Evidence map›Paper›PMID 25305013›Full record

ArticleThe Journal of biological chemistry2014

Artesunate induces cell death in human cancer cells via enhancing lysosomal function and lysosomal degradation of ferritin.

Nai-Di Yang, Shi-Hao Tan, Shukie Ng, Yin Shi, Jing Zhou, Kevin Shyong Wei Tan, Wai-Shiu Fred Wong, Han-Ming Shen

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 166 citations in OpenAlex.

  1. Ferroptosis in cancer: molecular mechanisms, biological roles, and therapeutic significance.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Targeting ferroptosis to overcome drug resistance in gastrointestinal cancers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Review
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  11. Old drugs, new challenges: reassigning drugs for cancer therapies.Cellular & molecular biology letters · 2025
    Review
  12. Article
  13. Review
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Nai-Di YangFrom the Department of Physiology, Yong Loo Lin School of Medicine.
Shi-Hao TanFrom the Department of Physiology, Yong Loo Lin School of Medicine, the NUS Graduate School for Integrative Sciences and Engineering.
Shukie NgFrom the Department of Physiology, Yong Loo Lin School of Medicine.
Yin ShiFrom the Department of Physiology, Yong Loo Lin School of Medicine.
Jing ZhouFrom the Department of Physiology, Yong Loo Lin School of Medicine.
Kevin Shyong Wei Tanthe Department of Microbiology, Yong Loo Lin School of Medicine.
Wai-Shiu Fred Wongthe Department of Pharmacology, Yong Loo Lin School of Medicine, and.
Han-Ming ShenFrom the Department of Physiology, Yong Loo Lin School of Medicine, the NUS Graduate School for Integrative Sciences and Engineering, the Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117597, Singapore han-ming_shen@nuhs.edu.sg.
National University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artesunate (ART) is an anti-malaria drug that has been shown to exhibit anti-tumor activity, and functional lysosomes are reported to be required for ART-induced cancer cell death, whereas the underlying molecular mechanisms remain largely elusive. In this study, we aimed to elucidate the molecular mechanisms underlying ART-induced cell death. We first confirmed that ART induces apoptotic cell death in cancer cells. Interestingly, we found that ART preferably accumulates in the lysosomes and is able to activate lysosomal function via promotion of lysosomal V-ATPase assembly. Furthermore, we found that lysosomes function upstream of mitochondria in reactive oxygen species production. Importantly, we provided evidence showing that lysosomal iron is required for the lysosomal activation and mitochondrial reactive oxygen species production induced by ART. Finally, we showed that ART-induced cell death is mediated by the release of iron in the lysosomes, which results from the lysosomal degradation of ferritin, an iron storage protein. Meanwhile, overexpression of ferritin heavy chain significantly protected cells from ART-induced cell death. In addition, knockdown of nuclear receptor coactivator 4, the adaptor protein for ferritin degradation, was able to block ART-mediated ferritin degradation and rescue the ART-induced cell death. In summary, our study demonstrates that ART treatment activates lysosomal function and then promotes ferritin degradation, subsequently leading to the increase of lysosomal iron that is utilized by ART for its cytotoxic effect on cancer cells. Thus, our data reveal a new mechanistic action underlying ART-induced cell death in cancer cells.

Indexed as

AntimalarialsArtemisininsArtesunateCell DeathFerritinsHeLa CellsHep G2 CellsHumansIronLysosomesNeoplasm ProteinsNeoplasmsNuclear Receptor CoactivatorsProteolysisVacuolar Proton-Translocating ATPasesAntimalarialsArtemisininsArtesunateFerritinsIronNCOA4 protein, humanNeoplasm ProteinsNuclear Receptor CoactivatorsVacuolar Proton-Translocating ATPasesArtesunateCell DeathFerritinIronLysosomeReactive Oxygen Species (ROS)

Identifiers

PMID25305013
PMCPMC4246098
OpenAlexW2088055025

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.