Volume 116, Issue 5 pp. 1352-1365
ORIGINAL ARTICLE
Open Access

Transferrin Receptor Promotes Endometrial Cancer Proliferation by Activating the Iron-Dependent PI3K/AKT/mTOR Signaling Pathway

Yufei Yang

Yufei Yang

Department of Clinical Medicine, Qingdao University, Qingdao, China

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: Writing - original draft, Methodology, ​Investigation, Conceptualization

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Ying Ning

Ying Ning

Center of Tumor Immunology and Cytotherapy, Medical Research Center, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: Project administration, Writing - review & editing

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Yu Chen

Yu Chen

Department of Clinical Medicine, Qingdao University, Qingdao, China

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: Formal analysis, ​Investigation

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Tian Tian

Tian Tian

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: ​Investigation, Validation

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Xinyan Gao

Xinyan Gao

Department of Clinical Medicine, Qingdao University, Qingdao, China

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: ​Investigation, Validation

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Yan Kong

Yan Kong

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Contribution: ​Investigation, Validation

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Ke Lei

Corresponding Author

Ke Lei

Center of Tumor Immunology and Cytotherapy, Medical Research Center, The Affiliated Hospital of Qingdao University, Qingdao, China

Correspondence:

Ke Lei ([email protected])

Zhumei Cui ([email protected])

Contribution: Project administration, Writing - review & editing

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Zhumei Cui

Corresponding Author

Zhumei Cui

Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, China

Correspondence:

Ke Lei ([email protected])

Zhumei Cui ([email protected])

Contribution: Funding acquisition, Supervision, Writing - review & editing

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First published: 01 March 2025
Citations: 1

Funding: This work was supported by National Natural Science Foundation of China (82472719).

ABSTRACT

Aberrant iron metabolism is frequently observed in cancers, including endometrial cancer (EC). However, the role of transferrin receptor (TFRC), a key regulator of iron metabolism, remains unclear in endometrial cancer. We found transferrin receptor expression was significantly upregulated in endometrial cancer tissues compared to adjacent nontumor tissues, and high transferrin receptor levels were associated with poor prognosis. Functional studies revealed that transferrin receptor knockdown impaired endometrial cancer cell proliferation in vitro and in vivo, while transferrin receptor overexpression enhanced endometrial cancer cell proliferation. Mechanistically, transferrin receptor activated the PI3K/AKT/mTOR signaling pathway, as its knockdown suppressed the pathway, and rapamycin, an mTOR inhibitor, reversed transferrin receptor-induced pathway activation and proliferation. Modulation of the labile iron pool by ferric ammonium citrate (FAC) or deferoxamine (DFO) rescued transferrin receptor-induced biological effects. Additionally, AURKA was identified as a regulator of transferrin receptor expression. These findings demonstrate the oncogenic role of transferrin receptor in endometrial cancer and suggest that targeting iron homeostasis and the PI3K/AKT/mTOR pathway may represent potential therapeutic strategies for endometrial cancer.

Conflicts of Interest

The authors declare no conflicts of interest.

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