P23 acts as a negative regulator of ferroptosis in NSCLC by blocking GPX4 degradation via chaperone-mediated autophagy
Ferroptosis has been identified as a tumor-inhibiting event in a variety of cancers; however, its molecular basis in non-small cell lung cancer (NSCLC) has not been completely elucidated. Notably, glutathione peroxidase 4 (GPX4) plays a crucial role in ferroptosis. Our previous research revealed that prostaglandin E synthase 3 (p23), a potential transcription factor, plays a crucial role in promoting cancer progression and metastasis through succinylation. Our study revealed a previously unknown antiferroptotic function of p23. Mechanistically, p23 stabilizes GPX4 by competitively binding heat shock cognate 71 kDa protein (HSC70) to suppress chaperone-mediated autophagy (CMA) activity, which subsequently inhibits ferroptosis and accelerates tumor growth. Notably, impairing p23 succinylation disrupts its interaction with HSC70, restoring CMA-mediated GPX4 degradation. Collectively, our findings suggest that targeting p23-regulated CMA pathways represents a potentially viable strategy to modulate ferroptosis in NSCLC.
Authors
- Xiangge Tian (ORCID: https://orcid.org/0000-0002-8262-4428)
- Xiaochi Ma (ORCID: https://orcid.org/0000-0002-9705-0850)
- Guobiao Liang (ORCID: https://orcid.org/0000-0001-6332-190X)
- Shilei Zhao (ORCID: https://orcid.org/0000-0002-8168-8112)
- Yulin Peng (ORCID: https://orcid.org/0000-0001-6070-9917)
- Xiaokui Huo (ORCID: https://orcid.org/0000-0003-4056-7987)
- Zhenlong Yu (ORCID: https://orcid.org/0000-0002-1263-070X)
- Yan Wang (ORCID: https://orcid.org/0000-0003-2563-255X)
- Wenhao Zhang (ORCID: https://orcid.org/0000-0002-3739-0415)
- Zhe Liu (ORCID: https://orcid.org/0000-0003-4329-6799)
- Wen Zhang (ORCID: https://orcid.org/0000-0002-3444-0229)
- Junlin Chen (ORCID: https://orcid.org/0000-0002-0328-6898)
- Yilin Che
- Meirong Zhou (ORCID: https://orcid.org/0000-0003-4531-0929)
- Minghao Zhou (ORCID: https://orcid.org/0000-0003-1504-3591)
- Chengjian He (ORCID: https://orcid.org/0000-0002-1251-7280)
Institutions
- Dalian Medical University (CN)
- Heilongjiang University of Chinese Medicine (CN)
- Second Affiliated Hospital of Dalian Medical University (CN)
- General Hospital of Shenyang Military Region (CN)
- First Affiliated Hospital of Dalian Medical University (CN)
- Liaoning Cancer Hospital & Institute (CN)
Publication Details
- Journal
- Molecular Cancer
- Published
- 2025-10-02
- DOI
- https://doi.org/10.1186/s12943-025-02439-y
- Citations
- 2
- Primary Topic
- Ferroptosis and cancer prognosis
- Type
- article
- Field-Weighted Citation Impact
- 3.04