PMID- 38523594 OWN - NLM STAT- Publisher LR - 20240325 IS - 1365-2184 (Electronic) IS - 0960-7722 (Linking) DP - 2024 Mar 25 TI - Rack1-mediated ferroptosis affects hindgut development in rats with anorectal malformations: Spatial transcriptome insights. PG - e13618 LID - 10.1111/cpr.13618 [doi] AB - Anorectal malformation (ARM), a common congenital anomaly of the digestive tract, is a result of insufficient elongation of the urorectal septum. The cytoplasmic protein Receptor of Activated C-Kinase 1 (Rack1) is involved in embryonic neural development; however, its role in embryonic digestive tract development and ARM formation is unexplored. Our study explored the hindgut development and cell death mechanisms in ARM-affected rats using spatial transcriptome analysis. We induced ARM in rats by administering ethylenethiourea via gavage on gestational day (GD) 10. On GDs 14-16, embryos from both normal and ARM groups underwent spatial transcriptome sequencing, which identified key genes and signalling pathways. Rack1 exhibited significant interactions among differentially expressed genes on GDs 15 and 16. Reduced Rack1 expression in the ARM-affected hindgut, verified by Rack1 silencing in intestinal epithelial cells, led to increased P38 phosphorylation and activation of the MAPK signalling pathway. The suppression of this pathway downregulated Nqo1 and Gpx4 expression, resulting in elevated intracellular levels of ferrous ions, reactive oxygen species (ROS) and lipid peroxides. Downregulation of Gpx4 expression in the ARM hindgut, coupled with Rack1 co-localisation and consistent mitochondrial morphology, indicated ferroptosis. In summary, Rack1, acting as a hub gene, modulates ferrous ions, lipid peroxides, and ROS via the P38-MAPK/Nqo1/Gpx4 axis. This modulation induces ferroptosis in intestinal epithelial cells, potentially influencing hindgut development during ARM onset. CI - (c) 2024 The Authors. Cell Proliferation published by Beijing Institute for Stem Cell and Regenerative Medicine and John Wiley & Sons Ltd. FAU - Wang, Chen-Yi AU - Wang CY AUID- ORCID: 0000-0003-0944-3222 AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Li, Mu-Yu AU - Li MY AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Li, Si-Ying AU - Li SY AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Wei, Xiao-Gao AU - Wei XG AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Dong, Nai-Xuan AU - Dong NX AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Liu, Shu-Ting AU - Liu ST AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Yuan, Zheng-Wei AU - Yuan ZW AD - Key Laboratory of Health Ministry for Congenital Malformation, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Li, Bo AU - Li B AUID- ORCID: 0000-0002-8298-8344 AD - Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Canada. FAU - Pierro, Agostino AU - Pierro A AD - Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Canada. FAU - Tang, Xiao-Bing AU - Tang XB AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. FAU - Bai, Yu-Zuo AU - Bai YZ AUID- ORCID: 0000-0002-0647-6195 AD - Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China. LA - eng GR - Me56/Shengjing Hospital/ GR - 82070530/National Natural Science Foundation of China/ GR - 82170530/National Natural Science Foundation of China/ PT - Journal Article DEP - 20240325 PL - England TA - Cell Prolif JT - Cell proliferation JID - 9105195 SB - IM EDAT- 2024/03/25 06:42 MHDA- 2024/03/25 06:42 CRDT- 2024/03/25 04:13 PHST- 2024/02/04 00:00 [revised] PHST- 2023/12/19 00:00 [received] PHST- 2024/02/07 00:00 [accepted] PHST- 2024/03/25 06:42 [medline] PHST- 2024/03/25 06:42 [pubmed] PHST- 2024/03/25 04:13 [entrez] AID - 10.1111/cpr.13618 [doi] PST - aheadofprint SO - Cell Prolif. 2024 Mar 25:e13618. doi: 10.1111/cpr.13618.