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. 2023 Apr 3;136(8):886–898. doi: 10.1097/CM9.0000000000002642

Table 1.

Ferroptosis-related compounds, natural extracts, and drugs for acute leukemia and their mechanisms.

Compound/drug/natural extract Disease Mechanism
APR-246 AML Deplete intracellular GSH and induce lipid peroxide production
DHA AML Induce autophagy by regulating the activity of AMPK/mTOR/70 kDa ribosomal protein S6 kinase (p70S6K) signaling pathway, accelerate the degradation of ferritin, increase the labile iron pool, promote the accumulation of cellular ROS
ATPR AML ROS-autophagy-lysosomal pathway
Aldh3a2 AML Aldh3a2 knockout changes the redox state of cells, affects lipid metabolism, and combines with GPX4 inhibition to activate ferroptosis
Sulfasalazine AML Inhibit cystine importer SLC7A11/xCT and lead to depletion of GSH bank and oxidative stress-dependent cell death
Typhaneoside AML Induce autophagy by promoting the activation of the AMPK signal pathway and then increase the labile iron pool and promote the accumulation of cellular ROS
Chlorido[N,N΄-disalicylidene-1,2-phenylenediamine] iron(III) complexes AML Increase the production of ROS
Ungeremine AML Activate caspase, change metalloproteinases, increase ROS production
Epunctanone AML The addition of deferoxamine or ferrostatin-1 decreased its cytotoxicity
Natural triterpene saponin ardisiacrispin B AML The addition of deferoxamine or ferrostatin-1 decreased its cytotoxicity
HD ALL Increase the accumulation of ROS and decrease GSH and GPX4
SCHL ALL The addition of deferoxamine or ferrostatin-1 decreased its cytotoxicity
Aridanin ALL The addition of deferoxamine or ferrostatin-1 decreased its cytotoxicity
PAA T-ALL Increase ROS production, induce autophagy through AMPK/mTOR and LC3 signaling pathways, and cause GSH downregulation

Aldh3a2: aldehyde dehydrogenase 3a2; ALL: Acute lymphocytic leukemia; AML: Acute myeloid leukemia; AMPK: Adenosine monophosphate-activated protein kinase; ATPR: 4-Amino-2-trifluoromethyl-phenyl retinate; DHA: Dihydroartemisinin; GPX4: Glutathione peroxidase 4; GSH: Glutathione; HD: Hydnocarpin D; LC3: Microtubule-associated protein 1 light chain 3; mTOR: Mechanistic target of rapamycin; PAA: Poricoic acid A; ROS: Reactive oxygen species; SCHL: Soyauxinium chloride; SLC7A11: Solute carrier family 7 member 11; T-ALL: T cell ALL; xCT: System Xc- consists of light chain subunit SLC7A11.