TY - JOUR A1 - Fujihara, Kenji M. A1 - Zhang, Bonnie Z. A1 - Jackson, Thomas D. A1 - Ogunkola, Moses A1 - Nijagal, Brunda A1 - Milne, Julia V. A1 - Sallman, David A. A1 - Ang, Ching-Seng A1 - Nikolic, Iva A1 - Kearney, Conor J. A1 - Hogg, Simon J. A1 - Cabalag, Carlos S. A1 - Sutton, Vivien R. A1 - Watt, Sally A1 - Fujihara, Asuka T. A1 - Trapani, Joseph A. A1 - Simpson, Kaylene J. A1 - Stojanovski, Diana A1 - Leimkühler, Silke A1 - Haupt, Sue A1 - Phillips, Wayne A. A1 - Clemons, Nicholas J. T1 - Eprenetapopt triggers ferroptosis, inhibits NFS1 cysteine desulfurase, and synergizes with serine and glycine dietary restriction JF - Science Advances N2 - The mechanism of action of eprenetapopt (APR-246, PRIMA-1MET) as an anticancer agent remains unresolved, al-though the clinical development of eprenetapopt focuses on its reported mechanism of action as a mutant-p53 reactivator. Using unbiased approaches, this study demonstrates that eprenetapopt depletes cellular antioxidant glutathione levels by increasing its turnover, triggering a nonapoptotic, iron-dependent form of cell death known as ferroptosis. Deficiency in genes responsible for supplying cancer cells with the substrates for de novo glutathione synthesis (SLC7A11, SHMT2, and MTHFD1L), as well as the enzymes required to synthesize glutathione (GCLC and GCLM), augments the activity of eprenetapopt. Eprenetapopt also inhibits iron-sulfur cluster biogenesis by limit-ing the cysteine desulfurase activity of NFS1, which potentiates ferroptosis and may restrict cellular proliferation. The combination of eprenetapopt with dietary serine and glycine restriction synergizes to inhibit esophageal xenograft tumor growth. These findings reframe the canonical view of eprenetapopt from a mutant-p53 reactivator to a ferroptosis inducer. Y1 - 2022 U6 - https://doi.org/10.1126/sciadv.abm9427 SN - 2375-2548 VL - 8 IS - 37 PB - American Assoc. for the Advancement of Science CY - Washington ER -