Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Increased Vulnerability against Ferroptosis in FUS‐ ALS

Version 1 : Received: 22 February 2024 / Approved: 29 February 2024 / Online: 29 February 2024 (20:02:00 CET)

A peer-reviewed article of this Preprint also exists.

Ismail, M.; Großmann, D.; Hermann, A. Increased Vulnerability to Ferroptosis in FUS-ALS. Biology 2024, 13, 215. Ismail, M.; Großmann, D.; Hermann, A. Increased Vulnerability to Ferroptosis in FUS-ALS. Biology 2024, 13, 215.

Abstract

Ferroptosis, a regulated form of cell death characterized by iron-dependent lipid peroxide accumulation, plays a pivotal role in various pathological conditions, including neurodegenerative diseases. While reasonable evidence for ferroptosis exist e.g. in Parkinson’s disease or Alzheimer’s disease, there are only few reports on amyotrophic lateral sclerosis (ALS), a fast progressive and incurable neurodegenerative disorder characterized by progressive motor neuron degeneration. Initial studies, however, highlight that ferroptosis might be significantly involved in ALS. Key features of ferroptosis include oxidative stress, glutathione depletion, mitochondrial and dysfunction alterations in mitochondrial morphology, mediated by proteins such as GPX4, xCT, ACSL4 FSP1, Nrf2 and TfR1. Induction of ferroptosis involves small molecule compounds like erastin and RSL3, which disrupt system Xc- and GPX4 activity, respectively, yielding in lipid peroxidation and cellular demise. Mutations in Fused in Sarcoma (FUS) are associated with familial ALS. Pathophysiological hallmarks of FUS-ALS involve mitochondrial dysfunction and oxidative damage, implicating ferroptosis as putative cell death pathway in motor neuron demise. However, mechanistic understanding of ferroptosis in ALS, particularly FUS-ALS, remains limited. Here, we investigated ferroptosis vulnerability in a FUS-ALS cell model, revealing mitochondrial disturbance and increased susceptibility for ferroptosis in cells harboring the mutant FUS variant. This was accompanied by altered expression of ferroptosis-associated proteins, particularly by dramatic reduction of xCT expression, leading to cellular imbalance of the redox system and increased lipid peroxidation. Iron chelation with deferoxamine as well as inhibition of the mitochondrial calcium uniporter (MCU) significantly alleviated ferroptotic cell death and lipid peroxidation. These findings suggest a link between ferroptosis and FUS-ALS, offering potential therapeutic targets.

Keywords

amyotrophic lateral sclerosis; oxidative damage; mitochondria; cell death

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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