Evidence map›Paper›PMID 40760119›Full record

ArticleCancer immunology, immunotherapy : CII2025

GPX4 is a key ferroptosis regulator orchestrating T cells and CAR-T-cells sensitivity to ferroptosis.

Marta Kłopotowska, Iwona Baranowska, Szymon Hajduk, Anna Jurga, Natalia Leśniowska, Michał Łaźniewski, Monika Granica, Marta Krawczyk, Milena Dziewicka, Agnieszka Graczyk and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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  11. Programmed cell death in osteoarthritis.Apoptosis : an international journal on programmed cell death · 2026
    Review
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  14. Research progress on ferroptosis in drug resistance and therapy of gastric cancer.Journal of cancer research and clinical oncology · 2025
    Review
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Marta KłopotowskaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Iwona BaranowskaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Szymon HajdukDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Anna JurgaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Natalia LeśniowskaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Michał ŁaźniewskiDepartment of Immunology, Medical University of Warsaw, 5 Jana Nielubowicza St., 02-097, Warsaw, Poland.
Monika GranicaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Marta KrawczykDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Milena DziewickaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Agnieszka GraczykDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Jan SłupskiDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland.
Radosław ZagożdżonLaboratory of Cellular and Genetic Therapies, Medical University of Warsaw, 02-097, Warsaw, Poland.
Dariusz PlewczynskiCentre of New Technologies, University of Warsaw, 2C Banacha St., 02-097, Warsaw, Poland.
Magdalena WiniarskaDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland. mwiniarska@imdik.pan.pl.
Malgorzata BajorDepartment of Immunology, Mossakowski Medical Research Institute Polish Academy of Sciences, 5 Adolfa Pawinskiego St., 02-106, Warsaw, Poland. mbajor@imdik.pan.pl.

Funding

HORIZON EUROPE European Research Council 805038/STIMUNO/ERC-2018-STGNarodowe Centrum Nauki 2019/33/B/NZ6/02503Polish Ministry of Science and Higher Education 7054/IA/SP/2020 of 2020-08-28Warszawski Uniwersytet Medyczny 1/M/MG/N/24
6 · The paper itself

Abstract

Induction of ferroptosis, an iron-dependent form of regulated cell death, holds promise as a strategy to overcome tumor resistance to conventional therapies and enhance immunotherapy responses. However, while the susceptibility of tumor cells to ferroptosis is extensively studied, limited data exists on the vulnerability of immune cells to disturbed iron balance and lipid peroxidation. Here, we found that T-cell stimulation rewires iron and redox homeostasis and by increasing levels of reactive oxygen species and labile iron promotes lipid peroxidation and T-cells' ferroptosis. Upon stimulation, we detected changes in the balance of ferroptosis-suppressive proteins, including decrease of GPX4. Subsequently, we identified GPX4 as a master regulator orchestrating T/CAR-T-cells' sensitivity to ferroptosis and observed that GPX4 inhibitors impair CAR-T cells' antitumor functions. Our study demonstrated differential GPX4 expression and diverse susceptibility to ferroptosis between CD4⁺ and CD8⁺ T cells. Among analyzed subsets of naïve, central memory (CM), effector memory (EM), and terminally differentiated effector memory (TEMRA), CD8⁺ EM and CD8⁺ TEMRA cells exhibited the highest sensitivity to ferroptosis. We also showed that ferroptosis limited the anti-tumor efficacy of CAR-T cells, while ferroptosis inhibition improved their therapeutic effect, both in vitro and in vivo. Our findings are not only important to understand vulnerabilities of CAR-T cells but may also hold particular significance for their therapeutic development. In this context, future anticancer therapies should be carefully designed to selectively induce the ferroptosis of tumor cells without impeding cytotoxic cells' antitumor efficacy. Additionally, we postulate that promoting less differentiated phenotype of CAR-T cells should be exploited therapeutically to create CAR-T products characterized by decreased sensitivity to ferroptosis within tumor microenvironment.

Indexed as

FerroptosisImmunotherapy, AdoptivePhospholipid Hydroperoxide Glutathione PeroxidaseReceptors, Chimeric AntigenT-LymphocytesAnimalsCD8-Positive T-LymphocytesCell Line, TumorHumansIronLipid PeroxidationMiceReactive Oxygen Speciesglutathione peroxidase 4, mouseIronPhospholipid Hydroperoxide Glutathione PeroxidaseReactive Oxygen SpeciesReceptors, Chimeric AntigenChimeric antigen receptorFerroptosisGPX4ImmunotherapyLipid metabolismT cells

Identifiers

PMID40760119
PMCPMC12321709

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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.