Evidence map›Paper›PMID 39762627›Full record

ArticleCommunications biology2025

Transsulfuration pathway activation attenuates oxidative stress and ferroptosis in sickle primary erythroblasts and transgenic mice.

Caixia Xi, Junfeng Pang, Weinan Xue, Yang Cui, Na Jiang, Wenbo Zhi, Huidong Shi, Anatolij Horuzsko, Betty S Pace, Xingguo Zhu

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Ferroptosis as a target mechanism in heart and kidney disease.The Journal of clinical investigation · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Transsulfuration Pathway Products and HInternational journal of molecular sciences · 2025
    Review
  12. Article
  13. Crosstalk Between Sickle Cell Disease and Ferroptosis.International journal of molecular sciences · 2025
    Review
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

10 authors.

Caixia XiGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Junfeng PangGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.ORCID http://orcid.org/0000-0002-9982-8013
Weinan XueGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Yang CuiGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Na JiangGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Wenbo ZhiGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Huidong ShiGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.ORCID http://orcid.org/0000-0003-1137-3390
Anatolij HoruzskoGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.ORCID http://orcid.org/0000-0002-9830-7208
Betty S PaceGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA.
Xingguo ZhuGeorgia Cancer Center, Augusta University, Augusta, GA, 30912, USA. xzhu@augusta.edu.ORCID http://orcid.org/0000-0001-7039-4541

Funding

Heme-induced metabolic stress drives ferroptosis in sickle cell diseaseR01DK139694 · NIDDK · AUGUSTA UNIVERSITY · PI ZHU, XINGGUO · 2023 to 2025
$912k
Critical role of NRF2 in globin gene regulation in sickle cell disease mouse modelsR01DK119762 · NIDDK · AUGUSTA UNIVERSITY · PI ZHU, XINGGUO · 2019 to 2021
$829k
NIDDK NIH HHS R01 DK119762NIDDK NIH HHS R01 DK139694U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK119762U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK139694
6 · The paper itself

Abstract

The transsulfuration (TSS) pathway is an alternative source of cysteine for glutathione synthesis. Little of the TSS pathway in antioxidant capacity in sickle cell disease (SCD) is known. Here, we evaluate the effects of TSS pathway activation through cystathionine beta-synthase (CBS) to attenuate reactive oxygen species (ROS) and ferroptosis stresses in SCD. A vital contribution of the TSS pathway in sustaining cysteine levels is detected only under hemin exposure or physiological but not supraphysiological cystine supplement. Mechanistic studies show that hemin suppresses CBS expression to inhibit the TSS pathway and de novo cysteine biosynthesis. By contrast, the expression of CBS is inducible by dimethyl fumarate (DMF) through nuclear factor erythroid 2-related factor 2 (NRF2) activation and CpG islands DNA hydroxymethylation. DMF induces the expression of L-2-hydroxyglutarate dehydrogenase (L2HGDH) to downregulate L-2-hydroxyglutarate (L2HG) and increase global and locus-specific DNA hydroxymethylation levels. This DMF-upregulated DNA hydroxymethylation affects CBS locus chromatin structure modifications and upregulates gene expression. Our results suggest that CBS of the TSS pathway plays an important role in maintaining cysteine levels under restricted cystine availability or excess hemin exposure, and CBS upregulation by DMF increases the cellular glutathione levels to protect against ROS and ferroptosis stress in SCD.

Indexed as

Anemia, Sickle CellDimethyl FumarateFerroptosisMice, TransgenicOxidative StressAnimalsCystathionine beta-SynthaseCysteineDNA MethylationErythroid CellsHeminHumansMiceNF-E2-Related Factor 2Reactive Oxygen SpeciesCystathionine beta-SynthaseCysteineDimethyl FumarateHeminNF-E2-Related Factor 2Reactive Oxygen Species

Identifiers

PMID39762627
PMCPMC11704341

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.