PMID- 38488001 OWN - NLM STAT- MEDLINE DCOM- 20240318 LR - 20240319 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 134 IP - 6 DP - 2024 Jan 23 TI - ZMYND8 protects breast cancer stem cells against oxidative stress and ferroptosis through activation of NRF2. LID - 10.1172/JCI171166 [doi] LID - e171166 AB - Breast cancer stem cells (BCSCs) mitigate oxidative stress to maintain their viability and plasticity. However, the regulatory mechanism of oxidative stress in BCSCs remains unclear. We recently found that the histone reader ZMYND8 was upregulated in BCSCs. Here, we showed that ZMYND8 reduced ROS and iron to inhibit ferroptosis in aldehyde dehydrogenase-high (ALDHhi) BCSCs, leading to BCSC expansion and tumor initiation in mice. The underlying mechanism involved a two-fold posttranslational regulation of nuclear factor erythroid 2-related factor 2 (NRF2). ZMYND8 increased stability of NRF2 protein through KEAP1 silencing. On the other hand, ZMYND8 interacted with and recruited NRF2 to the promoters of antioxidant genes to enhance gene transcription in mammospheres. NRF2 phenocopied ZMYND8 to enhance BCSC stemness and tumor initiation by inhibiting ROS and ferroptosis. Loss of NRF2 counteracted ZMYND8's effects on antioxidant genes and ROS in mammospheres. Interestingly, ZMYND8 expression was directly controlled by NRF2 in mammospheres. Collectively, these findings uncover a positive feedback loop that amplifies the antioxidant defense mechanism sustaining BCSC survival and stemness. FAU - Luo, Maowu AU - Luo M AD - Department of Pathology. FAU - Bao, Lei AU - Bao L AD - Department of Pathology. FAU - Xue, Yuanyuan AU - Xue Y AD - Children's Medical Center Research Institute. FAU - Zhu, Ming AU - Zhu M AD - Department of Pathology. FAU - Kumar, Ashwani AU - Kumar A AD - Eugene McDermott Center for Human Growth and Development. FAU - Xing, Chao AU - Xing C AD - Eugene McDermott Center for Human Growth and Development. AD - Lyda Hill Department of Bioinformatics. FAU - Wang, Jennifer E AU - Wang JE AD - Department of Pathology. FAU - Wang, Yingfei AU - Wang Y AD - Department of Pathology. AD - Department of Neurology. AD - Peter O'Donnell Jr. Brain Institute. AD - Cecil H. and Ida Green Center for Reproductive Biology Sciences, and. FAU - Luo, Weibo AU - Luo W AD - Department of Pathology. AD - Department of Pharmacology, UT Southwestern Medical Center, Dallas, Texas, USA. LA - eng GR - R01 CA222393/CA/NCI NIH HHS/United States GR - R35 GM124693/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20240123 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Antioxidants) RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Reactive Oxygen Species) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Zmynd8 protein, rat) RN - 0 (Trans-Activators) SB - IM MH - Animals MH - Mice MH - Antioxidants MH - *Ferroptosis/genetics MH - Kelch-Like ECH-Associated Protein 1/genetics/metabolism MH - Neoplasms/metabolism MH - *Neoplastic Stem Cells/metabolism MH - *NF-E2-Related Factor 2/genetics/metabolism MH - Oxidative Stress MH - Reactive Oxygen Species/metabolism MH - *Trans-Activators/metabolism MH - *Breast Neoplasms/metabolism/pathology PMC - PMC10940091 OTO - NOTNLM OT - Cell stress OT - Epigenetics OT - Stem cells OT - Transcription COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2024/03/15 12:46 MHDA- 2024/03/18 06:44 PMCR- 2024/01/23 CRDT- 2024/03/15 06:03 PHST- 2023/04/03 00:00 [received] PHST- 2024/01/17 00:00 [accepted] PHST- 2024/03/18 06:44 [medline] PHST- 2024/03/15 12:46 [pubmed] PHST- 2024/03/15 06:03 [entrez] PHST- 2024/01/23 00:00 [pmc-release] AID - 171166 [pii] AID - 10.1172/JCI171166 [doi] PST - epublish SO - J Clin Invest. 2024 Jan 23;134(6):e171166. doi: 10.1172/JCI171166.