Faculty, Staff and Student Publications

Language

English

Publication Date

9-2-2025

Journal

Nature Communications

DOI

10.1038/s41467-025-63687-6

PMID

40897711

PMCID

PMC12405490

PubMedCentral® Posted Date

9-2-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Ferroptosis, an iron-dependent form of cell death, holds promise for cancer therapy. However, the intricate link between ferroptosis and oncogenic mutations remains unclear. Here we show that SMARCA4, a well-established tumour suppressor whose deficiency is associated with poor prognosis and resistance to treatments, sensitizes non-small cell lung cancer (NSCLC) cells to ferroptosis. Mechanistically, SMARCA4 promotes chromatin accessibility and expression of ALDH16A1. Surprisingly, ALDH16A1 lacks ALDH enzymatic activity, but binds to the anti-ferroptotic oxidoreductase thioredoxin (TXN), facilitating its translocation to the lysosome and subsequent degradation. Meanwhile, ALDH16A1 directly inhibits TXN's oxidoreductase function by occluding its active site. We also show that either restoring ALDH16A1 levels or inhibiting TXN significantly enhances the effectiveness of chemo/immunotherapy in a ferroptosis-dependent manner in SMARCA4-deficient NSCLC. Collectively, our findings elucidate an intricate SMARCA4-ALDH16A1-TXN stability/function dual regulatory axis that governs ferroptosis and informs a therapeutic strategy for overcoming resistance to chemotherapy or immunotherapy in SMARCA4-deficient NSCLC.

Keywords

Ferroptosis, Humans, Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Thioredoxins, Lysosomes, Transcription Factors, Cell Line, Tumor, Nuclear Proteins, Animals, DNA Helicases, Mice, Aldehyde Oxidoreductases, Cancer therapeutic resistance, Non-small-cell lung cancer, Cell death

Published Open-Access

yes

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