Table 1 Distinctions between ferroptosis and apoptosis.

From: Ferroptosis: a double-edged sword mediating immune tolerance of cancer

Forms of RCD

Definition

Characters

Classification

Key molecules

Potential strategies

Targets

Specific targets

Links with immune

References

Apoptosis

Programmed cell death, which is an aumomatically cell death pathway determined by genes.

membrane blebbing, cell shrinkage, condensation of chromatin, and fragmentation of DNA

intrinsic apoptotis

Pro-apoptotic BH3-only proteins(BIM, PUMA, BAD or NOXA), pro-survival BCL-2 proteins(BCL-2, BCL-XL, MCL-1 an BCL-2-related protein A1), BAK, BAX, cytochrome c, SMAC, caspase 3, 7 and 9, XIAP, apoptotic peptidase activating factor 1(APAF1).

Strategies targeting intrinsic pathway

BH3 mimetics

Dual BCL-2 and BCL-XL inhibitors

immunologically silent

[228,229,230,231,232,233,234,235,236,237]

Selective BCL-2 inhibitors

BCL-XL inhibitors

MCL-1 inhibitors

IAP inhibitors and SMAC mimetics

–

extrinsic apoptosis

FAS, FAS ligand(FASL), FADD(FAS associated via death domain), death- inducing signalling complex (DISC), caspase 3, 7 and 8, BH3-only protein BID, tBID.

Strategies targeting extrinsic pathway

Death receptor agonists

–

Ferroptosis

Ferroptosis is trigged by failure in or blockade of the glutathione-dependent antioxidant defences of a cell, which leads to the unrestrained lipid peroxidation and ultimately the killing of the cell.

presence of smaller than normal mitochondria with condensed mitochondrial membrane densities, reduction or vanishing of mitochondria crista, and outermitochondrial membrane rupture, lipid peroxidation, inactivation of GPX4, iron-dependent

Amino acid metabolism

GPX4, GSH, glutamate, cysteine, glycine, GCL, GSS

Inhibiting ferroptosis

The GPX4-GSH system

Dual role in immune tolerance

[44,45,46,47, 54,55,56,57,58, 60, 61, 63, 65, 66, 178, 238,239,240,241]

The FSP1-CoQH2 system

Lipid peroxidation

ASCL4, LPCAT3

The DHODH-CoQH2 system

The GCH1-BH4 system

Iron metabolism

TF, TFR, NCOA4, GOT1

The FSP1-Vitamin K system

Inducing ferroptosis

GSH depleting compounds

Mitochondrial metabolism

AMPK. ACC

GPX4 inhibitors

Depletion of GPX4 protein and CoQ10

Iron oxidation and indirect GPX4 inactivation