Ageing limits stemness and tumorigenesis by reprogramming iron homeostasis Journal Article


Authors: Zhuang, X.; Wang, Q.; Joost, S.; Ferrena, A.; Humphreys, D. T.; Li, Z.; Blum, M.; Krause, K.; Ding, S.; Landais, Y.; Zhan, Y.; Zhao, Y.; Chaligne, R.; Lee, J. H.; Carrasco, S. E.; Bhanot, U. K.; Koche, R. P.; Bott, M. J.; Katajisto, P.; Soto-Feliciano, Y. M.; Pisanic, T.; Thomas, T.; Zheng, D.; Wong, E. S.; Tammela, T.
Article Title: Ageing limits stemness and tumorigenesis by reprogramming iron homeostasis
Abstract: Ageing is associated with a decline in the number and fitness of adult stem cells1,2. Ageing-associated loss of stemness is posited to suppress tumorigenesis3,4, but this hypothesis has not been tested in vivo. Here we use physiologically aged autochthonous genetically engineered5,6 mouse models and primary cells5,6 to demonstrate that ageing suppresses lung cancer initiation and progression by degrading the stemness of the alveolar cell of origin. This phenotype is underpinned by the ageing-associated induction of the transcription factor NUPR1 and its downstream target lipocalin-2 in the cell of origin in mice and humans, which leads to functional iron insufficiency in the aged cells. Genetic inactivation of the NUPR1–lipocalin-2 axis or iron supplementation rescues stemness and promotes the tumorigenic potential of aged alveolar cells. Conversely, targeting the NUPR1–lipocalin-2 axis is detrimental to young alveolar cells through ferroptosis induction. Ageing-associated DNA hypomethylation at specific enhancer sites is associated with increased NUPR1 expression, which is recapitulated in young alveolar cells through DNA methylation inhibition. We uncover that ageing drives functional iron insufficiency that leads to loss of stemness and tumorigenesis but promotes resistance to ferroptosis. These findings have implications for the therapeutic modulation of cellular iron homeostasis in regenerative medicine and in cancer prevention. Furthermore, our findings are consistent with a model whereby most human cancers initiate at a young age, thereby highlighting the importance of directing cancer prevention efforts towards young individuals. © The Author(s), under exclusive licence to Springer Nature Limited 2024.
Keywords: immunohistochemistry; adult; controlled study; human tissue; aged; middle aged; unclassified drug; human cell; methylation; histopathology; nonhuman; flow cytometry; cell proliferation; quality control; animal cell; mouse; phenotype; animal tissue; gene expression; animal experiment; animal model; genotype; lung cancer; transcription factor; immunofluorescence; dna methylation; histology; carcinogenesis; lung tumor; in situ hybridization; lung adenocarcinoma; dna; aging; real time polymerase chain reaction; tissue microarray; homeostasis; computer model; ex vivo study; lethargy; fluorescence activated cell sorting; dissociation; neutrophil gelatinase associated lipocalin; pyrosequencing; supplementation; inhibition; cell; lung injury; lung alveolus cell; hyperoxia; iron homeostasis; multiplicity of infection; fluorescence intensity; very elderly; cancer; human; article; differential gene expression; genetically engineered mouse strain; gene set enrichment analysis; crispr-cas9 system; deep neural network; humidity; plaque forming unit; suffocation; inductively coupled plasma mass spectrometry; cell stemness; transcription factor nupr1; hyperoxia lung injury; iron supplementation; lung dissociation
Journal Title: Nature
Volume: 637
Issue: 8044
ISSN: 0028-0836
Publisher: Nature Publishing Group  
Date Published: 2025-01-02
Start Page: 184
End Page: 194
Language: English
DOI: 10.1038/s41586-024-08285-0
PUBMED: 39633048
PROVIDER: scopus
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Tuomas Tammela -- Erratum issued, see DOI: 10.1038/s41586-025-09124-6 -- Source: Scopus
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MSK Authors
  1. Matthew Bott
    135 Bott
  2. Umeshkumar Kapaldev Bhanot
    93 Bhanot
  3. Richard Patrick Koche
    174 Koche
  4. Tuomas Tammela
    23 Tammela
  5. Xueqian Zhuang
    4 Zhuang
  6. Yingqian Zhan
    36 Zhan
  7. Zhuxuan Li
    4 Li
  8. Simon Joost
    4 Joost
  9. Melissa Margaret Blum
    2 Blum
  10. Klavdija Bastl
    1 Bastl
  11. Selena Yuegi Ding
    1 Ding