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  • Mitochondrial pyruvate carr...
    You, Ji Hyeon; Lee, Jaewang; Roh, Jong-Lyel

    Cancer letters, 06/2021, Letnik: 507
    Journal Article

    Cancer cells evolve to survive as ‘persister cells’ resistant to various chemotherapeutic agents. Persister cancer cells retain mesenchymal traits that are vulnerable to ferroptosis by iron-dependent accumulation of lethal lipid peroxidation. Regulation of the KDM5A-MPC1 axis might shift cancer cells to have mesenchymal traits via epithelial-mesenchymal transition process. Therefore, we examined the therapeutic potentiality of KDM5A-MPC1 axis regulation in promoting ferroptosis in erlotinib-tolerant persister head and neck cancer cells (erPCC). ErPCC acquired mesenchymal traits and disabled antioxidant program that were more vulnerable to ferroptosis inducers of RSL3, ML210, sulfasalazine, and erastin. GPX4 and xCT suppression caused increased sensitivity to ferroptosis in vivo models of GPX4 genetic silencing. KDM5A expression increased and MPC1 expression decreased in erPCC. KDM5A inhibition increased MPC1 expression and decreased sensitivity to ferroptosis inducers in erPCC. MPC1 suppression increased vulnerability to ferroptosis in vitro and in vivo by retaining mesenchymal traits and glutaminolysis. Low expression of MPC1 was associated with low overall survival from the TCGA data. Our data suggest that regulation of the KDM5A-MPC1 axis contributes to promoting cancer ferroptosis susceptibility. •Erlotinib-tolerant persister cancer cells (erPCC) acquire mesenchymal traits.•ErPCC is vulnerable to inhibition of xCT or GPX4 in vitro and in vivo.•ErPCC has high KDM5A and low MPC1 expression.•MPC1 disruption increases mesenchymal marker expression, glutaminolysis, and ferroptosis.•MPC1 inhibition increases ferroptosis susceptibility in vitro and in vivo.