General Information of the Disease (ID: DIS00045)
Name
Hereditary Leiomyomatosis
ICD
ICD-11: 2C90
Full List of Target(s) of This Ferroptosis-centered Disease
Phospholipid hydroperoxide glutathione peroxidase (GPX4)
In total 7 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [1]
Target for Ferroptosis Suppressor
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Icariside II Investigative
Responsed Regulator hsa-miR-324-3p (miRNA) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
Cell invasion
In Vitro Model ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
HEK-293T cells Normal Homo sapiens CVCL_0063
In Vivo Model
A total of 30 male BALB/c nude mice (4-6 weeks old; 18-23 g) were randomized into four groups (7-8 mice per group): i) control group; ii) treated with 15 mg/kg ICS II; iii) treated with 25 mg/kg ICS II; and, iv) treated with 35 mg/kg ICS II. ACHN and Caki-1 cells (1 x 107) were suspended in 50 ul MEM media mixed with 50 ul Matrigel (BD Biosciences) and injected subcutaneously into the right flank of mice with 1.5%pentobarbital sodium (60 mg/kg body weight; intraperitoneal injection) under anesthesia. Weight lossof more than 20% was considered a humane endpoint.

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Response regulation Icariside II (ICS II) treatment triggered ferroptosis in renal cell carcinoma (RCC) cells by downregulating GPX4 in a p53-independent manner. Furthermore, ICS II treatment resulted in upregulation of miR-324-3p, which negatively regulated the expression of GPX4.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [10]
Target for Ferroptosis Suppressor
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Lycorine Investigative
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
HK-2 cells Normal Homo sapiens CVCL_0302
Response regulation Lycorine could inhibit the proliferation in human renal cell carcinoma (RCC) cells. The anti-tumor effect of lycorine was associated with the induction of ferroptosis. After lycorine treatment, the expression levels of GPX4 in RCC cells decreased, whereas those of ACSL4 increased.
Experiment 3 Reporting the Ferroptosis-centered Disease Response by This Target [8]
Target for Ferroptosis Suppressor
Responsed Disease Adrenal gland pheochromocytoma [ICD-11: 2C90]
Responsed Drug Tetrachlorobenzoquinone Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
In Vitro Model PC12 cells Adrenal gland pheochromocytoma Rattus norvegicus CVCL_0481
Response regulation Tetrachlorobenzoquinone (TCBQ)-induced ferroptosis occurred as a result of iron accumulation and inhibition of GPX4 expression. Mechanistically, TCBQ promotes the iron import into cells by improving the expression of TF and TFR1, and the complex of TF and TFR1 is internalized by endocytosis in Adrenal gland pheochromocytoma.
Experiment 4 Reporting the Ferroptosis-centered Disease Response by This Target [11]
Target for Ferroptosis Suppressor
Responsed Disease Hereditary leiomyomatosis and renal cell cancer [ICD-11: 2C90]
Responsed Regulator Fumarate hydratase, mitochondrial (FH) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model UOK262 cells Hereditary leiomyomatosis Homo sapiens CVCL_1D72
HK-2 cells Normal Homo sapiens CVCL_0302
HT-1080 cells Fibrosarcoma Homo sapiens CVCL_0317
Response regulation Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a hereditary cancer syndrome characterized by inactivation of the Krebs cycle enzyme fumarate hydratase (FH). Mechanistically, the FH sensitivity to ferroptosis is attributed to dysfunctional GPX4, the primary cellular defender against ferroptosis.
Experiment 5 Reporting the Ferroptosis-centered Disease Response by This Target [12]
Target for Ferroptosis Suppressor
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Krueppel-like factor 2 (KLF2) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
Cell invasion
In Vitro Model HEK-293T cells Normal Homo sapiens CVCL_0063
HK-2 cells Normal Homo sapiens CVCL_0302
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
In Vivo Model
BALB/c mice were purchased from the Animal Core Facility of Nanjing Medical University. Injection into the tail vein of 6-week-old male mice with Renca-luci (luciferase) cells (1 x 105 cells) was adopted to build the model oflung metastasis. Before lungs were harvested after 1 month to assess pulmonary metastasis, lung metastatic nodules were tracked with IVIS spectrum imaging system in vivo or not (n = 5/group). For survival analysis, the time of death was recorded in each group (n = 10/group) after cells were injected. For assessing the effect of liproxstatin-1 (Lipro, Sigma), one week after injection of cells in the tail vein, mice were tail intravenous administrated with 2.5 mg/kg Lipro three times on a weekly basis for two weeks, then lungs were harvested ( n= 5/group).

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Response regulation Analysis of clinical specimens revealed that there is a close correlation between KLF2 and GPX4 in clear cell renal cell carcinoma (ccRCC). Mechanistically, KLF2 deficiency is sufficient to inhibit ferroptosis on account of the impairment of transcriptional repression of GPX4 and thus promotes the migration and invasion of RCC cells.
Experiment 6 Reporting the Ferroptosis-centered Disease Response by This Target [13]
Target for Ferroptosis Suppressor
Responsed Disease Clear cell renal carcinoma [ICD-11: 2C90]
Responsed Regulator Dihydroorotate dehydrogenase (quinone), mitochondrial (DHODH) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model UM-RC-2 cells Clear cell renal carcinoma Homo sapiens CVCL_2739
UM-RC-6 cells Renal cell carcinoma Homo sapiens CVCL_2741
RCC4 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0498
TK-10 cells Renal carcinoma Homo sapiens CVCL_1773
HT-1080 cells Fibrosarcoma Homo sapiens CVCL_0317
NCI-H226 cells Pleural epithelioid mesothelioma Homo sapiens CVCL_1544
In Vivo Model
5 x 106 HT-1080 or 1 x 107 NCI-H226 cells were injected into mice subcutaneously. When the tumor reached 50-100 mm3, the mice were assigned randomly into different treatment groups. Brequinar or sulfasalazine was dissolved in dimethyl sulfoxide (DMSO) and diluted in PBS. Brequinar was intraperitoneally injected into mice at a dose of 30 mg/kg every three days. Sulfasalazine was intraperitoneally injected daily at a dose of 100 mg/kg. Liproxstatin-1 diluted in PBS was intraperitoneally injected daily at a dose of 10 mg/kg. The daily injection of brequinar, sulfasalazine, or liproxstatin-1 was continued until the endpoint as indicated in the corresponding figures.

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Response regulation DHODH operates in parallel to mitochondrial GPX4 (but independently of cytosolic GPX4 or FSP1) to inhibit ferroptosis in the mitochondrial inner membrane by reducing ubiquinone to ubiquinol (a radical-trapping antioxidant with anti-ferroptosis activity) in Clear cell renal carcinoma.
Experiment 7 Reporting the Ferroptosis-centered Disease Response by This Target [14]
Target for Ferroptosis Suppressor
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Target of rapamycin complex subunit LST8 (MLST8) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model UM-RC-6 cells Renal cell carcinoma Homo sapiens CVCL_2741
HEK-293T cells Normal Homo sapiens CVCL_0063
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
NCI-H226 cells Pleural epithelioid mesothelioma Homo sapiens CVCL_1544
NCI-H460 cells Lung large cell carcinoma Homo sapiens CVCL_0459
NCI-H23 cells Lung adenocarcinoma Homo sapiens CVCL_1547
NCI-H1299 cells Lung large cell carcinoma Homo sapiens CVCL_0060
In Vivo Model
PDX tumor derived from lung cancer patient rinsed in cold DMEM media were minced into fragments 1-2 mm3 in volume. Then tumor fragment was subcutaneously inoculated into the dorsal flank of NSG mice. The tumor growth in mice was monitored by bi-dimensional tumor measurements. When tumors grew to a volume of 200 mm3, the mice were divided randomly into four groups (n = 5/group) and treated with vehicle, 10 mg/kg AZD8055, 30 mg/kg IKE, or both (10% dimethyl sulfoxide/90% corn oil) by daily intraperitoneal administration. Body weights of mice in each group during treatment were also recorded accordingly.

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Response regulation Pharmacologic inhibition of mTORC1 ( mTOR associated protein, MLST8) decreases GPX4 protein levels, sensitizes renal cell carcinoma cells to ferroptosis, and synergizes with ferroptosis inducers to suppress patient-derived xenograft tumor growth in vivo.
Ferritin heavy chain (FTH1)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [2]
Target for Ferroptosis Marker/Suppressor
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Curcumin Investigative
Responsed Regulator A disintegrin and metalloproteinase with thrombospondin motifs 18 (ADAMTS18) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
Response regulation Curcumin induces ferroptosis in tumor cells by upregulating the expression of ADAMTS18, thereby enhancing the sensitivity of clear cell renal cell carcinoma (ccRCC) to sunitinib. And Curcumin can significantly inhibit FTH1 and FTL1 gene expression in tumor tissues of nude mice.
Unspecific Target
In total 15 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [3]
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Artesunate Investigative
Responsed Regulator Cellular tumor antigen p53 (TP53) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
KTCTL-26 cells Clear cell renal cell carcinoma Homo sapiens CVCL_5872
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
Response regulation Artesunate (ART) significantly increased cytotoxicity and inhibited proliferation and clonogenic growth in both parental and sunitinib-resistant renal cell carcinoma (RCC) cells. P53 exclusively appeared in the KTCTL-26 cells, indicating that p53 might be predictive for ART-dependent ferroptosis. Thus, ART may hold promise for treating selected patients with advanced and even therapy-resistant RCC.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [4]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Erastin Investigative
Responsed Regulator Guanosine-3',5'-bis(diphosphate) 3'-pyrophosphohydrolase MESH1 (HDDC3) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model RCC4 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0498
HEK-293T cells Normal Homo sapiens CVCL_0063
NCI-H1975 cells Lung adenocarcinoma Homo sapiens CVCL_1511
MDA-MB-231 cells Breast adenocarcinoma Homo sapiens CVCL_0062
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
PC-3 cells Prostate carcinoma Homo sapiens CVCL_0035
HT-1080 cells Fibrosarcoma Homo sapiens CVCL_0317
A673 cells Rhabdomyosarcoma Homo sapiens CVCL_0080
PANC-1 cells Pancreatic ductal adenocarcinoma Homo sapiens CVCL_0480
Response regulation Ferroptosis-inducing erastin or cystine deprivation elevates MESH1 (HDDC3), whose overexpression depletes NADPH and sensitizes clear cell renal cell carcinoma cells to ferroptosis, whereas MESH1 depletion promotes ferroptosis survival by sustaining the levels of NADPH and GSH and by reducing lipid peroxidation.
Experiment 3 Reporting the Ferroptosis-centered Disease Response by This Target [5]
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Everolimus Investigative
Responsed Regulator Serine/threonine-protein kinase mTOR (MTOR) Suppressor
Pathway Response Ferroptosis hsa04216
Glutathione metabolism hsa00480
mTOR signaling pathway hsa04150
Cell Process Cell ferroptosis
In Vitro Model ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
HEK293 cells Normal Homo sapiens CVCL_0045
Response regulation Everolimus and RSL3/Erastin could synergistically inhibit the viability and induce ferroptosis in Renal cell carcinoma cells. Mechanistically, the inhibition of the mTOR-4EBP1 axis was found to be essential for the synergistic effects of Everolimus and RSL3/Erastin. Everolimus in combination with RSL3/Erastin is a promising therapeutic option for RCC treatment.
Experiment 4 Reporting the Ferroptosis-centered Disease Response by This Target [5]
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Everolimus Investigative
Responsed Regulator Eukaryotic translation initiation factor 4E (EIF4E) Suppressor
Pathway Response Ferroptosis hsa04216
Glutathione metabolism hsa00480
mTOR signaling pathway hsa04150
Cell Process Cell ferroptosis
In Vitro Model ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
HEK293 cells Normal Homo sapiens CVCL_0045
Response regulation Everolimus and RSL3/Erastin could synergistically inhibit the viability and induce ferroptosis in Renal cell carcinoma cells. Mechanistically, the inhibition of the mTOR-4EBP1 axis was found to be essential for the synergistic effects of Everolimus and RSL3/Erastin. Everolimus in combination with RSL3/Erastin is a promising therapeutic option for RCC treatment.
Experiment 5 Reporting the Ferroptosis-centered Disease Response by This Target [6]
Responsed Disease Hereditary leiomyomatosis and renal cell cancer [ICD-11: 2C90]
Responsed Drug Rapamycin Investigative
Responsed Regulator Serine/threonine-protein kinase mTOR (MTOR) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model UOK262 cells Hereditary leiomyomatosis Homo sapiens CVCL_1D72
NCCFH1 (Human hereditary leiomyomatosis and renal cell cancer cells)
In Vivo Model
Ten million NCCFH1 cells suspended in a 1:1 ratio of PBS:Matrigel were injected into the right flank of each animal. Tumors were measured twice a week using a digital caliper, and tumor volumes were calculated according to the volume of an ellipsoid. When mean tumor volumes reached 100 mm3, an equal number of male and female mice were randomly assigned into four different groups. Thirty three of the 40 mice used in the experiment developed tumors. Thus, the final group assignment was as follow: vehicle (control group, n = 6, 3 female & 3 male), rapamycin (rapamycin only group, n = 7, 4 female & 3 male), Cyst(e)inase (Cyst(e)inase only group, n = 10, 5 female & 5 male), rapamycin+Cyst(e)inase (combination group, n = 10, 5 female & 5 male). Treatments were administered once every three days via intraperitoneal injection of either vehicle (Phosphate buffered saline containing 30% PEG300), rapamycin (0.6 mg/ml suspended in vehicle, injection dose = 0.6 mg per mouse), Cyst(e)inase (7.1 mg/ml suspended in vehicle, injection dose = 7.1 mg per mouse), and rapamycin+Cyst(e)inase combination (0.6 mg/ml rapamycin, 7.1 mg/ml Cyst(e)inase suspended in vehicle.

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Response regulation Rapamycin treatment inhibited MTOR signaling. And it is possible to induce ferroptosis in an hereditary leiomyomatosis and renal cell cancer (HLRCC) tumor model in vivo using a combination of rapamycin and Cyst(e)inase.
Experiment 6 Reporting the Ferroptosis-centered Disease Response by This Target [7]
Responsed Disease Adrenal gland pheochromocytoma [ICD-11: 2C90]
Responsed Drug Sodium arsenite Investigative
Responsed Regulator Microtubule-associated proteins 1A/1B light chain 3B {ECO:0000305} (MAP1LC3B) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Autophagy hsa04140
Cell Process Cell ferroptosis
Cell autophagy
In Vitro Model PC12 cells Adrenal gland pheochromocytoma Rattus norvegicus CVCL_0481
In Vivo Model
A total of thirty-two healthy specificpathogenfree C57BL/6J male mice at seven weeks of age and weighted 20-24 g were purchased from the Experimental Animal Center of Chongqing Medical University. After administration of arsenite via drinking water, the animals were euthanized by pentobarbital sodium, three of the animals were subjected to the perfusion fixation, and subsequently, the hippocampus tissues were rapidly dissected on ice and immersed into 4% paraformaldehyde for pre-fixation.

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Response regulation Arsenite was able to trigger ferroptosis in the adrenal gland pheochromocytoma cells. Arsenite significantly decreased the expressions of ferritin and NCOA4, but sharply enhanced the level of autophagy marker LC3B, suggesting the activation of ferritinophagy by arsenite.
Experiment 7 Reporting the Ferroptosis-centered Disease Response by This Target [19]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Cytoplasmic aconitate hydratase (ACO1) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Autophagy hsa04140
Cell Process Cell ferroptosis
Cell autophagy
Cell proliferation
Cell metastasis
Cell invasion
In Vitro Model ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
Response regulation ACO1 and IREB2 downregulation in kidney renal clear cell carcinoma were correlated with cancer aggressiveness, cellular iron homeostasis, cytotoxic immune cell infiltration, and patient survival outcomes.
Experiment 8 Reporting the Ferroptosis-centered Disease Response by This Target [20]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Metallothionein-1G (MT1G) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
Cell proliferation
In Vitro Model 769-P cells Renal cell carcinom Homo sapiens CVCL_1050
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
Response regulation MT1G affects ferroptosis by regulating GSH consumption in clear cell renal cell carcinoma (ccRCC) cells. MT1G may be a negative regulator of ferroptosis in ccRCC cells and a biomarker of poor prognosis.
Experiment 9 Reporting the Ferroptosis-centered Disease Response by This Target [21]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Histone-lysine N-methyltransferase SUV39H1 (SUV39H1) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell cycle
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
HK-2 cells Normal Homo sapiens CVCL_0302
In Vivo Model
Female SCID mice (4-6 weeks old) were purchased and used for the xenograft models. Approximately 5 x 106 ccRCC cells were injected subcutaneously into the flank. The mice were treated with vehicle (control) or chaetocin (0.5 mg/kg/day) by daily intraperitoneal injection.

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Response regulation SUV39H1 expression is frequently upregulated in clear cell renal cell carcinoma (ccRCC) tumors and is significantly correlated with ccRCC progression. Function loss of SUV39H1 in ccRCC tumors contributes the hypomethylation of the DPP4 promoter to upregulate DPP4 expression and induces DPP4-mediated ferroptosis to suppress cell proliferation.
Experiment 10 Reporting the Ferroptosis-centered Disease Response by This Target [22]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Cell division cycle-associated protein 3 (CDCA3) Driver
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
Response regulation ACADSB and MYCN are the favorable prognostic marker of clear cell renal cell carcinoma (ccRCC), while CDCA3, CHAC1, and TFAP2A are the unfavorable prognostic marker of ccRCC.
Experiment 11 Reporting the Ferroptosis-centered Disease Response by This Target [23]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Lysine-specific demethylase 5C (KDM5C) Driver
Pathway Response Pentose phosphate pathway hsa00030
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model RCC4 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0498
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
HK-2 cells Normal Homo sapiens CVCL_0302
In Vivo Model
For the xenograft of RCC4 cells, four-week-old female NOD. At 6th week, mice were injected with 100 uL of stable RCC4-EV or RCC4-KDM5C cells suspended in Matrigel Basement Membrane Matrix (Corning, 356234) at a population of 1 x 107 cells into the left or right dorsal flank subcutaneously after alcohol sterilization of injection site skin surface. On day 7 after injection, the mice were randomly divided into 2 groups and treated with Liproxstatin-1 (10 mg/kg, MCE HY-12726) or vehicle control (1% DMSO in PBS) each other day by i.p. injection.

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Response regulation Poor survival rates of clear cell renal cell carcinoma patients seem to be associated with up-regulation of the pentose phosphate pathway (PPP). KDM5C re-expression suppressed the glucose flux through PPP and re-sensitized cancer cells to ferroptosis. Furthermore, KDM5C deficiency predicted the poor prognosis, and clinically relevant KDM5C mutants failed to suppress glycogen accumulation and promoted ferroptosis as wild type.
Experiment 12 Reporting the Ferroptosis-centered Disease Response by This Target [21]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Dipeptidyl peptidase 4 (DPP4) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell cycle
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
HK-2 cells Normal Homo sapiens CVCL_0302
In Vivo Model
Female SCID mice (4-6 weeks old) were purchased and used for the xenograft models. Approximately 5 x 106 ccRCC cells were injected subcutaneously into the flank. The mice were treated with vehicle (control) or chaetocin (0.5 mg/kg/day) by daily intraperitoneal injection.

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Response regulation SUV39H1 expression is frequently upregulated in clear cell renal cell carcinoma (ccRCC) tumors and is significantly correlated with ccRCC progression. Function loss of SUV39H1 in ccRCC tumors contributes the hypomethylation of the DPP4 promoter to upregulate DPP4 expression and induces DPP4-mediated ferroptosis to suppress cell proliferation.
Experiment 13 Reporting the Ferroptosis-centered Disease Response by This Target [24]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Retinoic acid receptor responder protein 2 (RARRES2) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
UOK101 cells Clear cell renal carcinoma Homo sapiens CVCL_B076
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
HEK-293T cells Normal Homo sapiens CVCL_0063
HK-2 cells Normal Homo sapiens CVCL_0302
In Vivo Model
Six-week-old female athymic nude mice (Charles River Laboratories) were used for xenograft studies. For subcutaneous tumor growth model, cells were pelleted and resuspended in a PBS/Matrigel Matrix (Corning, Cat# 356234) mix at 1:1 ratio. 2 x 106 cells in a 100 uL solution were injected subcutaneously into each flank.

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Response regulation The adipokine chemerin, which is encoded by the retinoic acid receptor responder 2 (RARRES2) gene, is overexpressed in clear cell renal cell carcinoma (ccRCC) due to both an autocrine, tumor-cell-dependent mechanism, as well as obesity-dependent paracrine production, and plays important roles in regulating lipid metabolism and tumorigenesis.
Experiment 14 Reporting the Ferroptosis-centered Disease Response by This Target [25]
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator 1-acyl-sn-glycerol-3-phosphate acyltransferase gamma (AGPAT3) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
SNU-685 cells Uterine carcinosarcoma Homo sapiens CVCL_5083
Huh-7 cells Hepatocellular carcinoma Homo sapiens CVCL_0336
HEK-293T cells Normal Homo sapiens CVCL_0063
OVCAR-8 cells High grade ovarian serous adenocarcinoma Homo sapiens CVCL_1629
SH-SY5Y cells Neuroblastoma Homo sapiens CVCL_0019
In Vivo Model
3-4 week-old, male athymic nude mice were used for hosting the 786-O tumor xenografts. In the experiment that leads to isolation of ferroptosis-resistant 1 (FR1) cells , 5 x 106 wildtype or GPX4-/-single-cell clone (originally named as #3A7 clone3, then renamed as ferroptosis-sensitive (FS) GPX4-/-cells in the present study) of 786-O-Cas9 cells were resuspended in 50 ul sterile PBS containing 50 uM Fer-1, mixed with 50 ul Matrigel (BD Biosciences), and subcutaneously injected into both flanks of the mouse.

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Response regulation Using lipidomic analysis, we found that AGPAT3-depletion selectively reduced the levels of the polyunsaturated species among both ether-linked and diacyl-phospholipids in renal cell carcinoma 786-O cells . Consistently, genetic AGPAT3-depletion suppressed sensitivity to ferroptosis.
Experiment 15 Reporting the Ferroptosis-centered Disease Response by This Target [26]
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Protein amnionless (AMN) Driver
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
Response regulation Using univariate and multivariate Cox regression, the study identified two independent prognostic genes, AMN and PDK4, and constructed an IRFG score model immune-related ferroptosis genes risk score (IRFGRs) to evaluate its prognostic value in clear cell renal cell carcinoma (ccRCC).
Transferrin receptor protein 1 (TFRC)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [8]
Target for Ferroptosis Marker/Suppressor/Driver
Responsed Disease Adrenal gland pheochromocytoma [ICD-11: 2C90]
Responsed Drug Tetrachlorobenzoquinone Investigative
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
In Vitro Model PC12 cells Adrenal gland pheochromocytoma Rattus norvegicus CVCL_0481
Response regulation Tetrachlorobenzoquinone (TCBQ)-induced ferroptosis occurred as a result of iron accumulation and inhibition of GPX4 expression. Mechanistically, TCBQ promotes the iron import into cells by improving the expression of TF and TFR1, and the complex of TF and TFR1 is internalized by endocytosis in Adrenal gland pheochromocytoma.
Solute carrier family 40 member 1 (SLC40A1)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [9]
Target for Ferroptosis Marker/Suppressor
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator hsa-miR-4735-3p (miRNA) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
Cell invasion
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
HK-2 cells Normal Homo sapiens CVCL_0302
Response regulation The miR-4735-3p mimic increased, while the miR-4735-3p inhibitor decreased oxidative stress, lipid peroxidation, iron overload, and ferroptosis of human Clear cell renal cell carcinoma (ccRCC) cell lines. Mechanistic studies identified SLC40A1 as a direct target of miR-4735-3p.
Nuclear factor erythroid 2-related factor 2 (NFE2L2)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [15]
Target for Ferroptosis Marker/Suppressor
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Ubiquitin carboxyl-terminal hydrolase 35 (USP35) Suppressor
Pathway Response Ubiquitin mediated proteolysis hsa04120
Ferroptosis hsa04216
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
Cell proliferation
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
HEK-293T cells Normal Homo sapiens CVCL_0063
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
OS-RC-2 cells Clear cell renal cell carcinoma Homo sapiens CVCL_1626
In Vivo Model
Female Balb/c nude mice aged 6 weeks were obtained from Vital River Laboratory (Beijing, China). To generate xenografts of RCC, mice were randomized into two groups of 8 that were subcutaneously inoculated with 1 x 10^7 of OS-RC-2 cells stably transfected with USP35 Tet-on shRNA constructs or empty vector. After 7 days, mice were administered with doxycycline every day (20 mg/kg) to induce shRNA expression through oral gavage without blinding.

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Response regulation USP35 functions to maintain NRF2 levels by catalyzing its deubiquitylation and thus antagonizing degradation. NRF2 reduction imposed by USP35 silencing rendered renal clear cell carcinoma cells increased sensitivity to ferroptosis induction.
NADPH oxidase 4 (NOX4)
In total 2 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [16]
Target for Ferroptosis Driver
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Tafazzin (TAFAZZIN) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Hippo signaling pathway hsa04390
Cell Process Cell ferroptosis
In Vitro Model RCC4 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0498
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
HEK-293T cells Normal Homo sapiens CVCL_0063
MDA-MB-231 cells Breast adenocarcinoma Homo sapiens CVCL_0062
In Vivo Model
One million 786O cells with or without shTAZ were implanted subcutaneously into the healthy 8-week-old JAX NOD.CB17-PrkdcSCID-J mice; both male and female mice were used. Once tumor volume reached 120 mm3, mice were randomized into control or erastin treatment group. The vehicle (ORA-plus) or erastin (0.1 ml of 4 mg/ml erastin) was administrated by oral gavage twice daily for 20 days.

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Response regulation Cell density-regulated ferroptosis is mediated by TAZ through the regulation of EMP1-NOX4, suggesting its therapeutic potential for renal cell carcinoma (RCC) and other TAZ-activated tumors.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [16]
Target for Ferroptosis Driver
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator Epithelial membrane protein 1 (EMP1) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Hippo signaling pathway hsa04390
Cell Process Cell ferroptosis
In Vitro Model RCC4 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0498
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
HEK-293T cells Normal Homo sapiens CVCL_0063
MDA-MB-231 cells Breast adenocarcinoma Homo sapiens CVCL_0062
In Vivo Model
One million 786O cells with or without shTAZ were implanted subcutaneously into the healthy 8-week-old JAX NOD.CB17-PrkdcSCID-J mice; both male and female mice were used. Once tumor volume reached 120 mm3, mice were randomized into control or erastin treatment group. The vehicle (ORA-plus) or erastin (0.1 ml of 4 mg/ml erastin) was administrated by oral gavage twice daily for 20 days.

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Response regulation Cell density-regulated ferroptosis is mediated by TAZ through the regulation of EMP1-NOX4, suggesting its therapeutic potential for renal cell carcinoma (RCC) and other TAZ-activated tumors.
Long-chain-fatty-acid--CoA ligase 4 (ACSL4)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [10]
Target for Ferroptosis Driver
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Drug Lycorine Investigative
Pathway Response Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model 786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
HK-2 cells Normal Homo sapiens CVCL_0302
Response regulation Lycorine could inhibit the proliferation in human renal cell carcinoma (RCC) cells. The anti-tumor effect of lycorine was associated with the induction of ferroptosis. After lycorine treatment, the expression levels of GPX4 in RCC cells decreased, whereas those of ACSL4 increased.
Cystine/glutamate transporter (SLC7A11)
In total 3 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [17]
Target for Ferroptosis Suppressor
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator MIT domain-containing protein 1 (MITD1) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Hippo signaling pathway hsa04390
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
Cell invasion
In Vitro Model HK-2 cells Normal Homo sapiens CVCL_0302
786-O cells Renal cell carcinoma Homo sapiens CVCL_1051
ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
A-498 cells Renal cell carcinoma Homo sapiens CVCL_1056
769-P cells Renal cell carcinom Homo sapiens CVCL_1050
Caki-1 cells Clear cell renal cell carcinoma Homo sapiens CVCL_0234
Response regulation MITD1 knockdown inhibited clear cell renal cell carcinoma (ccRCC) cell proliferation and migration and induced ferroptosis in ccRCC. Subsequent overexpression experiments demonstrated that MITD1 knockdown induced ferroptosis and suppressed tumor growth and migration through the TAZ/SLC7A11 pathway.
Experiment 2 Reporting the Ferroptosis-centered Disease Response by This Target [18]
Target for Ferroptosis Suppressor
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator SLC16A1-AS1 (IncRNA) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
In Vitro Model HK-2 cells Normal Homo sapiens CVCL_0302
Response regulation SLC16A1-AS1 served as a sponge of miR-143-3p, and knockdown SLC16A1-AS1 significantly increased the enrichment of miR-143-3p. And then, SLC7A11 was identified as the target protein of miR-143-3p, and overexpression miR-143-3p remarkably inhibited the expression of SLC7A11. And silencing lncRNA SLC16A1-AS1 can induce ferroptosis through miR-143-3p/SLC7A11 signaling in renal cell carcinoma.
Experiment 3 Reporting the Ferroptosis-centered Disease Response by This Target [18]
Target for Ferroptosis Suppressor
Responsed Disease Renal cell carcinoma [ICD-11: 2C90]
Responsed Regulator hsa-miR-143-3p (miRNA) Driver
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
Cell migration
In Vitro Model HK-2 cells Normal Homo sapiens CVCL_0302
Response regulation SLC16A1-AS1 served as a sponge of miR-143-3p, and knockdown SLC16A1-AS1 significantly increased the enrichment of miR-143-3p. And then, SLC7A11 was identified as the target protein of miR-143-3p, and overexpression miR-143-3p remarkably inhibited the expression of SLC7A11. And silencing lncRNA SLC16A1-AS1 can induce ferroptosis through miR-143-3p/SLC7A11 signaling in renal cell carcinoma.
Iron-responsive element-binding protein 2 (IREB2)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [19]
Target for Ferroptosis Driver
Responsed Disease Clear cell renal cell carcinoma [ICD-11: 2C90]
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Autophagy hsa04140
Cell Process Cell ferroptosis
Cell autophagy
Cell proliferation
Cell metastasis
Cell invasion
In Vitro Model ACHN cells Papillary renal cell carcinoma Homo sapiens CVCL_1067
Response regulation ACO1 and IREB2 downregulation in kidney renal clear cell carcinoma were correlated with cancer aggressiveness, cellular iron homeostasis, cytotoxic immune cell infiltration, and patient survival outcomes.
References
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Ref 2 Curcumin reverses the sunitinib resistance in clear cell renal cell carcinoma (ccRCC) through the induction of ferroptosis via the ADAMTS18 gene. Transl Cancer Res. 2021 Jul;10(7):3158-3167. doi: 10.21037/tcr-21-227.
Ref 3 Artesunate Inhibits Growth of Sunitinib-Resistant Renal Cell Carcinoma Cells through Cell Cycle Arrest and Induction of Ferroptosis. Cancers (Basel). 2020 Oct 27;12(11):3150. doi: 10.3390/cancers12113150.
Ref 4 MESH1 is a cytosolic NADPH phosphatase that regulates ferroptosis. Nat Metab. 2020 Mar;2(3):270-277. doi: 10.1038/s42255-020-0181-1. Epub 2020 Mar 9.
Ref 5 Everolimus accelerates Erastin and RSL3-induced ferroptosis in renal cell carcinoma. Gene. 2022 Jan 30;809:145992. doi: 10.1016/j.gene.2021.145992. Epub 2021 Oct 11.
Ref 6 Cyst(e)inase-Rapamycin Combination Induces Ferroptosis in Both In Vitro and In Vivo Models of Hereditary Leiomyomatosis and Renal Cell Cancer. Mol Cancer Ther. 2022 Mar 1;21(3):419-426. doi: 10.1158/1535-7163.MCT-21-0661.
Ref 7 Arsenite induces ferroptosis in the neuronal cells via activation of ferritinophagy. Food Chem Toxicol. 2021 May;151:112114. doi: 10.1016/j.fct.2021.112114. Epub 2021 Mar 13.
Ref 8 Tetrachlorobenzoquinone exposure triggers ferroptosis contributing to its neurotoxicity. Chemosphere. 2021 Feb;264(Pt 1):128413. doi: 10.1016/j.chemosphere.2020.128413. Epub 2020 Sep 24.
Ref 9 MicroRNA-4735-3p Facilitates Ferroptosis in Clear Cell Renal Cell Carcinoma by Targeting SLC40A1. Anal Cell Pathol (Amst). 2022 May 19;2022:4213401. doi: 10.1155/2022/4213401. eCollection 2022.
Ref 10 Ferroptosis is involved in the anti-tumor effect of lycorine in renal cell carcinoma cells. Oncol Lett. 2021 Nov;22(5):781. doi: 10.3892/ol.2021.13042. Epub 2021 Sep 13.
Ref 11 Fumarate hydratase inactivation in hereditary leiomyomatosis and renal cell cancer is synthetic lethal with ferroptosis induction. Cancer Sci. 2018 Sep;109(9):2757-2766. doi: 10.1111/cas.13701. Epub 2018 Jul 20.
Ref 12 KLF2 inhibits cancer cell migration and invasion by regulating ferroptosis through GPX4 in clear cell renal cell carcinoma. Cancer Lett. 2021 Dec 1;522:1-13. doi: 10.1016/j.canlet.2021.09.014. Epub 2021 Sep 11.
Ref 13 DHODH-mediated ferroptosis defence is a targetable vulnerability in cancer. Nature. 2021 May;593(7860):586-590. doi: 10.1038/s41586-021-03539-7. Epub 2021 May 12.
Ref 14 mTORC1 couples cyst(e)ine availability with GPX4 protein synthesis and ferroptosis regulation. Nat Commun. 2021 Mar 11;12(1):1589. doi: 10.1038/s41467-021-21841-w.
Ref 15 The deubiquitylating enzyme USP35 restricts regulated cell death to promote survival of renal clear cell carcinoma. Cell Death Differ. 2023 Jul;30(7):1757-1770. doi: 10.1038/s41418-023-01176-3. Epub 2023 May 12.
Ref 16 The Hippo Pathway Effector TAZ Regulates Ferroptosis in Renal Cell Carcinoma. Cell Rep. 2019 Sep 3;28(10):2501-2508.e4. doi: 10.1016/j.celrep.2019.07.107.
Ref 17 MITD1 Deficiency Suppresses Clear Cell Renal Cell Carcinoma Growth and Migration by Inducing Ferroptosis through the TAZ/SLC7A11 Pathway. Oxid Med Cell Longev. 2022 Aug 22;2022:7560569. doi: 10.1155/2022/7560569. eCollection 2022.
Ref 18 Silencing lncRNA SLC16A1-AS1 Induced Ferroptosis in Renal Cell Carcinoma Through miR-143-3p/SLC7A11 Signaling. Technol Cancer Res Treat. 2022 Jan-Dec;21:15330338221077803. doi: 10.1177/15330338221077803.
Ref 19 ACO1 and IREB2 downregulation confer poor prognosis and correlate with autophagy-related ferroptosis and immune infiltration in KIRC. Front Oncol. 2022 Aug 17;12:929838. doi: 10.3389/fonc.2022.929838. eCollection 2022.
Ref 20 Upregulation of Metallothionein 1G (MT1G) Negatively Regulates Ferroptosis in Clear Cell Renal Cell Carcinoma by Reducing Glutathione Consumption. J Oncol. 2022 Sep 27;2022:4000617. doi: 10.1155/2022/4000617. eCollection 2022.
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Ref 22 Exploring a ferroptosis and oxidative stress-based prognostic model for clear cell renal cell carcinoma. Front Oncol. 2023 Mar 30;13:1131473. doi: 10.3389/fonc.2023.1131473. eCollection 2023.
Ref 23 Deficiency of the X-inactivation escaping gene KDM5C in clear cell renal cell carcinoma promotes tumorigenicity by reprogramming glycogen metabolism and inhibiting ferroptosis. Theranostics. 2021 Aug 4;11(18):8674-8691. doi: 10.7150/thno.60233. eCollection 2021.
Ref 24 Obesity-Dependent Adipokine Chemerin Suppresses Fatty Acid Oxidation to Confer Ferroptosis Resistance. Cancer Discov. 2021 Aug;11(8):2072-2093. doi: 10.1158/2159-8290.CD-20-1453. Epub 2021 Mar 23.
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