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DRUG CLASS:

Iron chelating agent

Associations
3d
Pemetrexed sensitizes cisplatin therapy by inducing ferroptosis in NSCLC cells. (PubMed, Front Pharmacol)
Cisplatin (DDP) is the first-in-class drug for advanced and non-targetable non-small-cell lung cancer (NSCLC). However, the effects were reversed by ferroptosis inhibitor ferrostatin-1 or deferoxamine in NSCLC cells. In summary, these results provide in vitro experimental evidence that PEM boosts the antitumor activity and increases the sensitivity of NSCLC cells to DDP by inducing ferroptosis.
Journal
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GPX4 (Glutathione Peroxidase 4) • TFRC • ACSL4 (Acyl-CoA Synthetase Long Chain Family Member 4) • SLC7A11 (Solute Carrier Family 7 Member 11) • AIFM2 (Apoptosis Inducing Factor Mitochondria Associated 2) • DMRT1 (Doublesex And Mab-3 Related Transcription Factor 1)
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cisplatin • pemetrexed
4d
Expression of Antioxidant Defense Genes Determines Synergistic Ferroptosis Induction by the Combination of Erastin and Omega-3 Docosahexaenoic Acid in Prostate Cancer Cells. (PubMed, Dokl Biochem Biophys)
At the same time, known ferroptosis inhibitors, ferrostatin-1 and deferoxamine, effectively prevented cell death, indicating the specificity of the mechanism of action. Transcriptomic analysis of cell lines differing in sensitivity to the combination revealed activation of antioxidant systems in more resistant cells (in particular, pronounced expression of the NQO1 and GCLM genes responsible for the reduction of quinones to hydroquinones and the synthesis of glutathione, respectively). The obtained results indicate the high synergistic potential of the erastin-DHA combination for ferroptosis induction and open new possibilities for the development of combined approaches to the therapy of resistant tumors.
Journal
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NQO1 (NAD(P)H dehydrogenase, quinone 1)
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erastin
8d
A Study of Deferoxamine (DFO) in People With Leptomeningeal Metastasis (clinicaltrials.gov)
P1, N=35, Recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
13d
DEFEAT-AKI: Deferoxamine for the Prevention of Cardiac Surgery-Associated Acute Kidney Injury (clinicaltrials.gov)
P2, N=320, Active, not recruiting, Brigham and Women's Hospital | Completed --> Active, not recruiting | Trial completion date: Dec 2024 --> Mar 2026
Enrollment closed • Trial completion date
24d
Systemic cyst(e)inase administration induces ferroptosis and synergizes with temozolomide in glioblastoma. (PubMed, iScience)
Crucially, these effects were reversed by N-acetylcysteine (NAC), and lipid peroxidation was abrogated by the iron chelator deferoxamine (DFX), unequivocally confirming iron-dependent ferroptosis. Critically, cyst(e)inase synergized with temozolomide (TMZ), markedly enhancing its anti-tumor efficacy and prolonging survival, even in TMZ-resistant xenografts. These findings establish cysteine metabolism as a promising therapeutic target and position cyst(e)inase, especially with TMZ, as a potent strategy to overcome GBM resistance.
Journal
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ACSL4 (Acyl-CoA Synthetase Long Chain Family Member 4)
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temozolomide
1m
Rbbp7-mediated deacetylation of Acsl4 promotes ovarian aging by enhancing ferroptosis. (PubMed, Int J Biol Macromol)
We also found that the ferroptosis inhibitor Deferoxamine (DFO), Ferrostatin-1 (Fer-1) or the Acsl4 inhibitor Rosiglitazone (Rosi) inhibited ovarian aging and granulosa cell damage in vivo and in vitro. Inhibiting ferroptosis or Acsl4 can alleviate ovarian aging. Our research has revealed a new mechanism of ovarian aging and provided potential new targets for alleviating it.
Journal
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ACSL4 (Acyl-CoA Synthetase Long Chain Family Member 4)
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rosiglitazone
2ms
Endocrine complications in patients with β-thalassemia major receiving iron-chelation therapy. (PubMed, Ther Adv Endocrinol Metab)
Among β-thalassemia major patients (7-35 years), 73.3% (n = 44/60) were splenectomized; 36 received deferiprone, 19 deferasirox, and 5 deferoxamine. Endocrine disturbances are common in β-thalassemia major despite chelation therapy. Incorporating endocrine assessment into routine practice is essential for early detection and management.
Journal
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SORT1 (Sortilin 1) • LGALS1 (Galectin 1) • FGF21 (Fibroblast Growth Factor 21)
2ms
Beyond oxidative stress: Ferroptosis as a novel orchestrator in neurodegenerative disorders. (PubMed, Front Immunol)
Several small-molecule inhibitors-including ferrostatin-1, liproxstatin-1, and iron chelators such as deferoxamine (DFO)-have demonstrated efficacy in animal models by attenuating neuronal damage and improving behavioral outcomes through the suppression of ferroptosis. This review summarizes recent advances in understanding the role of ferroptosis in neurodegenerative disease mechanisms, focusing on its contribution to pathological progression, molecular regulation, and therapeutic interventions. By integrating current findings, we aim to provide theoretical insights into novel pathogenic mechanisms and scientific guidance for the development of targeted therapies that modulate ferroptosis to slow or halt disease progression.
Review • Journal
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GPX4 (Glutathione Peroxidase 4)
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liproxstatin-1
2ms
FAIR-ALS II: Conservative Iron Chelation as a Disease-modifying Strategy in Amyotrophic Lateral Sclerosis (clinicaltrials.gov)
P2/3, N=372, Completed, University Hospital, Lille | Active, not recruiting --> Completed
Trial completion
3ms
Transcriptomic Signature and PROTAC Strategy Revealed Histone Lysine Demethylase as a Target of Anticancer Activity of Deferiprone. (PubMed, bioRxiv)
Moreover, DFP-derived PROTACs elicited enhanced cancer cell selective antiproliferative activities and intracellular on-target effects, downregulating several KDMs implicated in the etiology of BCa cells, including a strong degradation of KDMs 2A, 3A and 5B, and a moderate degradation of KDMs 4A-C, 5C, 6B. Collectively, our data supports KDM inhibition as a key mechanism of anticancer activity of DFP and identifies PROTAC is a viable strategy to obtain novel DFP analogs with improved potency and therapeutic index.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit)
3ms
Combination of iron chelator deferoxamine and ABCG2 transporter inhibitor lapatinib for therapeutic enhancement of 5-aminolevulinic acid. (PubMed, Photochem Photobiol)
Not just increasing ALA-PpIX levels, Lap enhanced PpIX localization in the mitochondria and promoted mitochondria-mediated apoptosis after PDT in the H4 cell line with strong ABCG2 activities. Our results demonstrate that blocking ABCG2-mediated PpIX efflux is critical for the enhancement of ALA and, in tumor cells with ABCG2 activities, inhibiting PpIX bioconversion by DFO needs to be combined with PpIX efflux suppression for effective enhancement of ALA.
Journal
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ABCG2 (ATP Binding Cassette Subfamily G Member 2)
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lapatinib
3ms
Overexpression of Transferrin Receptor in Esophageal Squamous Cell Cancer Suggests Poor Prognosis and Potential Therapy. (PubMed, Cancer Sci)
Furthermore, the administration of deferoxamine (DFO), an oral iron chelator, induced a decrease in intracellular iron and suppressed the proliferation of ESCC cell lines and an increase in caspase 3 and 7 activity, indicating the induction of apoptosis...Finally, we confirmed that the deficiency of iron in ESCC cell lines induced an increase in TfR expression via upregulation of iron regulatory protein 2. These findings suggest that TfR is an independent prognostic factor in ESCC and that targeting iron metabolism may be a promising therapeutic approach for improving ESCC treatment outcomes.
Journal
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CASP3 (Caspase 3)