Evidence map›Paper›PMID 34931062›Full record

ArticleNature chemical biology2022

Characterization of a patient-derived variant of GPX4 for precision therapy.

Hengrui Liu, Farhad Forouhar, Tobias Seibt, Russell Saneto, Kristen Wigby, Jennifer Friedman, Xin Xia, Mikhail S Shchepinov, Sanath Kumar Ramesh, Marcus Conrad and 1 more

Open access · greenAbstract read
In one paragraph

Article in Nature chemical biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
8.1field-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

47 citing papers in PubMed, 93 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Dissecting Complex Interactions Between Ferroptosis and the Proteasome.bioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Decoding ferroptosis for cancer therapy.Nature reviews. Cancer · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Pulling back the mitochondria's iron curtain.npj metabolic health and disease · 2025
    Review
  18. Review
  19. Review
  20. Article
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

11 authors at 7 institutions in 3 countries.

Hengrui LiuDepartment of Chemistry, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0002-5214-1572
Farhad ForouharHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Tobias SeibtDepartment of Nephrology and Institute of Metabolism and Cell Death, Medizinische Klinik und Poliklinik IV, Klinikum der Universität München, Munich, Germany.
Russell SanetoDivision of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, WA, USA.
Kristen WigbyDepartment of Pediatrics, University of California, San Diego, CA, USA.
Jennifer FriedmanDepartment of Pediatrics, University of California, San Diego, CA, USA.
Xin XiaDepartment of Biological Sciences, Columbia University, New York, NY, USA.
Mikhail S ShchepinovRetrotope Inc., Los Altos, CA, USA.
Sanath Kumar RameshCureGPX4.org, Seattle, WA, USA.
Marcus ConradHelmholtz Zentrum München, Institute of Metabolism and Cell Death, Neuherberg, Germany.
Brent R StockwellDepartment of Chemistry, Columbia University, New York, NY, USA. bstockwell@columbia.edu.ORCID http://orcid.org/0000-0002-3532-3868
Columbia University · USChildren’s Institute · USColumbia University Irving Medical Center · USHelmholtz Zentrum München · DELMU Klinikum · DERetrotope (United States) · USSeattle Children's Hospital · US

Funding

Scientific ReagentsP01CA087497 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI PRIVES, CAROL · 2000 to 2021
$35.4M
Defining the functions and translational potential of ferroptosisR35CA209896 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI STOCKWELL, BRENT R. · 2016 to 2022
$6.5M
Development of ferroptosis inhibitors for Huntington DiseaseR61NS109407 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI STOCKWELL, BRENT R. · 2019 to 2019
$400k
NCI NIH HHS P01 CA087497NCI NIH HHS R35 CA209896NINDS NIH HHS R61 NS109407
6 · The paper itself

Abstract

Glutathione peroxidase 4 (GPX4), as the only enzyme in mammals capable of reducing esterified phospholipid hydroperoxides within a cellular context, protects cells from ferroptosis. We identified a homozygous point mutation in the GPX4 gene, resulting in an R152H coding mutation, in three patients with Sedaghatian-type spondylometaphyseal dysplasia. Using structure-based analyses and cell models, including patient fibroblasts, of this variant, we found that the missense variant destabilized a critical loop, which disrupted the active site and caused a substantial loss of enzymatic function. We also found that the R152H variant of GPX4 is less susceptible to degradation, revealing the degradation mechanism of the GPX4 protein. Proof-of-concept therapeutic treatments, which overcome the impaired R152H GPX4 activity, including selenium supplementation, selective antioxidants and a deuterated polyunsaturated fatty acid were identified. In addition to revealing a general approach to investigating rare genetic diseases, we demonstrate the biochemical foundations of therapeutic strategies targeting GPX4.

Indexed as

Precision MedicineHumansPhospholipid Hydroperoxide Glutathione PeroxidasePoint MutationProof of Concept StudyPhospholipid Hydroperoxide Glutathione Peroxidase

Identifiers

PMID34931062
PMCPMC8712418
OpenAlexW4200171146

What OpenQuestion holds

Textmetadata
LicenceTDM
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.