Ferroptosis, a type of regulated cell death driven by
iron-dependent
phospholipid peroxidation, has captured much attention in the field
of nanomedicine since it was coined in 2012. Compared with other regulated
cell death modes such as apoptosis and pyroptosis, ferroptosis has
many distinct features in the molecular mechanisms and cellular morphology,
representing a promising strategy for treating cancers that are resistant
to conventional therapeutic modalities. Moreover, recent insights
collectively reveal that ferroptosis is tightly connected to the maintenance
of the tumor immune microenvironment (TIME), suggesting the potential
application of ferroptosis therapies for evoking robust antitumor
immunity. From a biochemical perspective, ferroptosis is intricately
regulated by multiple cellular metabolic pathways, including iron
metabolism, lipid metabolism, redox metabolism, etc., highlighting the importance to elucidate the relationship between
tumor metabolism and ferroptosis for developing antitumor therapies.
In this review, we provide a comprehensive discussion on the current
understanding of ferroptosis-inducing mechanisms and thoroughly discuss
the relationship between ferroptosis and various metabolic traits
of tumors, which offer promising opportunities for direct tumor inhibition
through a nanointegrated approach. Extending from the complex impact
of ferroptosis on TIME, we also discussed those important considerations
in the development of ferroptosis-based immunotherapy, highlighting
the challenges and strategies to enhance the ferroptosis-enabled immunostimulatory
effects while avoiding potential side effects. We envision that the
insights in this study may facilitate the development and translation
of ferroptosis-based nanomedicines for tumor treatment.