The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy

Colorectal cancer (CRC) is one of the most prevalent and deadly malignancies worldwide. Recently, ferroptosis, a novel form of regulated cell death characterized by iron dependency and lipid peroxidation, has garnered significant attention from researchers. The mechanisms underlying ferroptosis, inc...

Full description

Saved in:
Bibliographic Details
Main Authors: Wenhua Xia, Yuanhao Lv, Yan Zou, Zhanting Kang, Zhaoyi Li, Jiaqi Tian, Hongyan Zhou, Wei Su, Jiateng Zhong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1526749/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841553883958083584
author Wenhua Xia
Wenhua Xia
Yuanhao Lv
Yuanhao Lv
Yan Zou
Zhanting Kang
Zhaoyi Li
Jiaqi Tian
Hongyan Zhou
Wei Su
Wei Su
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
author_facet Wenhua Xia
Wenhua Xia
Yuanhao Lv
Yuanhao Lv
Yan Zou
Zhanting Kang
Zhaoyi Li
Jiaqi Tian
Hongyan Zhou
Wei Su
Wei Su
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
author_sort Wenhua Xia
collection DOAJ
description Colorectal cancer (CRC) is one of the most prevalent and deadly malignancies worldwide. Recently, ferroptosis, a novel form of regulated cell death characterized by iron dependency and lipid peroxidation, has garnered significant attention from researchers. The mechanisms underlying ferroptosis, including intracellular iron levels, lipid peroxidation, and antioxidant system regulation, offer new insights into cancer treatment strategies. This study aims to explore the emerging role of ferroptosis in the context of immunotherapy for CRC, highlighting its potential mechanisms and clinical applications. We employed a comprehensive review of current literature to elucidate the biological mechanisms of ferroptosis, its relationship with CRC, and the interplay between ferroptosis and immunotherapy. Ferroptosis reshapes the tumor microenvironment (TME) by regulating intracellular iron levels, lipid metabolism, and antioxidant systems, significantly enhancing the efficacy of immune checkpoint inhibitors (ICIs). Meanwhile, traditional Chinese medicine therapies promote antitumor immunity by modulating the TME and inducing ferroptosis. Additionally, advances in nanotechnology have facilitated precise therapy by enabling targeted delivery of ferroptosis inducers or immunomodulators, transforming “cold” tumors into “hot” tumors and further boosting ICI efficacy. This study comprehensively reviews the latest developments in ferroptosis, immunotherapy, traditional Chinese medicine, and nanotechnology in CRC, highlighting the importance of ferroptosis-related biomarkers and novel inducers for personalized treatment. In summary, ferroptosis offers a promising strategy to overcome CRC therapy resistance and enhance immunotherapy efficacy, warranting further investigation and translational application.
format Article
id doaj-art-4bd535575e864ccd82acd8e9b35b1b7e
institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-4bd535575e864ccd82acd8e9b35b1b7e2025-01-09T06:11:02ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15267491526749The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapyWenhua Xia0Wenhua Xia1Yuanhao Lv2Yuanhao Lv3Yan Zou4Zhanting Kang5Zhaoyi Li6Jiaqi Tian7Hongyan Zhou8Wei Su9Wei Su10Jiateng Zhong11Jiateng Zhong12Jiateng Zhong13Jiateng Zhong14Department of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaXinxiang Key Laboratory of Precision Diagnosis and Treatment for Colorectal Cancer, Xinxiang First People’s Hospital, Xinxiang, ChinaDepartment of Pathology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaXinxiang Engineering Technology Research Center of Digestive Tumor Molecular Diagnosis, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Pathology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaXinxiang Key Laboratory of Precision Diagnosis and Treatment for Colorectal Cancer, Xinxiang First People’s Hospital, Xinxiang, ChinaXinxiang Engineering Technology Research Center of Digestive Tumor Molecular Diagnosis, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, ChinaColorectal cancer (CRC) is one of the most prevalent and deadly malignancies worldwide. Recently, ferroptosis, a novel form of regulated cell death characterized by iron dependency and lipid peroxidation, has garnered significant attention from researchers. The mechanisms underlying ferroptosis, including intracellular iron levels, lipid peroxidation, and antioxidant system regulation, offer new insights into cancer treatment strategies. This study aims to explore the emerging role of ferroptosis in the context of immunotherapy for CRC, highlighting its potential mechanisms and clinical applications. We employed a comprehensive review of current literature to elucidate the biological mechanisms of ferroptosis, its relationship with CRC, and the interplay between ferroptosis and immunotherapy. Ferroptosis reshapes the tumor microenvironment (TME) by regulating intracellular iron levels, lipid metabolism, and antioxidant systems, significantly enhancing the efficacy of immune checkpoint inhibitors (ICIs). Meanwhile, traditional Chinese medicine therapies promote antitumor immunity by modulating the TME and inducing ferroptosis. Additionally, advances in nanotechnology have facilitated precise therapy by enabling targeted delivery of ferroptosis inducers or immunomodulators, transforming “cold” tumors into “hot” tumors and further boosting ICI efficacy. This study comprehensively reviews the latest developments in ferroptosis, immunotherapy, traditional Chinese medicine, and nanotechnology in CRC, highlighting the importance of ferroptosis-related biomarkers and novel inducers for personalized treatment. In summary, ferroptosis offers a promising strategy to overcome CRC therapy resistance and enhance immunotherapy efficacy, warranting further investigation and translational application.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1526749/fullferroptosiscolorectal cancerimmunotherapyimmune checkpoint inhibitors (ICBs)tumor microenvironment
spellingShingle Wenhua Xia
Wenhua Xia
Yuanhao Lv
Yuanhao Lv
Yan Zou
Zhanting Kang
Zhaoyi Li
Jiaqi Tian
Hongyan Zhou
Wei Su
Wei Su
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
Jiateng Zhong
The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
Frontiers in Immunology
ferroptosis
colorectal cancer
immunotherapy
immune checkpoint inhibitors (ICBs)
tumor microenvironment
title The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
title_full The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
title_fullStr The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
title_full_unstemmed The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
title_short The role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
title_sort role of ferroptosis in colorectal cancer and its potential synergy with immunotherapy
topic ferroptosis
colorectal cancer
immunotherapy
immune checkpoint inhibitors (ICBs)
tumor microenvironment
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1526749/full
work_keys_str_mv AT wenhuaxia theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT wenhuaxia theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yuanhaolv theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yuanhaolv theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yanzou theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT zhantingkang theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT zhaoyili theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiaqitian theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT hongyanzhou theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT weisu theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT weisu theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong theroleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT wenhuaxia roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT wenhuaxia roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yuanhaolv roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yuanhaolv roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT yanzou roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT zhantingkang roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT zhaoyili roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiaqitian roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT hongyanzhou roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT weisu roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT weisu roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy
AT jiatengzhong roleofferroptosisincolorectalcanceranditspotentialsynergywithimmunotherapy