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RBMS1 regulates lung cancer ferroptosis through translational control of SLC7A11
Wenjing Zhang, … , Han Liu, Yang Wang
Wenjing Zhang, … , Han Liu, Yang Wang
Published October 5, 2021
Citation Information: J Clin Invest. 2021;131(22):e152067. https://doi.org/10.1172/JCI152067.
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Research Article Cell biology Oncology

RBMS1 regulates lung cancer ferroptosis through translational control of SLC7A11

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Abstract

Ferroptosis, an iron-dependent nonapoptotic cell death, is a highly regulated tumor suppressing process. However, functions and mechanisms of RNA-binding proteins in regulation of evasion of ferroptosis during lung cancer progression are still largely unknown. Here, we report that the RNA-binding protein RBMS1 participates in lung cancer development via mediating ferroptosis evasion. Through an shRNA-mediated systematic screen, we discovered that RBMS1 is a key ferroptosis regulator. Clinically, RBMS1 was elevated in lung cancer and its high expression was associated with reduced patient survival. Conversely, depletion of RBMS1 inhibited lung cancer progression both in vivo and in vitro. Mechanistically, RBMS1 interacted with the translation initiation factor eIF3d directly to bridge the 3′- and 5′-UTR of SLC7A11. RBMS1 ablation inhibited the translation of SLC7A11, reduced SLC7A11-mediated cystine uptake, and promoted ferroptosis. In a drug screen that targeted RBMS1, we further uncovered that nortriptyline hydrochloride decreased the level of RBMS1, thereby promoting ferroptosis. Importantly, RBMS1 depletion or inhibition by nortriptyline hydrochloride sensitized radioresistant lung cancer cells to radiotherapy. Our findings established RBMS1 as a translational regulator of ferroptosis and a prognostic factor with therapeutic potential and clinical value.

Authors

Wenjing Zhang, Yu Sun, Lu Bai, Lili Zhi, Yun Yang, Qingzhi Zhao, Chaoqun Chen, Yangfan Qi, Wenting Gao, Wenxia He, Luning Wang, Dan Chen, Shujun Fan, Huan Chen, Hai-Long Piao, Qinglong Qiao, Zhaochao Xu, Jinrui Zhang, Jinyao Zhao, Sirui Zhang, Yue Yin, Chao Peng, Xiaoling Li, Quentin Liu, Han Liu, Yang Wang

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Figure 3

RBMS1 is associated with lung cancer progression and prognosis in humans and mice.

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RBMS1 is associated with lung cancer progression and prognosis in humans...
(A) Representative images from immunohistochemical staining of RBMS1 in lung cancer (n = 60) and matched adjacent normal tissues (n = 60). Scale bars: 100 μm (top) and 50 μm (bottom). (B) The quantification of RBMS1 protein level in lung cancer and adjacent normal lung tissues. The RBMS1 levels were classified into 3 grades (weak positive/negative, strong positive, extra-strong positive) based on quantification of immunohistochemical staining and plotted. (C) Kaplan-Meier curve showing overall survival of lung cancer patients with high or low RBMS1 expression. (D) Micro-CT images in the indicated planes from female mice with or without RBMS1 deletion (KrasG12D/WT/Rbms1WT or KrasG12D/WT/Rbms1fl/fl CKO) in lungs at 5 or 8 weeks after infection with 9 × 1010 vg AAV-GFP-Cre. Three-dimensional rendering of micro-CT data shows lungs in gray. The lung tumor areas of KrasG12D/WT/Rbms1WT and KrasG12D/WT/Rbms1fl/fl CKO mice are outlined in red in the axial plane pictures. (E) The lung tumor areas of KrasG12D/WT/Rbms1WT and KrasG12D/WT/Rbms1fl/fl CKO mice marked in D were calculated. The median and upper and lower quartiles of tumor areas were plotted as box-and-whisker plot (n = 5, P values from unpaired t test). (F) Tumors were removed from KrasG12D/WT/Rbms1WT and KrasG12D/WT/Rbms1fl/fl CKO mice and subjected to immunohistochemical staining with anti-RBMS1 and anti-4HNE antibodies. Representative images (n = 5) are shown. Scale bars: 100 μm (top row), 50 μm (second row), and 30 μm (rows 3 and 4).

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