Evidence map›Paper›PMID 32186434›Full record

ArticleAutophagy2021

Mitochondrial DNA stress triggers autophagy-dependent ferroptotic death.

Changfeng Li, Ying Zhang, Jiao Liu, Rui Kang, Daniel J Klionsky, Daolin Tang

Open access · bronzeAbstract read
In one paragraph

Article in Autophagy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 266 papers.

0numbers the graph read from it
0cells of the map it votes in
266citing papers in PubMed
19.7field-weighted citation impact, top 1% 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

266 citing papers in PubMed, 443 citations in OpenAlex.

  1. Trial
  2. Taurochenodeoxycholic acid alleviates MPPIBRO neuroscience reports · 2026
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  12. Ferroptosis in depression: mechanisms, association, and therapeutic strategies.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. [Interferon-α induces disulfidptosis occurrence in human liver cancer cells].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Article
  20. Review

206 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

6 authors at 4 institutions in 2 countries.

Changfeng LiDepartment of Endoscopy Center, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Ying ZhangDepartment of Endoscopy Center, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Jiao LiuThe Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Rui KangDepartment of Surgery, UT Southwestern Medical Center, Dallas, TX, USA.
Daniel J KlionskyLife Sciences Institute and Department of Molecular, Cellular and Developmental Biology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-7828-8118
Daolin TangThe Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID 0000-0002-1903-6180
Jilin University · CNThird Affiliated Hospital of Guangzhou Medical University · CNSouthwestern Medical Center · USUniversity of Michigan · US

Funding

The mechanism and regulation of autophagyR35GM131919 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DANIEL J. KLIONSKY · 2019 to 2026
$6.4M
The Pancreatic Cancer MicroenvironmentR01CA211070 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI KANG, RUI · 2017 to 2023
$1.4M
EPA EP-C-16-014NCI NIH HHS R01 CA211070NIGMS NIH HHS R35 GM131919
6 · The paper itself

Abstract

Pancreatic cancer tends to be highly resistant to current therapy and remains one of the great challenges in biomedicine with very low 5-year survival rates. Here, we report that zalcitabine, an antiviral drug for human immunodeficiency virus infection, can suppress the growth of primary and immortalized human pancreatic cancer cells through the induction of ferroptosis, an iron-dependent form of regulated cell death. Mechanically, this effect relies on zalcitabine-induced mitochondrial DNA stress, which activates the STING1/TMEM173-mediated DNA sensing pathway, leading to macroautophagy/autophagy-dependent ferroptotic cell death via lipid peroxidation, but not a type I interferon response. Consequently, the genetic and pharmacological inactivation of the autophagy-dependent ferroptosis pathway diminishes the anticancer effects of zalcitabine in cell culture and animal models. Together, these findings not only provide a new approach for pancreatic cancer therapy but also increase our understanding of the interplay between autophagy and DNA damage response in shaping cell death.

Indexed as

AutophagyFerroptosisStress, PhysiologicalAnimalsArachidonate 5-LipoxygenaseCell Line, TumorCell ProliferationCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDNA-Binding ProteinsDNA, MitochondrialMembrane ProteinsMiceMice, Inbred NODMice, SCIDMitochondrial ProteinsModels, BiologicalALOX5 protein, humanArachidonate 5-LipoxygenasecGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDNA-Binding ProteinsDNA, MitochondrialMembrane ProteinsMitochondrial ProteinsNucleotidyltransferasesSTING1 protein, humanSTING ProteinTFAM protein, humanTranscription FactorsZalcitabineAntiviral drugautophagyCGASDNA damageferroptosismitochondriaPOLGSTING1TFAMtumor therapy

Identifiers

PMID32186434
PMCPMC8078708
OpenAlexW3011319320

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.