PMID- 37968262 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20240125 IS - 2041-4889 (Electronic) VI - 14 IP - 11 DP - 2023 Nov 15 TI - mTOR inhibition suppresses salinomycin-induced ferroptosis in breast cancer stem cells by ironing out mitochondrial dysfunctions. PG - 744 LID - 10.1038/s41419-023-06262-5 [doi] LID - 744 AB - Ferroptosis constitutes a promising therapeutic strategy against cancer by efficiently targeting the highly tumorigenic and treatment-resistant cancer stem cells (CSCs). We previously showed that the lysosomal iron-targeting drug Salinomycin (Sal) was able to eliminate CSCs by triggering ferroptosis. Here, in a well-established breast CSCs model (human mammary epithelial HMLER CD24(low)/CD44(high)), we identified that pharmacological inhibition of the mechanistic target of rapamycin (mTOR), suppresses Sal-induced ferroptosis. Mechanistically, mTOR inhibition modulates iron cellular flux and thereby limits iron-mediated oxidative stress. Furthermore, integration of multi-omics data identified mitochondria as a key target of Sal action, leading to profound functional and structural alteration prevented by mTOR inhibition. On top of that, we found that Sal-induced metabolic plasticity is mainly dependent on the mTOR pathway. Overall, our findings provide experimental evidence for the mechanisms of mTOR as a crucial effector of Sal-induced ferroptosis pointing not only that metabolic reprogramming regulates ferroptosis, but also providing proof-of-concept that careful evaluation of such combination therapy (here mTOR and ferroptosis co-targeting) is required in the development of an effective treatment. CI - (c) 2023. The Author(s). FAU - Cosialls, Emma AU - Cosialls E AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. AD - Ferostem group, F-75015, Paris, France. FAU - Pacreau, Emeline AU - Pacreau E AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. FAU - Duruel, Clemence AU - Duruel C AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. AD - Ferostem group, F-75015, Paris, France. FAU - Ceccacci, Sara AU - Ceccacci S AUID- ORCID: 0000-0002-7918-0598 AD - Proteomic Core Facility, Universite de Paris - Structure Federative de Recherche - Necker, INSERM US24/CNRS, UAR3633, Paris, France. FAU - Elhage, Rima AU - Elhage R AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. AD - Ferostem group, F-75015, Paris, France. FAU - Desterke, Christophe AU - Desterke C AD - UFR Medecine-INSERM UMS33, Universite Paris-Sud, F94800, Villejuif, France. FAU - Roger, Kevin AU - Roger K AUID- ORCID: 0000-0003-1353-3415 AD - Proteomic Core Facility, Universite de Paris - Structure Federative de Recherche - Necker, INSERM US24/CNRS, UAR3633, Paris, France. FAU - Guerrera, Chiara AU - Guerrera C AD - Proteomic Core Facility, Universite de Paris - Structure Federative de Recherche - Necker, INSERM US24/CNRS, UAR3633, Paris, France. FAU - Ducloux, Romane AU - Ducloux R AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. AD - Ferostem group, F-75015, Paris, France. FAU - Souquere, Sylvie AU - Souquere S AD - CNRS, UMR9196, Villejuif, France - Gustave Roussy Cancer Campus, Villejuif, France. FAU - Pierron, Gerard AU - Pierron G AD - CNRS, UMR9196, Villejuif, France - Gustave Roussy Cancer Campus, Villejuif, France. FAU - Nemazanyy, Ivan AU - Nemazanyy I AUID- ORCID: 0000-0001-8080-839X AD - Metabolic Core Facility, Universite de Paris - Structure Federative de Recherche - Necker, INSERM US24/CNRS, UAR3633, Paris, France. FAU - Kelly, Mairead AU - Kelly M AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. FAU - Dalmas, Elise AU - Dalmas E AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. FAU - Chang, Yunhua AU - Chang Y AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. FAU - Goffin, Vincent AU - Goffin V AUID- ORCID: 0000-0002-8021-3086 AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. FAU - Mehrpour, Maryam AU - Mehrpour M AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. AD - Ferostem group, F-75015, Paris, France. FAU - Hamai, Ahmed AU - Hamai A AUID- ORCID: 0000-0002-7921-4014 AD - Universite Paris Cite, INSERM UMR-S1151, CNRS UMR-S8253, Institut Necker Enfants Malades, Team 5 and Ferostem group, F-75015, Paris, France. ahmed.hamai@inserm.fr. AD - Ferostem group, F-75015, Paris, France. ahmed.hamai@inserm.fr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231115 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 62UXS86T64 (salinomycin) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - E1UOL152H7 (Iron) SB - IM MH - Humans MH - Female MH - *Ferroptosis MH - *Breast Neoplasms/drug therapy/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Iron/metabolism MH - Neoplastic Stem Cells/metabolism PMC - PMC10651934 COIS- The authors declare no competing interests. EDAT- 2023/11/16 00:42 MHDA- 2023/11/27 12:42 PMCR- 2023/11/15 CRDT- 2023/11/15 23:15 PHST- 2023/05/04 00:00 [received] PHST- 2023/10/31 00:00 [accepted] PHST- 2023/10/24 00:00 [revised] PHST- 2023/11/27 12:42 [medline] PHST- 2023/11/16 00:42 [pubmed] PHST- 2023/11/15 23:15 [entrez] PHST- 2023/11/15 00:00 [pmc-release] AID - 10.1038/s41419-023-06262-5 [pii] AID - 6262 [pii] AID - 10.1038/s41419-023-06262-5 [doi] PST - epublish SO - Cell Death Dis. 2023 Nov 15;14(11):744. doi: 10.1038/s41419-023-06262-5.