Signal transduction and targeted therapy · 2026
Two stress-responsive kinases suppress ferroptosis by activating antioxidant programs under mild oxidative stress.
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Fujikawa Yumiko, Imai Hirotatsu, Onuki Tetsuo, Hoshino Kouji, De Velasco Marco A, Matsuo Kazuhiko, Kurosawa Hitomi, Aoyagi Kyoko, Hirose Hiroko, Nakamura Yoshie, Uchiyama Akiko, Suzuki Kae, Mizuguchi Mariko, Takahashi Hidehisa, Osada Hiroyuki, Kagaya Noritaka, Shin-Ya Kazuo, Satofuka Hiroyuki, Kato Yukinari, Kuroyanagi Hidehito, Utsumi Daisuke, Takahashi Kenzo, Nakayama Takashi, Uemura Hirotsugu, Uemura Hiroji, Yoshida Minoru, Ohno Shigeo, Yamashita Akio
Аннотация
Cancer cells maintain chronically elevated levels of reactive oxygen species (ROS) while relying on robust antioxidant programs to preserve redox homeostasis and viability. Although therapeutic strategies that disrupt this balance to induce lethal oxidative stress and ferroptosis have emerged as promising anticancer approaches, the upstream signaling mechanisms that constrain ROS accumulation under physiologically relevant stress conditions remain incompletely understood. Here, we identify the stress-responsive kinases SMG1 and DNA-dependent protein kinase (DNA-PK) as functionally redundant regulators of redox homeostasis and ferroptosis resistance. Genetic or pharmacological inhibition of either kinase triggers ferroptotic cell death, accompanied by marked accumulation of total ROS, ferrous iron, and lipid hydroperoxides. Mechanistically, under mild oxidative stress, SMG1 and DNA-PK cooperatively phosphorylate the central antioxidant transcription factor NRF2 at serine 13 and serine 40, weakening its interaction with the negative regulator KEAP1 and promoting NRF2 accumulation and transcriptional activation. Transcriptomic profiling of de novo mRNAs revealed that inhibition of either kinase is sufficient to suppress NRF2-driven antioxidant gene expression. In contrast, excessive oxidative stress overrides this pro-survival pathway and redirects signaling toward anti-survival responses mediated by ATF4, ATM-CHK2, and JNK/p38 pathways. Collectively, these findings uncover a previously unrecognized SMG1/DNA-PK-NRF2 signaling axis that functions as a redox stress-intensity-dependent switch governing cell fate decisions between antioxidant adaptation and ferroptotic death. Targeting this axis may represent a promising therapeutic strategy for cancer treatment.