Research Progress on Ferroptosis as a Therapeutic Strategy in Renal Cell Carcinoma

Liu Minna, Min Bai, N. Cui, Yi Ding, Peng Zhang
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Abstract

Renal cell carcinoma (RCC) is a common type of kidney cancer in adults and constitutes approximately 90% of all renal malignancies. Although advancements have been made in the treatment of RCC, the 5 -year survival rate is still low, and new treatment modalities are still required. Ferroptosis is an iron-dependent programmed cell death caused by the accumulation of lipid peroxide products. Recent studies revealed the involvement of ferroptosis metabolism, lipid peroxidation, and System XC-GSH-GPX4 shafts as major mechanisms closely related to RCC progression. Nanoparticles in combination with small molecular ferroptosis induction agents have the advantages of solubility, targeted enhancement, low systemic toxicity, controllable drug control, and synergy advantage in emerging combination therapies. In the future, it is possible to be used in nano treatment. The relationship between ferroptosis-related mechanisms and RCC progression and its role in the treatment could provide novel treatment strategies for patients with advance-stage RCC.
脱铁性贫血作为肾癌治疗策略的研究进展
肾细胞癌(RCC)是一种常见的成人癌症类型,约占所有肾脏恶性肿瘤的90%。尽管RCC的治疗已经取得了进展,但5年生存率仍然很低,仍然需要新的治疗模式。脱铁症是一种由脂质过氧化物产物积累引起的铁依赖性程序性细胞死亡。最近的研究表明,脱铁代谢、脂质过氧化和XC-GSH-GPX4系统轴是与RCC进展密切相关的主要机制。纳米颗粒与小分子脱铁诱导剂联合使用具有溶解性、靶向增强、全身毒性低、药物控制可控以及在新兴联合疗法中的协同优势。在未来,它有可能用于纳米处理。脱铁相关机制与RCC进展之间的关系及其在治疗中的作用可以为晚期RCC患者提供新的治疗策略。
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