The role of iron in tumour cell proliferation

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This paper reviews evidence for iron's role in promoting tumor cell proliferation and discusses the potential benefits of iron depletion as an adjunct cancer therapy.

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This paper reviews evidence on how iron influences tumor cell proliferation, focusing on iron’s roles in oxidation-reduction reactions and as a substrate/cofactor for enzymes involved in growth, alongside the possibility that excess iron promotes cancer risk via reactive oxygen species. It considers pathological settings with iron overload (e.g., hemochromatosis, hepatitis B/C, asbestosis, and endometriosis) as potential contributors to cancer development, and contrasts this with preclinical and mechanistic rationale for iron depletion/iron chelation as an adjunct to antitumor approaches. The authors emphasize breadth of “current scientific evidence” rather than presenting new experimental results, with an implicit caveat that conclusions integrate findings across heterogeneous studies and contexts. Relevance to endometriosis: the review explicitly lists endometriosis among pathological conditions where iron overload may increase cancer risk, though the paper’s main focus is broadly on iron’s protumoral role and iron depletion/chelation in cancer.

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Abstract

Iron has a pivotal role in homeostasis due to its participation in virtually all of the body's oxidation-reduction processes. However, iron can also be considered a double-edged weapon, as its excess may lead to an increased risk of developing cancer, presumably by the generation of reactive oxygen species, and its role as substrate to enzymes that participate in cell proliferation. Thus, iron might as well be considered a cofactor in tumour cell proliferation. In certain pathological conditions, such as haemochromatosis, hepatitis B and C virus infection, asbestosis and endometriosis, iron overload may increase the risk of cancer. By contrast, iron depletion could be considered a useful adjunct in antitumour therapy. This paper reviews the current scientific evidence behind iron's role as a protumoral agent, and the potential benefit of a state of iron depletion in patients with cancer.
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Abstract

Iron has a pivotal role in homeostasis due to its participation in virtually all of the body’s oxidationreduction processes. However, iron can also be considered a double-edged weapon, as its excess may lead to an increased risk of developing cancer, presumably by the generation of reactive oxygen species, and its role as substrate to enzymes that participate in cell proliferation. Thus, iron might as well be considered a cofactor in tumour cell proliferation. In certain pathological conditions, such as haemochromatosis, hepatitis B and C virus infection, asbestosis and endometriosis, iron overload may increase the risk of cancer. By contrast, iron depletion could be considered a useful adjunct in antitumour therapy. This paper reviews the current scientific evidence behind iron’s role as a protumoral agent, and the potential benefit of a state of iron depletion in patients with cancer. Similar content being viewed by others

References

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endometriosis

MeSH descriptors

Cell Proliferation Cell Proliferation Iron Neoplasms Anemia Anemia Anemia Anemia Animals Antineoplastic Agents Antineoplastic Agents Homeostasis Homeostasis Homeostasis Humans Iron Iron Iron Chelating Agents Iron Chelating Agents Neoplasms

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