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Ferroptosis is a non-apoptotic, iron-dependent form of cell death that is distinct from apoptosis or necrosis and involves different biological pathways and physiological processes. This non-apoptotic cell death was first identified in 2003 in a screen of small molecules that selectively kill tumor cells (1) and was formally named ferroptosis in 2012 due to its iron dependence (2). Hallmark traits of ferroptosis include lipid peroxidation and iron accumulation which ultimately result in diminished glutathione peroxidase activity, leading to cell death (3). Ferroptotic cell death is due to the reduction in glutathione peroxidase, causing decreased antioxidant capacity and the accumulation of lipid reactive oxygen species. Several studies have linked ferroptosis with many diseases including ischemia-reperfusion and kidney injuries, nervous system diseases, cancer, and blood diseases.
Several different functional and structural features characterize ferroptosis that are distinct from apoptosis, necrosis, autophagy, and other forms of cell death. Ferroptosis is characterized by a reduction in intracellular glutathione (GSH) and decreased activity of glutathione peroxidase, so that lipid peroxides cannot be oxidized leading to an increase in lipid peroxidation from iron. Structurally, ferroptosis includes mitochondrial changes such as shrinkage, increased membrane density, and loss of cristae. Reagents for detection of oxidative stress, lipid peroxidation, glutathione, and iron, along with reagents for visualizing mitochondrial structure and lipid accumulation can aid in the study of ferroptosis and distinguish this iron-dependent form of cell death from apoptosis and necrosis.
The table below shows a selection of known inducers/inhibitors of ferroptosis:
Compound | Action | Mode of action |
---|---|---|
L-Buthionine-(S,R)-Sulfoximine (BSO) | Induces | Depletes GSH by inhibiting γ-glutamylcysteine synthetase, the rate-limiting enzyme for GSH synthesis |
Artemisinin | Induces | Iron(II) oxide-reactive endoperoxide that generates ROS |
Trolox | Inhibits | Lipophilic antioxidant |
Coenzyme Q10 (Cat. No. 457950010 or J65137.06) | Inhibits | Lipophilic antioxidant |
Idebenone | Inhibits | Lipophilic antioxidant |
Ebselen | Inhibits | Lipophilic antioxidant |
Deferoxamine mesylate | Inhibits | Removes excess iron, preventing the formation of highly reactive hydroxyl radicals |
Ferroptosis is characterized by a general increase in oxidative stress along with iron-dependent accumulation of specific reactive oxygen species (ROS) such as hydroxyl radicals, superoxide, hydroperoxyl radicals, and hydrogen peroxide. This increase in oxidative stress and ROS leads to lipid peroxidation that is a hallmark of ferroptosis and results in cell and tissue damage, particularly in cell membranes. Fluorescent indicators for general intracellular oxidative stress including CellROX reagents and H2DCFDA, and specific ROS indicators for superoxide and hydrogen peroxide enable detection of oxidative stress and the increase in ROS leading to lipid peroxidation and ultimately cell death in ferroptosis.
The accumulation of lipid reactive oxygen species and decreased activity of glutathione peroxidase in ferroptosis leads to an increase in lipid peroxidation from iron. Lipid peroxidation is the oxidative degradation of lipids, resulting in damage to cell membranes. The increase in lipid peroxidation in ferroptosis can be detected through ratiometric fluorescence detection using BODIPY™ lipid probes and with the oxidation of incorporated linoleic acid through a click reaction using the Click-iT™ Lipid Peroxidation Imaging Kit.
Intracellular glutathione (GSH), which normally acts as an antioxidant by reduction of reactive oxygen species, is depleted in ferroptosis, resulting in increased oxidative stress and damage. Because GSH is the major free thiol in cells, compounds for detecting thiols including ThiolTracker Violet, monochlorobimane, and monobromobimane can be used to measure the decrease in intracellular GSH levels associated with ferroptosis. Fluorescence and colorimetric microplate assays can also be used to quantitate glutathione levels in cell lysates or other samples.
Ferroptosis is an iron-dependent process and iron accumulation leads to reduced glutathione peroxidase activity and increased lipid peroxidation through the Fenton reaction. Fluorescent heavy metal indicators such as Phen Green and calcein can be used to detect iron in cells and are quenched in the presence of Fe2+ or Fe3+.
Various organelles have been implicated in a variety of the ferroptosis pathways including mitochondria (volume reduction, increase in membrane density, and loss of cristae), lysosomes, Golgi, and endoplasmic reticulum. Cell structure probes can be used to investigate changes in organelle structure and function that occur during ferroptosis. See 2021 publication: Organelle-specific regulation of ferroptosis .
Enzymes and metabolites involved in ferroptosis, such as glutamate and cholesterol, can be assayed with Amplex Red and Amplex UltraRed based fluorescence microplate assays.
While investigating ferroptosis, it can be useful to examine other aspects of cellular function including cell proliferation, viability, and cell cycle, or to distinguish cell death due to ferroptosis from apoptosis or autophagy.
Protein | Full name | Primary antibodies |
---|---|---|
GPX4 | Glutathione peroxidase 4 | GPX4 antibodies |
ALOX15 | Arachidonate 15-lipoxygenase | ALOX15 antibodies |
SLC7A11 | Solute carrier family 7 member 11 | SLC7A11 antibodies |
BAP1 | BRCA1 associated protein 1 | BAP1 antibodies |
HSP90 | Heat shock protein 90 | HSP90 antibodies |
HSPB1 | Heat shock protein family B (small) member 1 | HSPB1 antibodies |
FANCD2 | FA complementation group D2 | FANCD2 antibodies |
TP53 | Tumor protein p53 | TP53 antibodies |
ACSL4 | Acid coenzyme A ligase | ACSL4 antibodies |
TFRC | Transferrin receptor | TFRC antibodies |
GLS2 | Glutaminase 2 | GLS2 antibodies |
DPP4 | Dipeptidyl peptidase 4 | DPP4 antibodies |
NCOA4 | Nuclear receptor coactivator 4 | NCOA4 antibodies |
PEBP1 | Phosphatidylethanolamine binding protein 1 | PEBP1 antibodies |
CARS | Cysteinyl-tRNA synthetase | CARS antibodies |
VDAC2 | Voltage dependent anion channel 2 | VDAC2 antibodies |
ITGA6 | Integrin subunit alpha 6 | ITGA6 antibodies |
ITGB4 | Integrin subunit beta 4 | ITGB4 antibodies |
OTUB1 | TU deubiquitinase, ubiquitin aldehyde binding 1 | OTUB1 antibodies |
HSPA5 | Heat shock protein family A (Hsp70) member 5 | HSPA5 antibodies |
FANCD2 | FA complementation group D2 | FANCD2 antibodies |
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