von Mässenhausen, A.* ; Zamora Gonzalez, N.* ; Maremonti, F.* ; Belavgeni, A.* ; Tonnus, W.* ; Meyer, C.* ; Beer, K.* ; Hannani, M.T.* ; Lau, A.* ; Peitzsch, M.* ; Hoppenz, P.* ; Locke, S.* ; Chavakis, T.* ; Kramann, R.* ; Muruve, D.A.* ; Hugo, C.* ; Bornstein, S.R. ; Linkermann, A.*
     
 
    
        
Dexamethasone sensitizes to ferroptosis by glucocorticoid receptor-induced dipeptidase-1 expression and glutathione depletion.
    
    
        
    
    
        
        Sci. Adv. 8:eabl8920 (2022)
    
    
    
		
		
			
				Dexamethasone is widely used as an immunosuppressive therapy and recently as COVID-19 treatment. Here, we demonstrate that dexamethasone sensitizes to ferroptosis, a form of iron-catalyzed necrosis, previously suggested to contribute to diseases such as acute kidney injury, myocardial infarction, and stroke, all of which are triggered by glutathione (GSH) depletion. GSH levels were significantly decreased by dexamethasone. Mechanistically, we identified that dexamethasone up-regulated the GSH metabolism regulating protein dipeptidase-1 (DPEP1) in a glucocorticoid receptor (GR)-dependent manner. DPEP1 knockdown reversed the phenotype of dexamethasone-induced ferroptosis sensitization. Ferroptosis inhibitors, the DPEP1 inhibitor cilastatin, or genetic DPEP1 inactivation reversed the dexamethasone-induced increase in tubular necrosis in freshly isolated renal tubules. Our data indicate that dexamethasone sensitizes to ferroptosis by a GR-mediated increase in DPEP1 expression and GSH depletion. Together, we identified a previously unknown mechanism of glucocorticoid-mediated sensitization to ferroptosis bearing clinical and therapeutic implications.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        Site-directed Mutagenesis; Renal Dipeptidase; Heme Oxygenase-1; Cell-death; Kidney; Degradation; Induction; Residues; Protects; Features
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2022
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2022
    
 
    
    
        ISSN (print) / ISBN
        2375-2548
    
 
    
        e-ISSN
        2375-2548
    
 
    
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	    Band: 8,  
	    Heft: 5,  
	    Seiten: ,  
	    Artikelnummer: eabl8920 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            American Association for the Advancement of Science (AAAS)
        
 
        
            Verlagsort
            Washington, DC [u.a.]
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
    
        Institut(e)
        Institute of Pancreatic Islet Research (IPI)
    
 
    
        POF Topic(s)
        90000 - German Center for Diabetes Research
    
 
    
        Forschungsfeld(er)
        Helmholtz Diabetes Center
    
 
    
        PSP-Element(e)
        G-502600-007
    
 
    
        Förderungen
        Technische Universität Dresden
Sander-Stiftung
Else Kroner-Fresenius Stiftung
State of Saxony
Deutsche Forschungsgemeinschaft
European Fund for Regional Development-EFRE
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2022-04-29