Interactions between ferroptosis and tumour development mechanisms: Implications for gynaecological cancer therapy (Review)

Oncol Rep. 2025 Feb;53(2):18. doi: 10.3892/or.2024.8851. Epub 2024 Dec 5.

Abstract

Ferroptosis is a form of programmed cell death that is distinct from apoptosis. The mechanism involves redox‑active metallic iron and is characterized by an abnormal increase in iron‑dependent lipid reactive oxygen species, which results in high levels of membrane lipid peroxides. The relationship between ferroptosis and gynaecological tumours is complex. Ferroptosis can regulate tumour proliferation, metastasis and chemotherapy resistance, and targeting ferroptosis is a promising antitumour approach. Ferroptosis interacts with mechanisms related to tumorigenesis and development, such as macrophage polarization, the neutrophil trap network, mitochondrial autophagy and cuproptosis. The present review examines recent information on the interaction between the molecular mechanism of ferroptosis and other tumour‑related mechanisms, as well as the involvement of ferroptosis in gynaecological tumours, to identify implications for gynaecological cancer therapy.

Keywords: ferroptosis; gynaecological cancer; immune infiltration; metabolic reprogramming.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Carcinogenesis
  • Drug Resistance, Neoplasm
  • Female
  • Ferroptosis* / drug effects
  • Genital Neoplasms, Female* / drug therapy
  • Genital Neoplasms, Female* / metabolism
  • Genital Neoplasms, Female* / pathology
  • Humans
  • Iron / metabolism
  • Reactive Oxygen Species / metabolism

Substances

  • Reactive Oxygen Species
  • Iron
  • Antineoplastic Agents

Grants and funding

The present study was supported by the Natural Science Foundation of China (82303246), the Natural Science Foundation of Hunan Province (2023JJ41066), Health Research Project of Hunan Health Commission in 2024 (W20243173) and the Project of Hunan Provincial Health Commission (202205034020).