Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis

ABSTRACT Background Despite significant advances in lung cancer treatment, cisplatin (DDP)‐based chemotherapy remains a cornerstone for managing the disease. However, the prevalence of chemoresistance presents a major challenge, limiting its effectiveness and contributing to poor outcomes. This unde...

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Main Authors: Zhuoying Yang, Zehao Zhou, Qingyu Meng, Zhijie Chen, Liang Yun, Jianjun Jiang, Yujing He, Meijuan Dian, Ruihao Zhang, Haotian Ge, Tianbao Yan, Biying Men, Zichao Li, Xu Wu, Junming He, Shuan Rao
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70271
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author Zhuoying Yang
Zehao Zhou
Qingyu Meng
Zhijie Chen
Liang Yun
Jianjun Jiang
Yujing He
Meijuan Dian
Ruihao Zhang
Haotian Ge
Tianbao Yan
Biying Men
Zichao Li
Xu Wu
Junming He
Shuan Rao
author_facet Zhuoying Yang
Zehao Zhou
Qingyu Meng
Zhijie Chen
Liang Yun
Jianjun Jiang
Yujing He
Meijuan Dian
Ruihao Zhang
Haotian Ge
Tianbao Yan
Biying Men
Zichao Li
Xu Wu
Junming He
Shuan Rao
author_sort Zhuoying Yang
collection DOAJ
description ABSTRACT Background Despite significant advances in lung cancer treatment, cisplatin (DDP)‐based chemotherapy remains a cornerstone for managing the disease. However, the prevalence of chemoresistance presents a major challenge, limiting its effectiveness and contributing to poor outcomes. This underscores the urgent need for novel therapeutic strategies to overcome chemoresistance and improve chemotherapy efficacy in lung cancer patients. Exploring approaches to sensitize tumors to cisplatin could enhance treatment responses and overall survival rates. Methods and Results Our study utilized a variety of lung cancer models, including cell lines, mouse models, and patient‐derived organoids, to validate the synergistic cytotoxic effects of dihydroartemisinin (DHA) and cisplatin (DDP). When combined with DDP, we demonstrate that DHA is a promising therapeutic agent that effectively triggers ferroptosis in lung cancer cells, offering a potential strategy for overcoming chemoresistance. Mechanistically, the combination of DHA and DDP synergistically enhances ZIP14 expression, modulating iron homeostasis and upregulating oxidative stress, leading to both in vitro and in vivo ferroptosis. Notably, our findings revealed that the sequential administration of DDP followed by DHA significantly increases ZIP14 expression and induces superior therapeutic outcomes compared to the simultaneous administration or DHA followed by DDP. This observation underscores the importance of the drug administration order in optimizing treatment efficacy, providing new insights into enhancing chemotherapy response in lung cancer. Conclusion Our findings suggest that combining dihydroartemisinin (DHA) with cisplatin (DDP) presents a promising strategy to overcome chemoresistance in lung cancer patients. Importantly, administering DHA during chemotherapy intervals could further optimize treatment outcomes, enhancing the overall efficacy of lung cancer chemotherapy.
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spelling doaj-art-9f55a898b7354e5c83c603c94cd0e45d2025-08-20T02:32:11ZengWileyCancer Medicine2045-76342024-10-011319n/an/a10.1002/cam4.70271Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing FerroptosisZhuoying Yang0Zehao Zhou1Qingyu Meng2Zhijie Chen3Liang Yun4Jianjun Jiang5Yujing He6Meijuan Dian7Ruihao Zhang8Haotian Ge9Tianbao Yan10Biying Men11Zichao Li12Xu Wu13Junming He14Shuan Rao15Department of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Radiation Oncology, Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Hepatobiliary Surgery The Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou Guangdong ChinaDepartment of Thoracic Surgery, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaABSTRACT Background Despite significant advances in lung cancer treatment, cisplatin (DDP)‐based chemotherapy remains a cornerstone for managing the disease. However, the prevalence of chemoresistance presents a major challenge, limiting its effectiveness and contributing to poor outcomes. This underscores the urgent need for novel therapeutic strategies to overcome chemoresistance and improve chemotherapy efficacy in lung cancer patients. Exploring approaches to sensitize tumors to cisplatin could enhance treatment responses and overall survival rates. Methods and Results Our study utilized a variety of lung cancer models, including cell lines, mouse models, and patient‐derived organoids, to validate the synergistic cytotoxic effects of dihydroartemisinin (DHA) and cisplatin (DDP). When combined with DDP, we demonstrate that DHA is a promising therapeutic agent that effectively triggers ferroptosis in lung cancer cells, offering a potential strategy for overcoming chemoresistance. Mechanistically, the combination of DHA and DDP synergistically enhances ZIP14 expression, modulating iron homeostasis and upregulating oxidative stress, leading to both in vitro and in vivo ferroptosis. Notably, our findings revealed that the sequential administration of DDP followed by DHA significantly increases ZIP14 expression and induces superior therapeutic outcomes compared to the simultaneous administration or DHA followed by DDP. This observation underscores the importance of the drug administration order in optimizing treatment efficacy, providing new insights into enhancing chemotherapy response in lung cancer. Conclusion Our findings suggest that combining dihydroartemisinin (DHA) with cisplatin (DDP) presents a promising strategy to overcome chemoresistance in lung cancer patients. Importantly, administering DHA during chemotherapy intervals could further optimize treatment outcomes, enhancing the overall efficacy of lung cancer chemotherapy.https://doi.org/10.1002/cam4.70271cisplatindihydroartemisininferroptosislung cancernon‐transferrin iron transportZIP14
spellingShingle Zhuoying Yang
Zehao Zhou
Qingyu Meng
Zhijie Chen
Liang Yun
Jianjun Jiang
Yujing He
Meijuan Dian
Ruihao Zhang
Haotian Ge
Tianbao Yan
Biying Men
Zichao Li
Xu Wu
Junming He
Shuan Rao
Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
Cancer Medicine
cisplatin
dihydroartemisinin
ferroptosis
lung cancer
non‐transferrin iron transport
ZIP14
title Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
title_full Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
title_fullStr Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
title_full_unstemmed Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
title_short Dihydroartemisinin Sensitizes Lung Cancer Cells to Cisplatin Treatment by Upregulating ZIP14 Expression and Inducing Ferroptosis
title_sort dihydroartemisinin sensitizes lung cancer cells to cisplatin treatment by upregulating zip14 expression and inducing ferroptosis
topic cisplatin
dihydroartemisinin
ferroptosis
lung cancer
non‐transferrin iron transport
ZIP14
url https://doi.org/10.1002/cam4.70271
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