Evidence map›Paper›PMID 39073085›Full record

ArticleCancer discovery2024

Iron Chelation Therapy Elicits Innate Immune Control of Metastatic Ovarian Cancer.

Tito A Sandoval, Camilla Salvagno, Chang-Suk Chae, Deepika Awasthi, Paolo Giovanelli, Matias Marin Falco, Sung-Min Hwang, Eli Teran-Cabanillas, Lasse Suominen, Takahiro Yamazaki and 22 more

Abstract read
In one paragraph

Article in Cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Review
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  13. Iron and the immune system.Nature reviews. Immunology · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Disulfide-based 2-pyridyl-hydrazone prochelators induce iron deprivation and oxidative stress in ovarian cancer cells.Journal of biological inorganic chemistry : JBIC : a publication of the Society of Biological Inorganic Chemistry · 2025
    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

32 authors.

Tito A SandovalDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-2705-5282
Camilla SalvagnoDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-5928-2351
Chang-Suk ChaeDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-6398-6127
Deepika AwasthiDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-7125-9405
Paolo GiovanelliWeill Cornell Graduate School of Medical Sciences, New York, New York.ORCID 0000-0002-5799-6721
Matias Marin FalcoResearch Program in Systems Oncology, Research Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6813-0050
Sung-Min HwangDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-4868-147X
Eli Teran-CabanillasDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-6915-3852
Lasse SuominenResearch Program in Systems Oncology, Research Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0009-0006-5206-5625
Takahiro YamazakiDepartment of Radiation Oncology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-7420-4394
Hui-Hsuan KuoCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-8266-7105
Jenna E MoyerCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-4599-2969
M Laura MartinCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-9359-5856
Jyothi ManoharCaryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-6357-910X
Kihwan KimDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-0802-7868
Maria A SierraWeill Cornell Graduate School of Medical Sciences, New York, New York.ORCID 0000-0003-4115-034X
Yusibeska RamosDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-3964-800X
Chen TanDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-0521-8044
Alexander EmmanuelliDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-7937-7681
Minkyung SongDepartments of Integrative Biotechnology and of Biopharmaceutical Convergence, University of Suwon, Suwon, Korea.ORCID 0000-0003-2668-7528
Diana K MoralesDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-6942-9989
Dmitriy ZamarinTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0002-0094-0161
Melissa K FreyDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-6705-1211
Evelyn CantilloDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-6269-8748
Eloise Chapman-DavisDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-1349-8579
Kevin HolcombDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-6916-5271
Christopher E MasonThe HRH Prince Alwaleed Bin Talal Bin Abdulaziz Alsaud Institute for Computational Biomedicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-1850-1642
Lorenzo GalluzziSandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, New York.ORCID 0000-0003-2257-8500
Zhen Ni ZhouDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-5361-3837
Anna VähärautioResearch Program in Systems Oncology, Research Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4721-3954
Suzanne M CloonanDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-5301-9926
Juan R Cubillos-RuizDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.ORCID 0000-0002-4267-4893

Funding

Clinical and Molecular Heterogeneity in the Myelodysplastic SyndromesR01CA249054 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MASON, CHRISTOPHER EDWARD, PARK, CHRISTOPHER Y · 2020 to 2024
$3.5M
Targeting the BCL2 immune checkpoint to enhance the immunostimulatory effects of radiation in breast cancerR01CA271915 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Lorenzo Galluzzi · 2023 to 2026
$2.9M
ER stress-driven IRE1a-XBP1 signaling in lung cancerR01CA271619 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Juan R Cubillos-Ruiz, Vivek Mittal · 2023 to 2026
$2.6M
Immunometabolic Programs Controlled by ER Stress in CancerR01CA282072 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Juan R Cubillos-Ruiz · 2023 to 2026
$2.3M
Endoplasmic Reticulum Stress Responses in PainR01NS114653 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOADA, MARIO DANILO, ROMERO-SANDOVAL, E. ALFONSO · 2020 to 2024
$2.0M
Immunology and Microbial Pathogenesis Research Training ProgramT32AI134632 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI EHRT, SABINE, LI, MING · 2019 to 2023
$747k
Immunosuppressive Programs Driven by IRE1 signaling in ovarian cancerF31CA257631 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI EMMANUELLI, ALEXANDER · 2021 to 2023
$140k
American Association for Cancer Research (AACR) 22-40-15-HWANCancer Research Institute (CRI) Postdoctoral Fellowship AwardFoundation for the Finnish Cancer Institute K. Albin Johansson Cancer Research FellowshipMarie Skłodowska-Curie grant 101067835National Cancer Center, Korea NCC-19112605National Institutes of Health (NIH) T32 5T32AI134632-02National Research Foundation of Korea (NRF) MSIT 2020R1C1C1010303NCI NIH HHS F31 CA257631NCI NIH HHS R01 CA249054NCI NIH HHS R01 CA271619NCI NIH HHS R01 CA271915NCI NIH HHS R01 CA282072NIAID NIH HHS T32 AI134632NINDS NIH HHS R01 NS114653PerMed JTC2020 PARIS/Academy of Finland 344697lStand Up To Cancer (SU2C) SU2C-AACR-IRG-03-16The Cancer Foundation Finland N/AThe Ovarian Cancer Research Alliance N/AThe Sigrid Jusélius Foundation N/AU.S. Department of Defense (DOD) BC180476P1U.S. Department of Defense (DOD) W81XWH2010191
6 · The paper itself

Abstract

Iron accumulation in tumors contributes to disease progression and chemoresistance. Although targeting this process can influence various hallmarks of cancer, the immunomodulatory effects of iron chelation in the tumor microenvironment are unknown. Here, we report that treatment with deferiprone, an FDA-approved iron chelator, unleashes innate immune responses that restrain ovarian cancer. Deferiprone reprogrammed ovarian cancer cells toward an immunostimulatory state characterized by the production of type-I IFN and overexpression of molecules that activate NK cells. Mechanistically, these effects were driven by innate sensing of mitochondrial DNA in the cytosol and concomitant activation of nuclear DNA damage responses triggered upon iron chelation. Deferiprone synergized with chemotherapy and prolonged the survival of mice with ovarian cancer by bolstering type-I IFN responses that drove NK cell-dependent control of metastatic disease. Hence, iron chelation may represent an alternative immunotherapeutic strategy for malignancies that are refractory to current T-cell-centric modalities. Significance: This study uncovers that targeting dysregulated iron accumulation in ovarian tumors represents a major therapeutic opportunity. Iron chelation therapy using an FDA-approved agent causes immunogenic stress responses in ovarian cancer cells that delay metastatic disease progression and enhance the effects of first-line chemotherapy. See related commentary by Bell and Zou, p. 1771.

Indexed as

Immunity, InnateIron Chelating AgentsOvarian NeoplasmsAnimalsCell Line, TumorDeferiproneFemaleHumansKiller Cells, NaturalMiceNeoplasm MetastasisTumor MicroenvironmentDeferiproneIron Chelating Agents

Identifiers

PMID39073085
PMCPMC11452292

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Registered trials

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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.