Evidence map›Paper›PMID 42543384›Full record

ArticleSignal transduction and targeted therapy2026

Two stress-responsive kinases suppress ferroptosis by activating antioxidant programs under mild oxidative stress.

Yumiko Fujikawa, Hirotatsu Imai, Tetsuo Onuki, Kouji Hoshino, Marco A De Velasco, Kazuhiko Matsuo, Hitomi Kurosawa, Kyoko Aoyagi, Hiroko Hirose, Yoshie Nakamura and 18 more

Abstract read
In one paragraph

Article in Signal transduction and targeted therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Yumiko FujikawaDepartment of Investigative Medicine, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.
Hirotatsu ImaiDepartment of Investigative Medicine, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.
Tetsuo OnukiChemical Genomics Research Group, RIKEN Center for Sustainable Resource Science, Wako, Saitama, Japan.
Kouji HoshinoDepartment of Urology & Renal Transplantation, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Marco A De VelascoDepartment of Genome Biology, Kindai University Faculty of Medicine, Sakai, Osaka, Japan.
Kazuhiko MatsuoDivision of Chemotherapy, Kindai University Faculty of Pharmacy, Higashi-Osaka, Osaka, Japan.
Hitomi KurosawaDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Kyoko AoyagiDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Hiroko HiroseDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Yoshie NakamuraDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Akiko UchiyamaDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Kae SuzukiDepartment of Molecular Cell Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Mariko MizuguchiDepartment of Investigative Medicine, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.
Hidehisa TakahashiDepartment of Molecular Biology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan.
Hiroyuki OsadaChemical Resource Development Unit and Natural Product Depository (NPDepo), Wako, Saitama, Japan.
Noritaka KagayaTechnology Research Association for Next Generation Natural Products Chemistry; Aomi, Koto-ku, Tokyo, Japan.
Kazuo Shin-YaNational Institute of Advanced Industrial Science and Technology (AIST); Aomi, Koto-ku, Tokyo, Japan.
Hiroyuki SatofukaDepartment of Antibody Drug Development, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Yukinari KatoDepartment of Antibody Drug Development, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.ORCID http://orcid.org/0000-0001-5385-8201
Hidehito KuroyanagiDepartment of Biochemistry, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.ORCID http://orcid.org/0000-0002-1563-1134
Daisuke UtsumiAdvanced Medical Research Center, University of the Ryukyus, Ginowan, Okinawa, Japan.
Kenzo TakahashiDepartment of Dermatology, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan.
Takashi NakayamaDivision of Chemotherapy, Kindai University Faculty of Pharmacy, Higashi-Osaka, Osaka, Japan.
Hirotsugu UemuraDepartment of Innovative Medicine, Kindai University Faculty of Medicine, Sakai, Osaka, Japan.
Hiroji UemuraDepartment of Urology & Renal Transplantation, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan.
Minoru YoshidaChemical Genomics Research Group, RIKEN Center for Sustainable Resource Science, Wako, Saitama, Japan.ORCID http://orcid.org/0000-0002-4376-5674
Shigeo OhnoLaboratory of Cancer Biology, Institute for Diseases of Old Age, Juntendo University Graduate School of Medicine, Hongo, Tokyo, Japan. ohnos@juntendo.ac.jp.
Akio YamashitaDepartment of Investigative Medicine, University of the Ryukyus Graduate School of Medicine, Ginowan, Okinawa, Japan. yamasita@phar.kindai.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer cells maintain chronically elevated levels of reactive oxygen species (ROS) while relying on robust antioxidant programs to preserve redox homeostasis and viability. Although therapeutic strategies that disrupt this balance to induce lethal oxidative stress and ferroptosis have emerged as promising anticancer approaches, the upstream signaling mechanisms that constrain ROS accumulation under physiologically relevant stress conditions remain incompletely understood. Here, we identify the stress-responsive kinases SMG1 and DNA-dependent protein kinase (DNA-PK) as functionally redundant regulators of redox homeostasis and ferroptosis resistance. Genetic or pharmacological inhibition of either kinase triggers ferroptotic cell death, accompanied by marked accumulation of total ROS, ferrous iron, and lipid hydroperoxides. Mechanistically, under mild oxidative stress, SMG1 and DNA-PK cooperatively phosphorylate the central antioxidant transcription factor NRF2 at serine 13 and serine 40, weakening its interaction with the negative regulator KEAP1 and promoting NRF2 accumulation and transcriptional activation. Transcriptomic profiling of de novo mRNAs revealed that inhibition of either kinase is sufficient to suppress NRF2-driven antioxidant gene expression. In contrast, excessive oxidative stress overrides this pro-survival pathway and redirects signaling toward anti-survival responses mediated by ATF4, ATM-CHK2, and JNK/p38 pathways. Collectively, these findings uncover a previously unrecognized SMG1/DNA-PK-NRF2 signaling axis that functions as a redox stress-intensity-dependent switch governing cell fate decisions between antioxidant adaptation and ferroptotic death. Targeting this axis may represent a promising therapeutic strategy for cancer treatment.

Indexed as

AntioxidantsFerroptosisNF-E2-Related Factor 2Oxidative StressProtein Serine-Threonine KinasesHumansKelch-Like ECH-Associated Protein 1Reactive Oxygen SpeciesSignal TransductionAntioxidantsKEAP1 protein, humanKelch-Like ECH-Associated Protein 1NFE2L2 protein, humanNF-E2-Related Factor 2Protein Serine-Threonine KinasesReactive Oxygen SpeciesSMG1 protein, human

Identifiers

PMID42543384
PMCPMC13429692

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.