REVIEW article

Front. Mol. Biosci., 15 February 2023

Sec. RNA Networks and Biology

Volume 10 - 2023 | https://doi.org/10.3389/fmolb.2023.1115996

Emerging role of miRNAs in the regulation of ferroptosis

  • 1. Shahid Beheshti University of Medical Sciences, Tehran, Iran

  • 2. Department of Medical Genetics, Tehran University of Medical Sciences, Tehran, Iran

  • 3. Department of Pharmacognosy, College of Pharmacy, Hawler Medical University, Erbil, Iraq

  • 4. Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Ferroptosis is a kind of cell death which has distinctive features differentiating it from autophagy, necrosis and apoptosis. This iron-dependent form of cell death is described by an increase in lipid reactive oxygen species, shrinkage of mitochondria and decrease in mitochondrial cristae. Ferroptosis is involved in the initiation and progression of many diseases and is regarded as a hotspot of investigations on treatment of disorders. Recent studies have shown that microRNAs partake in the regulation of ferroptosis. The impact of microRNAs on this process has been verified in different cancers as well as intervertebral disc degeneration, acute myocardial infarction, vascular disease, intracerebral hemorrhage, preeclampsia, hemorrhagic stroke, atrial fibrillation, pulmonary fibrosis and atherosclerosis. miR-675, miR-93, miR-27a, miR-34a and miR-141 have been shown to affect iron metabolism, antioxidant metabolism and lipid metabolism, thus influencing all pivotal mechanisms in the ferroptosis process. In the current review, we summarize the role of microRNAs in ferroptosis and their involvement in the pathetiology of malignant and non-malignant disorders.

Introduction

As a newly recognized kind of cell type, ferroptosis is associated with accumulation of large amounts of iron accumulation and lipid peroxidation during the process of cell death (Li J. et al., 2020). This concept has been firstly proposed by Dixon et al. as an iron-dependent way of cell death described by an increase in lipid reactive oxygen species (ROS) (Dixon et al., 2012). It has several distinctive features that distinguishes this mode of cell death from autophagy, necrosis and apoptosis (Dixon et al., 2012; Xie et al., 2016). Lack of swelling of the cytoplasm and cell organelles and absence of cell membrane splitting differentiate ferroptosis from necrosis. Moreover, absence of cell shrinkage and chromatin condensation, lack of establishment of apoptotic bodies and absence of cytoskeleton breakdown differentiate ferrptosis from apoptosis. Finally, the typical closed bilayer membrane organizations which are produced during autophagy are never seen in ferroptosis (Li J. et al., 2020). From a morphological point of view, ferroptosis is characterized by shrinkage of mitochondria and decrease in mitochondrial cristae, features which are not seen in other types of cell death (Yagoda et al., 2007; Yang and Stockwell 2008; Dixon et al., 2012). Ballooning is a specific phenotype acquired by cells during ferroptosis, defined by the establishment of a clear, rounded cell chiefly consisting of empty cytosol (Battaglia et al., 2020). Notably, during the process of ferroptosis the cell membrane is not affected, the size of nucleus is not changed, and chromatin is not condensed. However, the intracellular content of glutathione (GSH) is depleted and activity of glutathione peroxidase 4 (GPX4) is decreased. Thus, the metabolism of lipid peroxides by GPX4 is impaired. Subsequently, oxidation lipids of by Fe2+ in a Fenton-like mode results in production of massive quantities of ROS, which induces ferroptosis (Yang and Stockwell 2008; Angeli et al., 2014). Ferroptosis is regulated by several genetic factors, most of them being involved in modulation of iron homeostasis and lipid peroxidation (Li J. et al., 2020).

Ferroptosis happens through two main routes, i.e., the extrinsic and the intrinsic pathways. While the former is called the transporter-dependent pathway, the latter is regulated by enzymes. This process is initiated by a redox imbalance between synthesis of oxidants and antioxidants due to the abnormalities in the expressions and activities of several redox-active enzymes that synthetize or detoxicate free radicals and products of oxidation of lipids. Therefore, ferroptosis is finely regulated at several phases. This ROS-associated kind of cell death is related with two major biochemical features, i.e., iron buildup and lipid peroxidation (Tang et al., 2021).

Ferroptosis is involved in the initiation and progression of many diseases and is regarded as a hotspot of investigations on treatment of disorders (Li J. et al., 2020). Recent studies have shown that microRNAs (miRNAs) partake in the regulation of ferroptosis. The impact of miRNAs on this process has been verified in different cancers as well as non-malignant conditions. In the current review, we summarize the role of miRNAs in ferroptosis and their involvement in the pathetiology of malignant and non-malignant disorders.

miRNAs effect on ferroptosis in cancers

miRNAs are a group of small-sized non-coding transcripts that can specifically bind with their target transcripts and induce its degradation or inhibit its translation. Through regulating several biological processes, these transcripts have fundamental roles in the process of development and cellular homeostasis (Liu et al., 2014). They can also affect expression of genes which has role in iron metabolism (Zolea et al., 2017). An experiment in melanoma cell lines has shown the role of miR-9 regulation of ferroptosis through influencing expression of GOT1. This miRNA could suppress expression of GOT1 through binding to 3′-UTR of GOT1 transcript. This binding leads to reduction of erastin- and RSL3-associated ferroptosis. On the other hand, miR-9 silencing could increase the response of neoplastic cells to erastin and RSL3. Moreover, the impact of miR-9 suppression in accumulation of lipid ROS and induction of ferroptosis can be abolished by suppression of glutaminolysis process (Zhang et al., 2018).

The Kaposi’s sarcoma herpes virus (KSHV)-encoded miRNAs have been shown to enhance expression of xCT which encodes a membrane-associated amino acid transporter. This process is mainly accomplished via inhibition of BACH-1, a modulator of transcription which recognizes antioxidant response elements within promoter regions. Enhancement of xCT expression by KSHV miRNAs has an important role in promotion of cell permissiveness for KSHV infection and protection of infected cells from reactive nitrogen species-induced cell death (Qin et al., 2010).

miR-17* is another miRNA that participate in the pathogenesis of cancers through influencing ferroptosis. This miRNA can inhibit activity of a number of enzymes participating in mitochondrial antioxidant pathways, namely manganese superoxide dismutase (MnSOD), GPX2 and thioredoxin reductase-2 (TrxR2). Forced up-regulation of miR-17* in PC-3 cells has decreased expressions of these antioxidant proteins through binding to their 3′-UTR. Cumulatively, miR-17* can inhibit prostate carcinogenesis via suppression of mitochondrial antioxidant enzymes (Xu et al., 2010a). Another experiment in prostate cancer has shown downregulation of mitochondrial antioxidant enzymes by miR-17-3p and subsequent enhancement of sensitivity of these cells to radiation (Xu et al., 2018).

Another study in multiple myeloma has shown that miR-17-5p regulates expression of the iron exporter ferroportin (FPN1), promote cell proliferation, enhance cell cycle progression, and suppress apoptosis. Expression of miR-17-5p is suppressed by the transcription factor Nrf2. Nrf2 also decreases FPN1 expression and enhanced accumulation of iron and production of ROS in the cells (Kong et al., 2019).

miR-18a is another miRNA which is involved in the regulation of ferroptosis. This miRNA has been shown to suppress expression of ALOXE3 in glioblastoma cells. Besides, ALOXE3 knock-down has enhanced secretion of 12-HETE from glioblastoma cells, decreasing migration of these cells through activation of GsPCR/PI3K/Akt axis (Yang X. et al., 2021).

miR-20a has also been shown to regulate expression of FPN through binding to its 3′-UTR. Experiments in lung cancer cells have shown that down-regulation of FPN increases cell proliferation and colony formation, most probably through enhancing iron accessibility for neoplastic cells (Babu and Muckenthaler 2016).

In liver cancer cells, miR-18a has been shown to reduce expression of GCLC- a gene that regulates biosynthesis of glutathione. miR-18a also reduces GSH levels in tumor tissues (Anderton et al., 2017). Moreover, in this type of cancer, miR-22 targets TfR1 and inhibits cell cycle progression and growth (Greene et al., 2013). Besides, miR-152 is another miRNA that regulates ferroptosis in liver cancer cells (Huang et al., 2010). Another experiment in liver cancer cells shows the role of miR-503 in reduction of intracellular levels of SOD and glutathione (Wang et al., 2014).

The role of miRNAs in the regulation of ferroptosis has also been assessed in colorectal cancer cells. In this type of cancer, miR-24-2 levels has been inversely correlated with the levels of superoxide dismutase (SOD) (He et al., 2018). Moreover, induction of ROS by GT-094 has been found to be correlated with modulation of the miR-27a:ZBTB10-Sp1/Sp3/Sp4 axis (Pathi et al., 2011). miR-145 and miR-149 are two other miRNAs that affect expression of TFR1 and DMT1 in colorectal cancer cells (Hamara et al., 2013).

Lung cancer is another type of cancer in which the role of miRNAs in the regulation of ferroptosis has been vastly investigated. For instance, miR-155 silencing has been shown to inhibit GST-π expression in A549/dox cells. miR-155 induces doxorubicin resistance via modulation of drug transportation and drug metabolism (Lv et al., 2016). miR-196a is another miRNA that has an indirect effect on ferrptosis. Suppression of this miRNA has suppressed stem cell self-renewal capacity, tumor growth and tumorigenicity through enhancement of expression of GPX3 (Liu et al., 2019). Moreover, miR-302a-3p has been found to induce ferroptosis in lung cancer cells via targeting ferroportin (Wei et al., 2021). Besides, miR-324-3p enhances cisplatin-induced ferroptosis in lung cancer cells (Deng et al., 2021).

Therefore, the effects of miRNAs on ferroptosis can be regarded as a mechanism for induction/prevention of different malignancies. Moreover, modulation of expression of ferroptosis-related miRNAs can be regarded as a potential treatment strategy for cancers. Table 1 shows the role of miRNAs in the regulation of ferroptosis in cancers.

TABLE 1

Associated cancer typeCell lineStudy typeUpstream of miRNAmiRNADownstream target of miRNAImpact on ferroptosisStudy highlightsReference
MelanomaA375, G-361In vitro-miR-9GOT1InhibitorymiR-9 overexpression suppressed erastin- and RSL3-induced ferroptosis through GlnZhang et al. (2018)
Kaposi’s sarcomaRAW 264.7 cellsCell culture-miR-K12-11xCTIndirect inhibitory effectKSHV miRNAs can increase expression of xCT by macrophage and endothelial cells, mainly via miR-K12-11 inhibition of BACH-1, a gene that can promote ferroptosisQin et al. (2010)
Prostate cancerPrEC, PrSC, PZ-HPV-7, HPV-18, LNCaP, DU-145, PC3 (ATCC)Cell culture, animal models-miR-17GPX2Indirect effectmiR-17* can inhibit important primary mitochondrial antioxidant enzymes, namely MnSOD, GPX2 and TrxR2Xu et al. (2010a)
Prostate cancerPC-3/22Rv1Cell culture, animal models-miR-17-3pGPX2Indirect effectInhibition of antioxidants by miR-17-3p enhances ROS and radiotherapeutic efficiency in cancer treatmentXu et al. (2018)
Multiple myelomaARP1 and OCI-MY5Cell culture, Animal modelsNrf2miR-17-5pFPNIndirect effectNrf2 enhances FPN1 transcription via promoter binding and suppresses miR-17-5pKong et al. (2019)
GliomaU87 In vitro/In vivo-miR-18aALOXE3InhibitorymiR-18a targets and suppresses ALOXE3 and made glioblastoma cells resistant to p53-induced ferroptosisYang et al. (2021b)
Hepatocellular carcinomaLT2-MYCCell culture, animal models-miR-18aGCLCIndirect effectmiR-18a reduces expression of GCLC- a gene that regulates biosynthesis of glutathione. miR-18a also reduces GSH levels in tumor tissuesAnderton et al. (2017)
Colorectal cancer-Clinical samples-miR-19aDMT1Indirect effectmiR-194 levels have been associated with ferroportin concentrationsHamara et al. (2013)
Lung cancerHuh7 and NSCLCCell culture-miR-20aFPNIndirect effectDownregulation of FPN by miR-20a can result in enhancement of iron pool thus providing additional iron for metabolic process(Babu and Muckenthaler 2016)
Lung cancerA549 and A549/DDPCell culture-miR-21-Indirect effectExpression levels of cystathione and GSH in A549/DDP cells were decreased after miR-21 silencing.Dong et al. (2015)
Liver cancer-Cell culture-miR-22TFR1Indirect effectmiR-22 targets TfR1, and inhibits cell cycle progression and growthGreene et al. (2013)
Colorectal cancer-Clinical samples-miR-24–2-Indirect effectmiR-24–2 levels were inversely correlated with the levels of superoxide dismutase (SOD)He et al. (2018)
Bladder cancerEJ/T24 and RT112Cell culture-miR-27aSLC7A11Indirect effectAlterations in miR-27a levels are involved in cisplatin resistance in bladder cancer through modulating the expression of the SLC7A11 and intracellular GSH.Drayton et al. (2014)
Colorectal cancerRKO and SW480Cell cultureGT-094miR-27aZBTB10Indirect effectInduction of ROS by GT-094 is correlated with modulation of the miR-27a:ZBTB10-Sp1/Sp3/Sp4 axisPathi et al. (2011)
Lung cancer-Clinical samples-miR-29IREB2Indirect effectThe miRNA binding site rs1062980 might change IREB2 expression via affecting miR-29a binding. This SNP can affect risk of lung cancerZhang et al. (2017)
Colorectal cancer-Clinical samples-miR-31TFR1Indirect effectmRNA levels of TfR1are associated with miR-31 levelsHamara et al. (2013)
Prostate cancerLNCaPCell culture-miR-34bMYCIndirect effectmiR-34b and miR-34c can decrease c-Myc protein expression in prostate cellsBenassi et al. (2013)
Prostate cancer1E8 and 2B4Cell culture, animal models-miR-92b-5pGSTIndirect effectmiR-92b-5p targets GSTM3, which is involved in the detoxification of electrophilic compounds by conjugation with glutathioneMa et al. (2019)
Breast cancerMDA-MB-231, T47DIn vitro/In vivoCircRHOT1miR-106a-5pSTAT3inhibitionmiR-106a-5p induced ferroptosis by targeting STAT3 in breast cancer cellsZhang et al. (2021a)
Chronic lymphocytic leukemiaATCC. MEC1 and MEC2Cell culture-miR-125b-Indirect effectmiR-125b affects metabolism of glucose, glutathione, lipid, and glycerolipidTili et al. (2012)
Prostate cancerPC3, DU145In vitro/In vivoLncOIP5-AS1miR-128-3pSLC7A11inhibitionOIP5-AS1 inhibited ferroptosis under chronic exposure to Cd through targeting miR-128-3p/SLC7A11 signalingZhang et al. (2021b)
Colorectal cancerHCT116, HT-29Cell culture-miR-129-5PGSTIndirect effectmiR-129-5p has demonstrated dissimilar pattern of reduction in the resistant SW480 and HCT116 cell linesGhanbarian et al. (2018)
Ovarian cancerA2780Cell culture-miR-130bGST-πIndirect effectmiR-130b can decrease recurrence, invasion, and metastasis of ovarian cancerZong et al. (2014)
MelanomaA375, G-361In vitro/In vivo-miR-130b-3pDKK1inhibitionmiR-130b 3p suppressed erastin or RSL3 induced ferroptosisLiao et al. (2021)
Breast cancerMCF-7Cell culture-miR-133aFTLIndirect effectDecrease in FTL protein levels by miR-133a enhances sensitivity of MCF-7/DOX and MCF-7/CDDP cells to doxorubicin and cisplatinChekhun et al. (2013)
Colorectal cancer-Clinical samples-miR-133aFTLIndirect effectLevels of Fn have been negatively associated with IRP1 transcript levels, while positively correlated with expression of miR-133aHamara et al. (2013)
MelanomaA375, G-361In vitro/In vivo-miR-137SLC1A5inhibitionmiR-137 decreased glutamine uptake, MDA accumulation and inhibited erastin-induced ferroptosisLuo et al. (2018)
Colorectal cancer-Clinical samples-miR-141TFR1Indirect effectmiR-141 can affect expression of TFR1Hamara et al. (2013)
Prostate cancer-Cell culture, animal models-miR-144GSTIndirect effectmiR-144 regulates expression of GSTP1Singh et al. (2015)
Colorectal cancer-Clinical samples-miR-145TFR1Indirect effectmiR-145 can affect expression of TFR1Hamara et al. (2013)
Colorectal cancer-Clinical samples-miR-149DMT1Indirect effectmiR-149 can affect expression of DMT1Hamara et al. (2013)
Hepatocellular carcinomaHepG2, HepG2.2.15, Huh-7, LO2, and Hepa1-6Cell culture-miR-152DNA methyltransferase 1Indirect effectInhibition of miR-152 could enhance GSTP1 expressionHuang et al. (2010)
Hepatocellular carcinomaSK-HEP1, PLC/PRF/5, Hep3B, and HepG2Cell culture, animal models-miR-152TFRCIndirect effectUp-regulation of TFRC can be involved in cancer-related abnormalities in cellular iron metabolism during liver carcinogenesis. Over-expression of TFRC can be due to down-regulation of miR-152Kindrat et al. (2016)
Prostate cancer-Cell culture, animal models-miR-153–1/2GSTP1Indirect effectmiR-153–1/2 regulate expression of GSTP1Singh et al. (2015)
Lung cancerA549Cell culture-miR-155GST-πIndirect effectmiR-155 silencing inhibited GST-π expression in A549/dox cells. miR-155 induces doxorubicin resistance via modulation of drug transportation and drug metabolismLv et al. (2016)
Colorectal cancer-Clinical samples-miR-182TFR1Indirect effectmiR-182 can affect expression of TFR1Hamara et al. (2013)
Ovarian cancerOVCAR3, A2780, A2780/DDP, and A2780/TaxolCell culture-miR-186GSTIndirect effectmiR-186 has a role in induction sensitivity to paclitaxel and cisplatin through regulation of expression of ABCB1Sun et al. (2015)
Colorectal cancer-Clinical samples-miR-194FPN1Indirect effectmiR-194 can affect expression of FPN1 ferroportin 1Hamara et al. (2013)
NSCLCA549, H460, H1975, H1650, HCC827Cell culture, animal models-miR-196aGPX3Indirect effectmiR-196a suppression suppressed NSCLC stem cell self-renewal capacity, stemness, tumor growth and tumorigenicity through enhancement of expression of GPX3.Liu et al. (2019)
Renal cancerRCC4 and 786-OCell culture-miR-210ISCUIndirect effectmiR-210 level is inversely correlated with ISCU levelsMcCormick et al. (2013)
oropharyngeal squamous cell carcinomasSCC2 and SCC38Cell culture-miR-210ISCUIndirect effectmiR-210 targets ISCU.Sáenz-de-Santa-María et al. (2017)
HepatomaHepG2, Hep3B, Hep3B ratIn vitro/In vivo-miR-214-3pATF4enhancementmiR-214 enhanced erastin-induced ferroptosis by targeting ATF4Bai et al. (2020)
Bladder cancerT24 and EJCell culture-miR-218GCLIndirect effectOver-expression of miR-218 significantly reduced the rate of glucose uptake and total level of GSH and enhanced the chemo-sensitivity of bladder cancer to cisplatinAl-Kafaji et al. (2017)
NSCLCA549, H358--miR-302a-3pFPNpromotemiR-302a-3p induced ferroptosis via targeting ferroportinWei et al. (2021)
Colorectal cancerHCT116, HT-29Cell culture-miR-302c-5pGSTIndirect effectOver-expression of ABCB1 by miR-302c-5p defines poor response to oxaliplatinGhanbarian et al. (2018)
NSCLCA549, DDPIn vitro-miR-324-3pGPX4enhancementmiR-324-3p enhanced cisplatin-induced ferroptosis(Deng et al., 2021)
GliomaU87MG, U251MG, T98G, U373MG, and A172Cell culture-miR-326PKM2Indirect effectPKM2 silencing diminished ATP and glutathione levels and activated AMPK. PKM2 is a target of the tumor-suppressive miR-326 and a potential therapeutic target in gliomasKefas et al. (2010)
Rectal cancer--CircABCB10miR-326CCL5inhibitionmiR-326inhibits ferroptosis and apoptosis through regulation of CCL5Xian et al. (2020)
NSCLCA549, H1299In vitro/In vivolncMT1DPmiR-365a-3pNRF2enhancementmiR-365a-3p was enhanced and NRF2 was suppressed in MT1DP-overexpressing A549 and H1299 cellsGai et al. (2020)
Gastric cancerSGC-7901, BGC-823In vitro/In vivo-miR-375SLC7A11 enhancementmiR-375 triggered SLC7A11-dependent ferroptosisNi et al. (2021a)
Cervical cancerCaSki, HeLa, HcerEpicIn vitro/In vivocircRNA_000479miR-375, miR-409-3P, miR-515-5pSLC7A11inhibitioncircEPSTI1-miR-375/409-3P/515-5p-SLC7A11 axis promoted the cervical cancer cell proliferation and its knockdown induced ferroptosisWu et al. (2021)
Ovarian cancer---miR-424-5pACSL4inhibitionmiR-424-5p inhibits ferroptosis via targeting ACSL4Ma et al. (2020)
GliomaU87Cell culture, animal models-miR-449aCISD2Indirect effectmiR-449a targets CISD2 3′-UTR in U87 cellsSun et al. (2017)
Prostate cancerPC3 and DU145Cell culture, animal models-miR-492FPNIndirect effectmiR-492 is involved in modulating MZF-1-mediated regulation on FPN and growth of prostate cancer cellsChen et al. (2015)
Cervical cancerHeLa, HeLa/DDP, and SiHaCell culture-miR-497-Indirect effectmiR-497/TKT axis affects GSH and ROS levels, and enhance DDP chemoresistance in cervical cancerYang et al. (2016)
HemangiomaHemECsIn vitrolncMEG8miR-497-5pNOTCH2inhibitionMEG8 silencing has suppressed proliferation and induced the ferroptosis by regulating miR-497-5p/NOTCH2 axisMa et al. (2021)
Hepatocellular carcinomaHepG2Cell culture-miR-503-Indirect effectmiR-503 increases apoptosis, blocks the cell cycle transition and reduces intracellular levels of SOD and glutathioneWang et al. (2014)
Colorectal cancer and lung cancerA549/CDDP and SPC-A-1Cell culture-miR-513a-3pGSTIndirect effectmiR-513a-3p can sensitize human lung cancer cells to cisplatin by targeting GSTP1Zhang et al. (2012)
Oral squamous cell carcinomaCAL27, SCC15In vitro/In vivocircFNDC3BmiR-520days-5pSLC7A11inhibitioncircFNDC3B attenuated ferroptosis by regulating miR-520days-5p/SLC7A11 axisYang et al. (2021a)
Gastric cancerSGC7901, MGC803, MKN45In vitro/In vivoUSP7, hnRNPA1miR-522ALOX15inhibitionmiR-522 decreased ALOX15 and lipid-ROS and inhibited ferroptosisZhang et al. (2020a)
Hepatocellular carcinomaTHLE-2, HuH-7, HCCLM3In vitro/In vivoCircIL4RmiR-541-3pGPX4inhibitionDown-regulation of miR-541-3p relieved the ferroptosis promotion caused by circIL4R knockdownXu et al. (2020)
Thyroid cancerNthy-ori 3–1, FTC133, TPC-1In vitro/In vivoCirc_0067934miR-545-3pSLC7A11inhibitionmiR-545-3p induced ferroptosis by targeting SLC7A11Wang et al. (2021a)
Prostate cancer-Cell culture, animal models-miR-590-3p/5pGSTIndirect effectmiR-590-3p/5p regulate expression of GSTP1Singh et al. (2015)
Prostate cancerDU145 and PC3Cell culture, animal models-miR-638FTH-1Indirect effectmiR-638 overexpression reduced FTH1 protein expressionChan et al. (2018)
Glioblastoma U87MG, A172--miR-670-3pACSL4inhibitionmiR-670 inhibits ferroptosis via influencing expression of ACSL4Bao et al. (2021)
Colorectal cancer-Clinical samples-miR-758TFR1Indirect effectmiR-758 can affect expression of TFR1 transferrin receptor 1Hamara et al. (2013)
GliomaLN229, U251, NHAIn vitro/In vivocirc-TTBK2miR-761ITGB8inhibitioncirc-TTBK2 knockdown or miR-761 increase could promote ferroptosisZhang et al. (2020c)
Colorectal cancerHCT116, SW620, SW480In vitro/In vivoCirc_0007142miR-874-3pGDPD5inhibitioncirc_0007142 expression inhibition motivated CRC ferroptosis. Overexpression of miR-874-3p promoted ferroptosisWang et al. (2021b)
Hepatocellular carcinomaSMMC-7721, QGY-7703In vitro/In vivocirc_0013731miR-877-3pSLC7A11inhibitioncirc_0013731 mediated by E2F1 suppressed the ferroptosis via miR-877-3p/SLC7A11 axisFang et al. (2021)
Lung cancerA549, H1975, H1650Cell culture-miR-921GPX3Indirect effectmiR-921 suppresses GPx3 expression in lung cancer cellsChoi et al. (2019)
Papillary thyroid cancerKAT-5, TPC-1In vitro/In vivocircKIF4AmiR-1231GPX4 inhibitionGPX4 was the target of miR-1231. circKIF4A could enhance expression of GPX4.Chen et al. (2021b)
Medulloblastoma---miR-1253ABCB7enhancementOverexpression of miR-1253 resulted in downregulation of ABCB7 and GPX4Kanchan et al. (2021)
Hepatocellular carcinomaLO2, HepG2, BEL-7402, MHCC-97HIn vitro/In vivoCirc0097009miR-1261SLC7A11inhibitionCirc0097009 silencing enhances ferroptosis via the circ0097009/miR-1261/SLC7A11 axisLyu et al. (2021)
Colorectal cancerHCT116, HT-29Cell culture-miR-3664-5pGSTIndirect effectGSTP1 levels have been correlated directly with miR-3664-5pGhanbarian et al. (2018)
NSCLCA549In vitro/In vivo-miR-4443METTL3inhibitionOverexpression of miR-4443 inhibited cisplatin-induced ferroptosis(Song et al., 2021c)
GI cancerOE33, MKN45, STKM2In vitro-miR-4715-3pAURKAenhancementmiR-4715-3p induced ferroptosis by reducing GPX4 in a AURKA-dependent mechanismGomaa et al. (2019)

miRNAs effect on ferroptosis in cancers.

Cumulatively, miRNAs participating in the regulation of iron metabolism, antioxidant metabolism and lipid metabolism are associated with ferroptosis process (Luo et al., 2021a). We have constructed the network between these miRNAs using the Cytoscape software. Five miRNAs, namely miR-675, miR-93, miR-27a, miR-34a and miR-141 have been found to be involved in these three metabolic pathways (Figure 1). Pre-miR-675 is produced by lncRNA H19. FTH1 silencing upregulates expressions of H19 and its cognate miR-675. Activation of H19/miR-675 participates in the FTH1 silencing-related alterations in iron metabolism (Di Sanzo et al., 2018). miR-93 regulates expression of NRF2 and has a role in breast carcinogenesis (Singh et al., 2013). miR-27a directly inhibits expression of SCD1 (Drayton et al., 2014). miR-34a directly suppresses expression of ACSL4 (Jiang et al., 2020). Finally, miR-141 inhibits Nrf2 signaling through targeting Keap1 (Wu et al., 2018).

FIGURE 1

miRNAs effects on ferroptosis in non-malignant conditions

miRNAs have important roles in the ferroptosis in non-malignant conditions. Parkinson’s disease is an example of disorders in which the role of miRNAs in the regulation of ferroptosis has been assessed. An experiment in this field has shown down-regulation of GPX4 in the animal model of this disorder in association with down-regulation of FTH1 and over-expression of miR-335. miR-335 mimic could decrease expression of FTH1, increase ferroptosis and facilitate progression of Parkinson’s disease. Mechanistically, miR-335 targets 3′-UTR of FTH1. FTH1 silencing in 6-OHDA-induced cells has increased the pro-ferroptosis impact of miR-335 and promoted pathologic events in the course of Parkinson’s disease. In fact, miR-335 enhances ferroptosis via reduction of FTH1 and subsequent enhancement of iron release, lipid peroxidation and ROS buildup, while decreasing mitochondrial membrane potential (Li X. et al., 2021). Figure 2 depicts this process.

FIGURE 2

Another experiment has shown aberrant expression of IL-6 and its receptor in cartilage samples of patients with intervertebral disc degeneration. Notably, IL-6 could down-regulate expression of miR-10a-5p, leading to derepression of IL-6R expression. IL-6 has a role in induction of ferroptosis in cartilage cells through stimulating oxidative stress and upsetting iron homeostasis. Up-regulation of miR-10a-5p could decrease IL-6R levels and attenuate IL-6-associated ferroptosis to some extent (Bin et al., 2021).

Expression of miR-15a-5p has been shown to be increased in acute myocardial infarction. miR-15a-5p silencing has decreased mortality of myocardial cells in hypoxic conditions. Notably, GPX4 has been identified as the direct target of miR-15a-5p. Up-regulation of miR-15a-5p has enhanced ferroptosis and intensified myocardial cell damage during hypoxia. Knock-down of the transcription factor Egr-1 has led to down-regulation of miR-15a-5p, and subsequent up-regulation of GPX4, which results in reduction of ferroptosis and alleviation of myocardial damage (Fan et al., 2021).

miR-17-92 is another miRNA which modulates ferroptosis. This miRNA has been shown to protect endothelial cells from erastin-associated ferroptosis. In fact, over-expression of miR-17-92 can reduce erastin-associated growth suppression and ROS production in endothelial cells. Mechanistically, miR-17-92 exerts its effects through suppression of Zinc lipoprotein A20 expression. miR-17-92 up-regulation or A20 suppression has enhanced expression of ACSL4 endothelial cells (Xiao F. J. et al., 2019).

Ferroptosis in animal model of intracerebral hemorrhage has been associated with reduced levels of miR-19b-3p and enhancement of IRP2 levels. Expression of IRP2 as a direct target of miR-19b-3p has been suppressed by miR-19b-3p mimic-transfected adipose-derived stem cells. These exosomes could also attenuate hemin-associated cell damage and ferroptosis, thus improving neurologic function in the effected animals (Yi and Tang 2021). Taken together, ferroptosis-associated miRNAs are involved in the pathogenesis of a variety of non-malignant conditions, such as intervertebral disc degeneration, acute myocardial infarction, vascular diseases, intracerebral hemorrhage and preeclampsia. Table 2 shows the role of miRNAs in regulation of ferroptosis in non-malignant conditions.

TABLE 2

ConditionCell lineStudy typeUpstream of miRNAmiRNADownstream of miRNAEffect of on ferroptosisStudy highlightsReference
-HeLa, SASIn vitro-miR-7-5pALOX12inhibitionKnockdown of miR-7-5p leads to enhancement of the ferroptosis marker ALOX12 gene expressionTomita et al. (2021)
Intervertebral disc degeneration-In vitroIL-6miR-10a-5pIL-6RenhancementIL-6R derepressing from miR-10a-5p enhanced IL-6 signalingBin et al. (2021)
Acute myocardial infarction--Egr-1miR-15a-5pGPX4enhancementmiR-15a-5p enhances ferroptosis through regulation of GPX4Fan et al. (2021)
Vascular diseaseHUVECIn vitro-miR-17–92A20inhibitionmiR-17–92 protected the HUVEC cells from erastin-induced ferroptosis maybe through miR-17–92/A20/ACSL4 axisXiao et al. (2019)
Intracerebral hemorrhageadipose-derived stem cells(ADSCs)In vitro/In vivo-Exo-miR-19b-3pIRP2 inhibitionExosomal miR-19b-3p originated from ADSCs could abrogate Hemin-associated ferroptosis(Yi and Tang 2021)
Acute myocardial infarctionHUCB-MSCsIn vitro/In vivo-Exo-miR-23a-3pDMT1inhibitionHUCB-MSCs-derived miR-23a-3p-expressing exosomes suppress ferroptosisSong et al. (2021b)
PreeclampsiaHTR-8/SVneo, TEV-1In vitro/In vivo-miR-30-5pPax3 and SLC7A11enhancementUpregulation of miR-30b-5p downregulated SLC7A11, Pax3, and Pax3-downstream target, FPN1, and induces ferroptosis(Zhang et al., 2020b)
Myocardial infarction---miR-30dATG5enhancementmiR-30days suppresses cardiomyocytes autophagy and promote ferroptosisTang et al. (2020)
-A549, L78, NCI–H460, GLC-82, SPC-A1, PC9, BEAS-2BIn vitro/In vivo-miR-101-3pTBLR1enhancementActivation of the miR-101–3p/TBLR1 axis directly recovered tumor cell ferroptosisLuo et al. (2021b)
Intracerebral hemorrhageBMVECsIn vitro/In vivolncH19miR-106b-5pACSL4enhancementH19 silencing enhances cell proliferation and suppresses BMVECs ferroptosisChen et al. (2021a)
Intracerebral hemorrhage-In vitro/In vivo-miR-124FPNinhibitionmiR-124/Fpn signaling mediates neuron death post-ICH through apoptosis and ferroptosisBao et al. (2020)
Myocardial I/R injuryH9C2In vitro/In vivo-miR-135b-3pGPX4promotemiR-135b-3p promoted cellular ferroptosis by downregulating GPX4 expressionSun et al. (2021b)
Hemorrhagic StrokeSH-SY5YIn vitro-Exo-miR-137COX2/PGE2inhibitionEXsmiR-137 suppresses oxyHb-induced ferroptosisLi et al. (2020)
Atrial fibrillation-In vitro-miR-143-3pGOT1inhibitionOverexpression of miR-143-3p inhibited ferroptosisSong et al. (2021)
Pulmonary fibrosisHFL1In vitro/In vivolncZFAS1miR-150-5pSLC38A1enhancementOverexpression of lncRNA ZFAS1 increased ferroptosis through decreasing the inhibitory effect of miR-150-5p on SLC38A1 expressionNi et al. (2021)
MIH9c2, HEK-293 TIn vitro-miR-190a-5pGLS2inhibitionUpregulation of miR-190a-5p inhibited ferroptosis induced by erastin and RSL3Zhou et al. (2021)
AtherosclerosisEndothelial progenitor cellsIn vitro/In vivo-EV-miR-199a-3pSP1inhibitionEPC-EVs carrying miR-199a-3p have an impact on the function of ECs and inhibited ferroptosis of ECs by targeting SP1(Li et al., 2021a)
TBIHT-22, Neuro-2aIn vitro/In vivo-miR-212-5pPtgs2inhibitionmiR-212-5p suppressed the ferroptotic neuronal death partly by targeting Ptgs2Xiao et al. (2019b)
Brain ischemia/reperfusionPC12 ratIn vitro/In vivolncPVT1miR-214TP53, TFR1, PVT1enhancementPVT1 silencing or miR-214 up-regulation could decrease p53 levels and increase SLC7A11 levelsLu et al. (2020)
Heart FailureHL-1In vitrocircSnx12miR-224-5pFTH1inhibitLow circSnx12 expression and high miR-224-5p expression induced ferroptosisZheng et al. (2021)
PDPC12In vitro/In vivo-miR-335FTH1enhancementmiR-335 promoted ferroptosis in PD by inhibiting FTH1 expressionMoradi et al. (2021)
Chronic heart failureHL-1In vitro/In vivo-miR-351MLK3inhibitionEnhancement of expression of miR-351 improved cardiac function in animal modelsWang et al. (2020)
I/R-induced renal injuryHK-2, TCMK-1 ratIn vitro/In vivo-miR-182-5pGPX4enhancementmiR-182-5p and miR-378a-3p promoted ferroptosis in the renal epithelial cells by suppressing GPX4 and SLC7A11, respectivelyDing et al. (2020)
miR-378a-3pSLC7A11

miRNAs effect on ferroptosis in non-malignant conditions.

Effects of different treatments on expression of ferroptosis-associated miRNAs

A number of drugs and treatments have been found to influence course of disorders through affecting expression of ferroptosis-associated miRNAs. For instance, experiments in animal models of intracerebral hemorrhage have shown that acupuncture can amend neuron cells death, inflammatory responses, and ferroptosis through downregulation of miR-23a-3p. The effects of acupuncture on alleviation of ferroptosis and reduction of miR-23a-3p expression have been verified by the observed enhancemnet of nuclear translocation of NFE2L2 and expression of heme oxygenase-1 and glutathione peroxidase 4 as well as reduction of iron and malondialdehyde levels and decrease in the accumulation of reactive oxygen species. Furthermore, antagomiR-23a-3p could inhibit the intracerebral hemorrhage-induced enhancemnet of Fluoro-Jade B-positive cells, production of proinflammatory cytokines, ferroptosis, and activity of NFE2L2. Mechanistically, miR-23a-3p has binding site on NFE2L2 (Kong et al., 2021). On the other hand, isorhynchophylline has been shown to ameliorate ferroptosis-associated nerve injury in the context of intracerebral hemorrhage through modulation of miR-122-5p (Zhao et al., 2021). Experiments in mouse hippocampal HT-22 cells exposed to ferric ammonium citrate alone or together with Isorhynchophylline have shown that Isorhynchophylline reduces the ferric ammonium citrate-associated cell injury. Isorhynchophylline also reduces the ferric ammonium citrate-induced reduction of miR-122-5p expression and ameliorates ferroptosis. Besides, miR-122-5p inhibitor could diminish the protective effect of Isorhynchophylline against ammonium citrate-associated ferroptosis in these cells. Mechanistically, miR-122-5p targets TP53, and restoration of TP53 attenuates the effect of miR-122-5p on ferroptotic markers and expression of SLC7A11. Taken together, miR-122-5p/TP53/SLC7A11 axis has been suggested as a potential mechanism in the etiology of intracranial hemorrhage (Zhao et al., 2021).

Moreover, metformin can induce ferroptosis of breast cancer cells through influencing expression of the GPX4 targeting miRNA miR-324-3p. Up-regulation of miR-324-3p has suppressed viability of breast cancer cells. In fact, metformin can be regarded as a potential anti-cancer agent via activation of ferroptosis (Hou et al., 2021). Similarly, lidocaine and levobupivacaine enhance ferroptosis of cancer cells through targeting miR-382-5p (Sun D. et al., 2021) and miR-489-3p (Mao et al., 2021), respectively.

Table 3 shows the effects of different treatments on expression of ferroptosis-associated miRNAs.

TABLE 3

DiseaseCell lineStudy typeDrug/TreatmentRegulation of miRNA by treatmentmiRNATargetEffect of drug on ferroptosisStudy highlightsReference
Intracerebral hemorrhage-In vivoAcupuncturemiR-23a-3pNFE2L2inhibitionBaihui-penetrating-Qubin acupuncture treatment inhibited ferroptosis after ICH via down-regulating miR-23a-3pKong et al. (2021)
Intracerebral hemorrhageHT-22In vitro/In vivoIsorhynchophyllinemiR-122-5pTP53inhibitionmiR-122-5p Suppresses FAC-Induced Ferroptosis by Targeting TP53Zhao et al. (2021)
Breast cancerMDA-MB-231, MCF-7In vitro/In vivoMetforminmiR-324-3pGPX4enhancementmiR-324-3p induced ferroptosis via directly targeting GPX4Hou et al. (2021)
Ovarian and Breast cancerSKOV-3, T47DIn vitro/In vivoLidocainemiR-382-5pSLC7A11enhancementLidocaine Inhibited SLC7A11 Expression by Upregulating miR-382-5pSun et al. (2021a)
Gastric cancerGES-1, HGC27, SGC7901In vitro/In vivoLevobupivacainemiR-489-3pSLC7A11enhancementLevobupivacaine induces ferroptosis of gastric cancer cells through miR-489-3p/SLC7A11 axisMao et al. (2021)

Effects of drugs on ferroptosis-associated miRNAs.

Discussion

Several miRNAs have been found to affect ferroptosis through binding with 3′-UTR of genes participating in this process. GOT1, GPX2, GPX3, GPX4, FPN, GSH, GST, FTL, TFR1 and NRF2 are examples of ferroptosis-associated molecules which are regulated by miRNAs. Moreover, a number of miRNAs can affect ferroptosis through indirect routes. For instance, miR-152 can reduce expression of DNA methyltransferase one leading to global DNA hypomethylation and enhancement of expression of GSTP1 (Huang et al., 2010).

Since ferroptosis can eradicate cancer cells in an independent way from apoptosis (Zhang X. et al., 2020), identification of the role of miRNAs in this process can propose new ways for combatting cancer progression. It is worth mentioning that some of above-mentioned miRNAs that regulate ferroptosis, have additional roles in the regulation of other types of cell death. Thus, these miRNAs can induce cancer cell death from different routes.

Bioinformatics tools have facilitated identification of miRNAs with highest involvement in the ferroptosis, thus proposing the most appropriate targets for management of ferroptosis-associated disorders.

A number of long non-coding RNAs and circRNAs have been found to affect expression of ferroptosis-related miRNAs. CircRHOT1, circABCB10, circRNA_000479, circFNDC3B, circIL4R, circ_0067934, circ-TTBK2, circ_0007142, circ_0013731, circKIF4A, circ0097009, lncOIP5-AS1, lncMT1DP and lncMEG8 have been recognized as competing endogenous RNAs for miRNAs that partake in the ferroptosis. Therefore, ferroptosis can be regulated by several members of non-coding RNAs.

Notably, acupuncture and a number of drugs such as physcion 8-O-β-glucopyranoside, isorhynchophylline, metformin, lidocaine and levobupivacaine have been shown to affect ferroptosis through modulation of miRNAs. Thus, identification of the role of miRNAs in the regulation of ferroptosis can facilitate design of novel therapeutic agents for treatment of diverse neoplastic or neurodegenerative disorders.

Based on the vast impact of ferroptosis on development of disorders, therapies targeting this process can be proposed as treatment modalities for several disorders including neoplastic and neurodegenerative disorders. Manipulation of expression of ferroptosis-associated miRNAs through different methods is regarded as a potential strategy to affect ferroptosis and intervene with the pathoetiology of mentioned disorders. Since ferroptosis might have opposite effects on the physiology of organs, context-based strategies are needed in this regard. Other issues that should be addressed before incorporation of miRNA-based therapies in the clinical settings are identification of safe and efficient methods for delivery of these kinds of therapies into the specific cells and monitoring the cellular response to these modalities.

Ferroptosis-related miRNAs can alter response of cancer cells to chemotherapeutic modalities. Therefore, manipulation of expression of these miRNAs not only affects the progression and evolution of cancer, but also influences the response to a variety of treatment options. In spite of extensive research on effectiveness of these modalities in cancer cell lines and animal models, there is no clinical trial for appraisal of these methods in the clinical settings. However, it is expected that combination of miRNA-based therapies with conventional or targeted anti-cancer therapies enhances the effectiveness of these therapies. Since cancer cells are heterogeneous in terms of miRNAs signature, it is necessary to have a miRNA profile for each patient before implementation of these novel methods in the clinical settings.

Statements

Author contributions

SG-F wrote the manuscript and revised it. SK, RM-L, and BH collected the data and designed the figures and tables. All authors read and approved the submitted version.

Funding

This study was financially supported by Grant from Medical School of Shahid Beheshti University of Medical Sciences.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Abbreviations

reactive oxygen species; (ROS), glutathione peroxidase 4; (GPX4), Kaposi’s sarcoma herpes virus; (KSHV), manganese superoxide dismutase; (MnSOD), thioredoxin reductase-2; (TrxR2), ferroportin; (FPN1), glutamic-oxaloacetic transaminase 1; (GOT1), Glutathione; (GSH), glutathione S-transferase; (GST), Fms-like tyrosine kinase 3; (FTL3), transferrin receptor 1; (TFR1), Nuclear factor erythroid 2-related factor 2; (NRF2).

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Summary

Keywords

miRNA, ferroptosis, expression, pathwa, cancer

Citation

Mahmoudi-Lamouki R, Kadkhoda S, Hussen BM and Ghafouri-Fard S (2023) Emerging role of miRNAs in the regulation of ferroptosis. Front. Mol. Biosci. 10:1115996. doi: 10.3389/fmolb.2023.1115996

Received

04 December 2022

Accepted

06 February 2023

Published

15 February 2023

Volume

10 - 2023

Edited by

Wei Ye, Guangdong Academy of Science, China

Reviewed by

Yiqun Jiang, Hunan Normal University, China

Raffaella Faraonio, University of Naples Federico II, Italy

Updates

Copyright

*Correspondence: Soudeh Ghafouri-Fard,

This article was submitted to RNA Networks and Biology, a section of the journal Frontiers in Molecular Biosciences

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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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