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Review
. 2023 Feb 15;15(2):225-239.
doi: 10.4251/wjgo.v15.i2.225.

Role of ferroptosis in colorectal cancer

Affiliations
Review

Role of ferroptosis in colorectal cancer

Ya-Qi Song et al. World J Gastrointest Oncol. .

Abstract

Colorectal cancer (CRC) is the second deadliest cancer and the third-most common malignancy in the world. Surgery, chemotherapy, and targeted therapy have been widely used to treat CRC, but some patients still develop resistance to these treatments. Ferroptosis is a novel non-apoptotic form of cell death. It is an iron-dependent non-apoptotic cell death characterized by the accumulation of lipid reactive oxygen species and has been suggested to play a role in reversing resistance to anticancer drugs. This review summarizes recent advances in the prognostic role of ferroptosis in CRC and the mechanism of action in CRC.

Keywords: Colorectal cancer; Ferroptosis; Glutathione; Glutathione peroxidase 4; System Xc−.

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Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
Mechanisms of ferroptosis in colorectal cancer. The diagram shows several potential regulatory pathways for ferroptosis. Including Xc-system, lipid peroxide accumulation, sulfur transfer pathway, glutathione/glutathione peroxidase 4 lipid repair system, Nrf2-H0-1, cellular iron homeostasis, p53, etc. TFR1: Transferrin receptor 1; TF: Transferrin; IREB2: Iron response element-binding protein 2; PUFA: Polyunsaturated fatty acid; ACSL4: Acyl-CoA synthetase long-chain family member 4; LPCAT3: Lysophosphatidylcholine acyltransferase 3; PE: Phosphatidylethanolamine; LOX: Lipoxygenase; NRF2: Nuclear factor erythroid 2-related factor; HO-1: Haem oxygenase 1; SLC7A11: Solute carrier family 7 member 11; IMCA: Benzopyran derivative 2-imino-6-methoxy-2H-chromene-3-carbothioamide; SAS: Sulphasalazine; GSH: Glutathione; GSSG: Oxidized glutathione; GPX4: Glutathione peroxidase 4; RSL3: Ras-selective lethal 3; CARS: Cysteinyl-tRNA synthetase; ATF3: Activating transcription factor 3; YAP1: Yes-associated protein 1.

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