Coltrini, Silvia Mussi, Mattia Bugatti, Marta Turati, Paola Chiodelli, Arianna Giacomini, Floriana De Cillis, Nadia Cattane, Annamaria Cattaneo, Alessia Ligresti, Michela Asperti, Maura Poli, William Vermi, Marco Presta, Roberto Ronca
Format: Article
Language:English
Published: Nature Publishing Group 2023-03-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-023-01383-4
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author Federica Maccarinelli
Daniela Coltrini
Silvia Mussi
Mattia Bugatti
Marta Turati
Paola Chiodelli
Arianna Giacomini
Floriana De Cillis
Nadia Cattane
Annamaria Cattaneo
Alessia Ligresti
Michela Asperti
Maura Poli
William Vermi
Marco Presta
Roberto Ronca
author_facet Federica Maccarinelli
Daniela Coltrini
Silvia Mussi
Mattia Bugatti
Marta Turati
Paola Chiodelli
Arianna Giacomini
Floriana De Cillis
Nadia Cattane
Annamaria Cattaneo
Alessia Ligresti
Michela Asperti
Maura Poli
William Vermi
Marco Presta
Roberto Ronca
author_sort Federica Maccarinelli
collection DOAJ
description Abstract Prostate cancer (PCa) is a leading cause of death in the male population commonly treated with androgen deprivation therapy that often relapses as androgen-independent and aggressive castration-resistant prostate cancer (CRPC). Ferroptosis is a recently described form of cell death that requires abundant cytosolic labile iron to promote membrane lipid peroxidation and which can be induced by agents that inhibit the glutathione peroxidase-4 activity such as RSL3. Exploiting in vitro and in vivo human and murine PCa models and the multistage transgenic TRAMP model of PCa we show that RSL3 induces ferroptosis in PCa cells and demonstrate for the first time that iron supplementation significantly increases the effect of RSL3 triggering lipid peroxidation, enhanced intracellular stress and leading to cancer cell death. Moreover, the combination with the second generation anti-androgen drug enzalutamide potentiates the effect of the RSL3 + iron combination leading to superior inhibition of PCa and preventing the onset of CRPC in the TRAMP mouse model. These data open new perspectives in the use of pro-ferroptotic approaches alone or in combination with enzalutamide for the treatment of PCa.
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spelling doaj.art-d2f06106b4a44356b5ea9e86529a1e232023-03-22T10:25:37ZengNature Publishing GroupCell Death Discovery2058-77162023-03-019111010.1038/s41420-023-01383-4Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancerFederica Maccarinelli0Daniela Coltrini1Silvia Mussi2Mattia Bugatti3Marta Turati4Paola Chiodelli5Arianna Giacomini6Floriana De Cillis7Nadia Cattane8Annamaria Cattaneo9Alessia Ligresti10Michela Asperti11Maura Poli12William Vermi13Marco Presta14Roberto Ronca15University of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineBiological Psychiatry Unit, IRCCS Istituto Centro San Giovanni di Dio FatebenefratelliBiological Psychiatry Unit, IRCCS Istituto Centro San Giovanni di Dio FatebenefratelliBiological Psychiatry Unit, IRCCS Istituto Centro San Giovanni di Dio FatebenefratelliInstitute of Biomolecular Chemistry, National Research Council of ItalyUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineUniversity of Brescia, Department of Molecular and Translational MedicineAbstract Prostate cancer (PCa) is a leading cause of death in the male population commonly treated with androgen deprivation therapy that often relapses as androgen-independent and aggressive castration-resistant prostate cancer (CRPC). Ferroptosis is a recently described form of cell death that requires abundant cytosolic labile iron to promote membrane lipid peroxidation and which can be induced by agents that inhibit the glutathione peroxidase-4 activity such as RSL3. Exploiting in vitro and in vivo human and murine PCa models and the multistage transgenic TRAMP model of PCa we show that RSL3 induces ferroptosis in PCa cells and demonstrate for the first time that iron supplementation significantly increases the effect of RSL3 triggering lipid peroxidation, enhanced intracellular stress and leading to cancer cell death. Moreover, the combination with the second generation anti-androgen drug enzalutamide potentiates the effect of the RSL3 + iron combination leading to superior inhibition of PCa and preventing the onset of CRPC in the TRAMP mouse model. These data open new perspectives in the use of pro-ferroptotic approaches alone or in combination with enzalutamide for the treatment of PCa.https://doi.org/10.1038/s41420-023-01383-4
spellingShingle Federica Maccarinelli
Daniela Coltrini
Silvia Mussi
Mattia Bugatti
Marta Turati
Paola Chiodelli
Arianna Giacomini
Floriana De Cillis
Nadia Cattane
Annamaria Cattaneo
Alessia Ligresti
Michela Asperti
Maura Poli
William Vermi
Marco Presta
Roberto Ronca
Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
Cell Death Discovery
title Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
title_full Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
title_fullStr Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
title_full_unstemmed Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
title_short Iron supplementation enhances RSL3-induced ferroptosis to treat naïve and prevent castration-resistant prostate cancer
title_sort iron supplementation enhances rsl3 induced ferroptosis to treat naive and prevent castration resistant prostate cancer
url https://doi.org/10.1038/s41420-023-01383-4
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