ORIGINAL RESEARCH article

Front. Cell Dev. Biol.

Sec. Cell Death and Survival

Volume 13 - 2025 | doi: 10.3389/fcell.2025.1598520

This article is part of the Research TopicFerroptosis, Cuproptosis, and Triaptosis: Unveiling Pathways and Translational ProspectsView all 9 articles

Perillaldehyde synergizes with ferroptosis inducers to promote ferroptotic cell death in gastric cancer

Provisionally accepted
Rui  WangRui WangJin-Fen  CuiJin-Fen CuiJing  LvJing LvJia-Lin  SongJia-Lin SongYang-Yang  LuYang-Yang LuXiao-Juan  HuangXiao-Juan HuangZhong-Kun  LinZhong-Kun LinSi-Yi  ZhangSi-Yi ZhangSha-Sha  WangSha-Sha Wang*Wensheng  QiuWensheng Qiu*
  • Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China

The final, formatted version of the article will be published soon.

As a traditional medicine and food homologous plant, Perilla frutescens is widely cultivated in China, Japan, and Korea. According to the Compendium of Materia Medica, the leaves, stems, and seeds of perilla can all be used as medicine. Perilla essential oil has been used in traditional Chinese medicine since ancient times. It has been demonstrated that perillaldehyde (PAH), a primary composition of the essential oil extracted from perilla, can inhibit tumor growth through multiple mechanisms. However, the specific mechanisms by which PAH suppresses gastric cancer remain incompletely understood. In this study, PAH was proven to inhibit the growth of gastric cancer both in vivo and in vitro. It led to a reduction in mitochondrial membrane potential (MMP), an augmentation of the accumulation of reactive oxygen species (ROS), and an elevation of oxidative stress levels. Moreover, PAH decreased intracellular glutathione (GSH) levels while increasing intracellular lipid peroxidation and Fe2+ levels. These effects indicate that PAH induces ferroptosis via inhibiting the system Xc (-)/GSH/GPX4 axis. Furthermore, PAH influenced the expression of proteins related to iron transport and storage and regulated ferroptosis via the P62-Keap1-Nrf2 pathway. When combined with the ferroptosis agonist RSL3, PAH could promote ferroptosis in gastric cancer. This suggests a potential therapeutic strategy in which PAH could be used to synergize with ferroptosis inducers for treating gastric cancer.

Keywords: Natural Products, Perillaldehyde, gastric cancer, Oxidative Stress, ferroptosis

Received: 23 Mar 2025; Accepted: 22 May 2025.

Copyright: © 2025 Wang, Cui, Lv, Song, Lu, Huang, Lin, Zhang, Wang and Qiu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Sha-Sha Wang, Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China
Wensheng Qiu, Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, China

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