Acquired resistance to vemurafenib (PLX4032) is a thorny issue in BRAFV600E mutant melanoma therapy. Ferroptotic programmed cell death is a potential strategy for combating therapy-resistant cancers. This study uncovers the adaptation and abnormal upregulation of PUFAs and bioactive oxylipin metabolism in PLX4032 resistant melanoma cells. Phyto-sesquiterpene lactone, DET, and its derivative, DETD-35, induced lipid ROS accumulation and triggered ferroptotic cell death in PLX4032 sensitive (A375) and resistant (A375-R) BRAFV600E melanoma cells by reprogramming glutathione and primary metabolisms, lipid/oxylipin metabolism, and causing mitochondrial damage in which DETD-35 showed superior efficiency to DET. We discovered that DET and DETD-35 are a new type of GPX4 enzyme inhibitor through non-covalent binding. This study provides new insight into the therapeutic mechanisms of both DET and DETD-35 to combat PLX4032 sensitive/resistant BRAFV600E mutant melanomas via targeting GPX4 and ferroptosis.
Keywords: (1S,3R)-RSL3 (PubChem CID: 1750826); BRAF mutant melanoma; DETD-35; Deoxyelephantopin (PubChem CID: 6325056); Ferroptosis; Ferrostatin-1 (PubChem CID: 4068248); GPX4 inhibitor; ML162 (PubChem CID: 3689413); Metabolomics; Sesquiterpene lactone; Vemurafenib (PubChem CID: 42611257); Vemurafenib drug resistance.
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