PT - JOURNAL ARTICLE AU - Wang, Tian-Xiang AU - Duan, Kun-Long AU - Huang, Zi-Xuan AU - Xue, Zi-An AU - Liang, Jun-Yun AU - Dang, Yongjun AU - Zhang, Ao AU - Xiong, Yue AU - Ding, Chunyong AU - Guan, Kun-Liang AU - Yuan, Hai-Xin TI - Tanshinone functions as a coenzyme that confers gain of function of NQO1 to suppress ferroptosis AID - 10.26508/lsa.202201667 DP - 2023 Jan 01 TA - Life Science Alliance PG - e202201667 VI - 6 IP - 1 4099 - http://www.life-science-alliance.org/content/6/1/e202201667.short 4100 - http://www.life-science-alliance.org/content/6/1/e202201667.full SO - Life Sci. Alliance2023 Jan 01; 6 AB - Ferroptosis is triggered by the breakdown of cellular iron-dependent redox homeostasis and the abnormal accumulation of lipid ROS. Cells have evolved defense mechanisms to prevent lipid ROS accumulation and ferroptosis. Using a library of more than 4,000 bioactive compounds, we show that tanshinone from Salvia miltiorrhiza (Danshen) has very potent inhibitory activity against ferroptosis. Mechanistically, we found that tanshinone functions as a coenzyme for NAD(P)H:quinone oxidoreductase 1 (NQO1), which detoxifies lipid peroxyl radicals and inhibits ferroptosis both in vitro and in vivo. Although NQO1 is recognized as an oxidative stress response gene, it does not appear to have a direct role in ferroptosis inhibition in the absence of tanshinone. Here, we demonstrate a gain of function of NQO1 induced by tanshinone, which is a novel mechanism for ferroptosis inhibition. Using mouse models of acute liver injury and ischemia/reperfusion heart injury, we observed that tanshinone displays protective effects in both the liver and the heart in a manner dependent on NQO1. Our results link the clinical use of tanshinone to its activity in ferroptosis inhibition.