Multi‐Omics Integration Identifies the <scp>CBS</scp> – <scp>CTH</scp> – <scp>GSH</scp> Axis as a Critical Regulator of β‐Cell Ferroptosis in Type 2 Diabetes

accumulation, and shifted ferroptosis markers toward an anti-ferroptotic profile, accompanied by improved β-cell functional gene expression. Notably, inhibition of GSH synthesis largely abolished the protective effects of CBS, indicating that the anti-ferroptotic function is GSH dependent. Mechanistically, cystathionine γ-lyase (CTH) was identified as an essential coregulator of CBS. Disruption of CTH greatly weakened CBS-driven improvements in GSH maintenance, iron-redox homeostasis, and β-cell function, establishing a functional CBS-CTH-GSH axis. In summary, our findings identify that CBS can protect β-cells from ferroptotic injury and functional decline under glucotoxic stress and highlight the CBS-CTH-GSH axis as a promising β-cell-targeted intervention point for delaying or preventing T2DM progression.

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Publication Details

Journal
The FASEB Journal
Published
2026-04-17
DOI
https://doi.org/10.1096/fj.202600188r
Primary Topic
Ferroptosis and cancer prognosis
Type
article
Field-Weighted Citation Impact
0.00

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article

Multi‐Omics Integration Identifies the CBS – CTH – GSH Axis as a Critical Regulator of β‐Cell Ferroptosis in Type 2 Diabetes

Fang Wang, Di Zhao, Shoumeng Yan, Bo Li et al.
The FASEB Journal
Ferroptosis and cancer prognosis
article

Multi‐Omics Integration Identifies the CBS – CTH – GSH Axis as a Critical Regulator of β‐Cell Ferroptosis in Type 2 Diabetes

Fang Wang, Di Zhao, Shoumeng Yan, Bo Li, Yang Xu, Xiaotong Li
article en

Abstract

accumulation, and shifted ferroptosis markers toward an anti-ferroptotic profile, accompanied by improved β-cell functional gene expression. Notably, inhibition of GSH synthesis largely abolished the protective effects of CBS, indicating that the anti-ferroptotic function is GSH dependent. Mechanistically, cystathionine γ-lyase (CTH) was identified as an essential coregulator of CBS. Disruption of CTH greatly weakened CBS-driven improvements in GSH maintenance, iron-redox homeostasis, and β-cell function, establishing a functional CBS-CTH-GSH axis. In summary, our findings identify that CBS can protect β-cells from ferroptotic injury and functional decline under glucotoxic stress and highlight the CBS-CTH-GSH axis as a promising β-cell-targeted intervention point for delaying or preventing T2DM progression.

The FASEB JournalVol. 40(8)
Jilin University (CN), First Hospital of Jilin University (CN)
National Natural Science Foundation of China
Good health and well-being
Openalex Percentile: Top 14%
Ferroptosis and cancer prognosis
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