PMID- 34648917 OWN - NLM STAT- MEDLINE DCOM- 20211208 LR - 20211214 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 809 DP - 2022 Jan 30 TI - Everolimus accelerates Erastin and RSL3-induced ferroptosis in renal cell carcinoma. PG - 145992 LID - S0378-1119(21)00587-4 [pii] LID - 10.1016/j.gene.2021.145992 [doi] AB - Renal cell carcinoma (RCC) is a common type of urological cancer and is often diagnosed at an advanced stage. Everolimus, an inhibitor of mammalian target of rapamycin (mTOR), is used as second-line therapy for sorafenib- or sunitinib-refractory metastatic RCC. However, the clinical benefits of Everolimus are often hampered by drug resistance. Ferroptosis is a novel form of regulated cell death that has recently been implicated in the development and therapeutic responses to different cancers. RSL3 ((1S,3R)-RSL3) and Erastin are two experimental compounds that can induce ferroptosis. In the present study, we evaluated the anti-tumor effects of Everolimus in combination with RSL3 or Erastin in RCC. Everolimus and RSL3/Erastin could synergistically inhibit the viability and induce ferroptosis in RCC cells. Mechanistically, the inhibition of the mTOR-4EBP1 axis was found to be essential for the synergistic effects of Everolimus and RSL3/Erastin. Moreover, the forced expression of GPX4 abrogated ferroptosis induced by the combined treatment of Everolimus and RSL3/Erastin. Taken together, these results demonstrated that Everolimus in combination with RSL3/Erastin is a promising therapeutic option for RCC treatment and it may also help to overcome the limitation in clinical applicability of Everolimus. CI - Copyright (c) 2021. Published by Elsevier B.V. FAU - Yangyun, Wang AU - Yangyun W AD - Department of Urology, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, People's Republic of China. FAU - Guowei, Shi AU - Guowei S AD - Department of Urology, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, People's Republic of China. FAU - Shufen, Shi AU - Shufen S AD - Department of Urologic Surgery, Ningbo Urology and Nephrology Hospital, Ningbo Yinzhou No 2. Hospital, Ningbo, China. FAU - Jie, Yao AU - Jie Y AD - Department of Biochemistry and Molecular Biology, Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medical, Ningbo University, Ningbo, China. FAU - Rui, Yu AU - Rui Y AD - Department of Biochemistry and Molecular Biology, Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medical, Ningbo University, Ningbo, China. FAU - Yu, Ren AU - Yu R AD - Department of Urologic Surgery, Ningbo Urology and Nephrology Hospital, Ningbo Yinzhou No 2. Hospital, Ningbo, China. Electronic address: nbrenyu@163.com. LA - eng PT - Journal Article DEP - 20211011 PL - Netherlands TA - Gene JT - Gene JID - 7706761 RN - 0 (Carbolines) RN - 0 (Piperazines) RN - 0 (RSL3 compound) RN - 0 (Reactive Oxygen Species) RN - 0 (erastin) RN - 9HW64Q8G6G (Everolimus) RN - EC 1.11.1.12 (Phospholipid Hydroperoxide Glutathione Peroxidase) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Carbolines/administration & dosage/pharmacology MH - Carcinoma, Renal Cell/*drug therapy/metabolism/pathology MH - Cell Line, Tumor MH - Everolimus/administration & dosage/pharmacology MH - Ferroptosis/*drug effects/physiology MH - Humans MH - Kidney Neoplasms/*drug therapy/metabolism/pathology MH - Lipid Peroxidation/drug effects MH - Phospholipid Hydroperoxide Glutathione Peroxidase/genetics/metabolism MH - Piperazines/administration & dosage/pharmacology MH - Reactive Oxygen Species/metabolism MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism OTO - NOTNLM OT - Erastin OT - Everolimus OT - Ferroptosis OT - RSL3 OT - Renal cell carcinoma OT - mTOR EDAT- 2021/10/15 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/10/14 20:13 PHST- 2021/07/20 00:00 [received] PHST- 2021/09/20 00:00 [revised] PHST- 2021/10/04 00:00 [accepted] PHST- 2021/10/15 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/10/14 20:13 [entrez] AID - S0378-1119(21)00587-4 [pii] AID - 10.1016/j.gene.2021.145992 [doi] PST - ppublish SO - Gene. 2022 Jan 30;809:145992. doi: 10.1016/j.gene.2021.145992. Epub 2021 Oct 11.