Abstract
Targeting mitochondrial metabolism represents a novel approach in the discovery and development of anti-tumor drugs. Celastrol (Cel) is a naturally-derived small molecule from Tripterygium wilfordii with significant anticancer activities. In this study, we investigated the anti-tumor mechanisms involving mitochondrial metabolic reprogramming regulated by Cel in breast cancer (BRCA). We showed that Cel potently inhibited the proliferation of triple-negative breast cancer cells (MDA-MB-231) and ER+ breast cancer cells (MCF-7) with IC50 values of 2.15 μM and 2.29 μM, respectively. Administration of Cel (5, 2, 2 mg/kg, i.p. for three times after tumor formation) significantly suppressed the tumor growth in syngeneic allograft and CDX breast cancer mouse models. Using activity-based protein profiling (ABPP) technology, we identified mitochondrial isocitrate dehydrogenases (including IDH2 and IDH3A, collectively referred to as mito-IDHs) as direct targets of Cel. We demonstrated that Cel significantly inhibited mito-IDHs mediated mitochondrial metabolism to induce the accumulation of metabolites α-ketoglutaric acid, and that Cel enhanced the interaction between DPYSL2 with IDH3A while promoting the accumulation of DPYSL2 within mitochondria of BRCA cells resulting in inactivation of JAK/STAT pathway and ultimately induced ferroptosis and apoptosis in cancer cells. Collectively, this study elucidates a pharmacological mechanism by which Cel exerts its tumor-inhibiting effects through modulation of mitochondrial metabolism. Furthermore, it provides compelling evidence supporting Cel as a promising candidate for development as a small-molecule inhibitor targeting mitochondrial metabolism.

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Acknowledgements
We thank the Artemisinin Research Center, China Academy of Chinese Medical Sciences for assistance with the generation of confocal microscopy data. The schematic diagram was drawn by Figdraw. This work was supported by National Natural Science Foundation of China (82404657, U24A20798); the Natural Science Foundation of Shenzhen for Basic Research (JCYJ20240813104209012) and Guangdong Provincial Enterprise Joint Fund for Basic and Applied Research Foundation (2024A1515220163); Guangdong Basic and Applied Basic Research Foundation (2023A1515110710); the National Key Research and Development Program of China (2020YFA0908000, 2022YFC2303603); the Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences (CI2023D003, CI2023E005TS05, CI2023E005TS09); the Shenzhen Medical Research Funds (B2302051); the Establishment of Sino-Austria “Belt and Road” Joint Laboratory on Traditional Chinese Medicine for Severe Infectious Diseases and Joint Research (2020YFE0205100); the CACMS Innovation Fund (CI2023E002, CI2021A05101, ZG2024001-05); the Fundamental Research Funds for the Central Public Welfare Research Institutes (ZZ13-ZD-07, ZZ14-YQ-050, ZZ14-FL-010, ZZ14-ND-010, ZZ15-ND-10, ZZ16-ND-10-23, ZZ17-ND-10, ZZ18-ND-10).
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LH contributed to the conception. LH, QLS, CRF, HYL, and PLW designed the project. All authors contributed to data acquisition and analysis. QLS, CRF, HYL, PLW, WHK, and GJL conducted the research, data analysis, figure production, and contributed to draft the manuscript. SJQ performed bioinformatics analysis of the clinical data. PC, XW, RXC, RL, and JZZ performed the mice experiment and LC-MS/MS assay. LH and QLS wrote the original draft of the paper. LH, JGW, PS, and YY provided funding support. All authors reviewed and edited the paper.
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Shi, Ql., Feng, Cr., Li, Hy. et al. Celastrol inhibits the DPYSL2-JAK/STAT pathway by targeting mito-IDHs mediated mitochondrial metabolism to exhaust breast cancer. Acta Pharmacol Sin 46, 2765–2778 (2025). https://doi.org/10.1038/s41401-025-01548-0
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DOI: https://doi.org/10.1038/s41401-025-01548-0