Abstract

BackgroundFerroptosis plays a key role in human cancer, but its function and mechanism in glioma is not clear. P62/SQSTM1 was reported to inhibit ferroptosis via the activation of NRF2 signaling pathway. In this study we reveal a dual role of p62 in ferroptosis of glioblastoma (GBM) according to p53 status.MethodLipid peroxidation analysis, transmission electron microscopy (TEM), GSH assay were performed to determine the level of ferroptosis. Western blot and qPCR were obtained to detect the expression of ferroptosis markers. Construction of mutant plasmids, immunoprecipitation, luciferase assay and rescue-experiments were performed to explore the regulatory mechanism.ResultsP62 overexpression facilitates ferroptosis and inhibits SLC7A11 expression in p53 mutant GBM, while attenuates ferroptosis and promotes SLC7A11 expression in p53 wild-type GBM. P62 associates with p53 and inhibits its ubiquitination. The p53-NRF2 association and p53-mediated suppression of NRF2 antioxidant activity are diversely regulated by p62 according to p53 status. P53 mutation status is required for the dual regulation of p62 on ferroptosis. In wild-type p53 GBM, the classical p62-mediated NRF2 activation pathway plays a major regulatory role of ferroptosis, leading to increased SLC7A11 expression, resulting in a anti-ferroptosis role. In mutant p53 GBM, stronger interaction of mutant-p53/NRF2 by p62 enhance the inhibitory effect of mutant p53 on NRF2 signaling, which reversing the classical p62-mediated NRF2 activation pathway, together with increased p53’s transcriptional suppression on SLC7A11 by p62, leading to a decrease of SLC7A11, resulting in a pro-ferroptosis role.ConclusionTogether, this study shows novel molecular mechanisms of ferroptosis regulated by p62; the mutation status of p53 is an important factor that determines the therapeutic response to p62-mediated ferroptosis-targeted therapies in GBM.

Highlights

  • Glioma is the most common primary malignant tumor in adult central nervous system

  • The p53-NRF2 association and p53-mediated suppression of NRF2 antioxidant activity are diversely regulated by p62 according to p53 status

  • P53 mutation status is required for the dual regulation of p62 on ferroptosis

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Summary

Introduction

Glioblastoma (GBM) is the most malignant type of gliomas. GBM is characterized with high degree of malignancy, high recurrence rate and Ferroptosis is a recently discovered form of programmed cell death driven by the generation of lipidbased reactive oxygen species (ROS) tightly linked with oxidative stress responses and cystine metabolism [3, 4]. Accumulating evidence indicates that ferroptosis plays an important role in human cancers, including gliomas. It is reported that erastin sensitizes glioblastoma cells to temozolomide by restraining xCT [6]. Ferroptosis plays a key role in human cancer, but its function and mechanism in glioma is not clear. In this study we reveal a dual role of p62 in ferroptosis of glioblastoma (GBM) according to p53 status

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