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Redox Biology

Redox Biology

IF: 10.7
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Targeting ALDH1A1 to enhance the efficacy of KRAS-targeted therapy through ferroptosis

Published:19 September 2024 DOI:
Yunyi Bian , Guangyao Shan , Guoshu Bi , Jiaqi Liang , Zhengyang Hu , Qihai Sui , Haochun Shi , Zhaolin Zheng , Guangyu Yao , Qun Wang , Hong Fan , Cheng Zhan

Abstract

KRAS is among the most commonly mutated oncogenes in human malignancies. Although the advent of sotorasib and adagrasib, has lifted the “undruggable” stigma of KRAS, the resistance to KRAS inhibitors quickly becomes a major issue. Here, we reported that aldehyde dehydrogenase 1 family member A1 (ALDH1A1), an enzyme in retinoic acid biosynthesis and redox balance, increases in response to KRAS inhibitors and confers resistance in a range of cancer types. KRAS inhibitors' efficacy is significantly improved in sensitive or drug-resistant cells, patient-derived organoids (PDO), and xenograft models by ALDH1A1 knockout, loss of enzyme function, or inhibitor. Furthermore, we discovered that ALDH1A1 suppresses the efficacy of KRAS inhibitors by counteracting ferroptosis. ALDH1A1 detoxicates deleterious aldehydes, boosts the synthesis of NADH and retinoic acid (RA), and improves RARA function. ALDH1A1 also activates the CREB1/GPX4 pathway, stimulates the production of lipid droplets in a pH-dependent manner, and subsequently prevents ferroptosis induced by KRAS inhibitors. Meanwhile, we established that GTF2I is dephosphorylated at S784 via ERK by KRAS inhibitors, which hinders its nuclear translocation and mediates ALDH1A1's upregulation in response to KRAS inhibitors. In summary, the results offer valuable insights into targeting ALDH1A1 to enhance the effectiveness of KRAS-targeted therapy through ferroptosis in cancer treatment.

Substances (72)

Materials
Procduct Name CAS Molecular Formula Supplier Price
Retinoic acid 302-79-4 C20H28O2 995 suppliers $5.00-$5434.00
Retinoic acid 302-79-4 C20H28O2 995 suppliers $5.00-$5434.00
Retinoic acid 302-79-4 C20H28O2 995 suppliers $5.00-$5434.00
Retinoic acid 302-79-4 C20H28O2 995 suppliers $5.00-$5434.00
Ferrostatin-1 (Fer-1) 347174-05-4 C15H22N2O2 251 suppliers $10.00-$2822.00
Ferrostatin-1 (Fer-1) 347174-05-4 C15H22N2O2 251 suppliers $10.00-$2822.00
Ferrostatin-1 (Fer-1) 347174-05-4 C15H22N2O2 251 suppliers $10.00-$2822.00
Ferrostatin-1 (Fer-1) 347174-05-4 C15H22N2O2 251 suppliers $10.00-$2822.00
Sotorasib 2296729-00-3 C30H30F2N6O3 242 suppliers Inquiry
Sotorasib 2296729-00-3 C30H30F2N6O3 242 suppliers Inquiry

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