PT - JOURNAL ARTICLE AU - Ancély F. dos Santos AU - Alex Inague AU - Gabriel S. Arini AU - Letícia F. Terra AU - Rosangela A.M. Wailemann AU - André C. Pimentel AU - Marcos Y. Yoshinaga AU - Ricardo R. Silva AU - Divinomar Severino AU - Daria Raquel Q. de Almeida AU - Vinícius M. Gomes AU - Alexandre Bruni-Cardoso AU - Walter R. Terra AU - Sayuri Miyamoto AU - Maurício S. Baptista AU - Leticia Labriola TI - Distinct photooxidation-induced cell death pathways lead to selective killing of human breast cancer cells AID - 10.1101/2020.06.25.170860 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.06.25.170860 4099 - http://biorxiv.org/content/early/2020/06/26/2020.06.25.170860.short 4100 - http://biorxiv.org/content/early/2020/06/26/2020.06.25.170860.full AB - Lack of effective treatments for aggressive breast cancer is still a major global health problem. We previously reported that Photodynamic Therapy using Methylene Blue as photosensitizer (MB-PDT) massively kills metastatic human breast cancer, marginally affecting healthy cells. In this study we aimed to unveil the molecular mechanisms behind MB-PDT effectiveness. Through lipidomic and biochemical approaches we demonstrated that MB-PDT efficiency and specificity relies on polyunsaturated fatty acids-enriched membranes and on the better capacity to deal with photooxidative damage displayed by non-tumorigenic cells. We found out that, in tumorigenic cells, lysosome membrane permeabilization is accompanied by ferroptosis and/or necroptosis. Our results broadened the understanding of MB-PDT-induced photooxidation mechanisms and specificity in breast cancer cells. Therefore, we demonstrated that efficient approaches could be designed on the basis of lipid composition and metabolic features for hard-to-treat cancers. The results further reinforce MB-PDT as a therapeutic strategy for highly aggressive human breast cancer cells.Competing Interest StatementThe authors have declared no competing interest.