Inactivation of the ferroptosis regulator Gpx4 triggers acute renal failure in mice

Nat Cell Biol. 2014 Dec;16(12):1180-91. doi: 10.1038/ncb3064. Epub 2014 Nov 17.

Abstract

Ferroptosis is a non-apoptotic form of cell death induced by small molecules in specific tumour types, and in engineered cells overexpressing oncogenic RAS. Yet, its relevance in non-transformed cells and tissues is unexplored and remains enigmatic. Here, we provide direct genetic evidence that the knockout of glutathione peroxidase 4 (Gpx4) causes cell death in a pathologically relevant form of ferroptosis. Using inducible Gpx4(-/-) mice, we elucidate an essential role for the glutathione/Gpx4 axis in preventing lipid-oxidation-induced acute renal failure and associated death. We furthermore systematically evaluated a library of small molecules for possible ferroptosis inhibitors, leading to the discovery of a potent spiroquinoxalinamine derivative called Liproxstatin-1, which is able to suppress ferroptosis in cells, in Gpx4(-/-) mice, and in a pre-clinical model of ischaemia/reperfusion-induced hepatic damage. In sum, we demonstrate that ferroptosis is a pervasive and dynamic form of cell death, which, when impeded, promises substantial cytoprotection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / pathology*
  • Animals
  • Apoptosis*
  • Arachidonate 12-Lipoxygenase / metabolism
  • Arachidonate 15-Lipoxygenase / metabolism
  • Cardiolipins / metabolism
  • Cell Line
  • Glutathione Peroxidase / genetics*
  • Humans
  • Imidazoles / pharmacology
  • In Situ Nick-End Labeling
  • Indoles / pharmacology
  • Kidney / metabolism
  • Kidney / pathology
  • Lipid Peroxidation
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mitochondria / metabolism
  • Peroxidases / pharmacology
  • Phosphatidylcholines / metabolism
  • Phosphatidylethanolamines / metabolism
  • Phospholipid Hydroperoxide Glutathione Peroxidase
  • Quinoxalines / pharmacology*
  • Reperfusion Injury / pathology*
  • Spiro Compounds / pharmacology*

Substances

  • Cardiolipins
  • Imidazoles
  • Indoles
  • Phosphatidylcholines
  • Phosphatidylethanolamines
  • Quinoxalines
  • Spiro Compounds
  • liproxstatin-1
  • necrostatin-1
  • phosphatidylethanolamine
  • Peroxidases
  • arachidonic acid peroxide peroxidase
  • Phospholipid Hydroperoxide Glutathione Peroxidase
  • Glutathione Peroxidase
  • Alox15 protein, mouse
  • Arachidonate 12-Lipoxygenase
  • Arachidonate 15-Lipoxygenase