2022
DOI: 10.3389/fphar.2022.910292
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System Xc−/GSH/GPX4 axis: An important antioxidant system for the ferroptosis in drug-resistant solid tumor therapy

Abstract: The activation of ferroptosis is a new effective way to treat drug-resistant solid tumors. Ferroptosis is an iron-mediated form of cell death caused by the accumulation of lipid peroxides. The intracellular imbalance between oxidant and antioxidant due to the abnormal expression of multiple redox active enzymes will promote the produce of reactive oxygen species (ROS). So far, a few pathways and regulators have been discovered to regulate ferroptosis. In particular, the cystine/glutamate antiporter (System Xc−… Show more

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Cited by 121 publications
(77 citation statements)
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“…GSH depletion is responsible for iron-catalyzed, lipid peroxidation-dependent, non-apoptotic cell death, known as ferroptosis [ 5 , 6 , 7 ]. The induction of ferroptosis by GSH depletion has been shown to selectively kill resilient cancer cells resistant to conventional treatments in various types of human cancers [ 8 , 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…GSH depletion is responsible for iron-catalyzed, lipid peroxidation-dependent, non-apoptotic cell death, known as ferroptosis [ 5 , 6 , 7 ]. The induction of ferroptosis by GSH depletion has been shown to selectively kill resilient cancer cells resistant to conventional treatments in various types of human cancers [ 8 , 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…Glutathione is a critical intracellular antioxidant whose function is to detoxify the cell environment of oxPLs and other ROS (15). SLC7A11 is an important part of the system Xc-whose function is cystine uptake resulting in GSH synthesis (16,(30)(31)(32).…”
Section: Discussionmentioning
confidence: 99%
“…System Xc - containing the SLC7A11/GSH/PLOOH axis act as cystine/glutamate antiport involved in the synthesis of GSH which is converted to oxidized glutathione (GSSG) upon catalytic action of GPX4(15). Compounds such as erastin induce ferroptosis by interfering with cystine uptake by inhibiting the System Xc - (1619).…”
Section: Introductionmentioning
confidence: 99%
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“…The antioxidant GSH is synthetized from glutamate, cysteine, and glycine with the help of two enzymes, glutamate cysteine ligase (GCL) and glutathione synthetase (GSS), in two steps. Structured as a simple tripeptide, GSH reduces oxidized intracellular components with its reduced thiol group on the cysteine [ 112 ]. The active site of GPx4 shifts between the oxidized and the reduced state in order to maintain its catalytic function.…”
Section: Ferroptosis: Iron- and Lipid-peroxidation-dependent Cell Deathmentioning
confidence: 99%