“…There is, however, clear evidence that deregulated iron homeostasis on a local — that is, microenvironmental and/or cellular — level is associated with tumour progression, as illustrated by changes in expression of iron-related genes in cancer cells (Figure 4), the levels of which are inversely correlated with patient survival90–92. In the context of tumour progression, one can envision that proliferating cancer cells, which require substantial amounts of iron to support their growth, will attempt to increase their iron intake, for example by increasing the expression of TfR193–95 and STEAP396,97; to modulate iron storage capacity by producing ferritin94,96; and to limit their iron export by downregulating ferroportin91,98–100. However, the additional intracellular oxidative stress that is accompanied by the increased presence of labile iron may also make them more sensitive to ferroptosis65,67 and hinder tumour metastasis85, illustrating the complex relationship between iron, ROS and cancer cell survival.…”