Ferroptosis in chemotherapy resistance and resensitization in breast cancer: a systematic review of preclinical evidence and translational implications - Scorecard - MDSpire

Ferroptosis in chemotherapy resistance and resensitization in breast cancer: a systematic review of preclinical evidence and translational implications

  • By

  • Kezhen Shen

  • Heng Zhang

  • Lei Cai

  • July 1, 2026

  • 0 min

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Clinical Scorecard: Ferroptosis and Its Role in Chemotherapy Resistance and Resensitization in Breast Cancer: A Comprehensive Review of Preclinical Findings and Clinical Implications

At a Glance

CategoryDetail
ConditionBreast Cancer
Key MechanismsFerroptosis regulation, particularly the GPX4 axis, iron metabolism regulation, and the SLC7A11/xCT pathway.
Target PopulationPatients with triple-negative breast cancer (TNBC).
Care SettingOncology, specifically in the context of chemotherapy resistance.

Key Highlights

  • Ferroptosis is a potential therapeutic vulnerability in drug-resistant cancers.
  • Approximately 30-50% of TNBC cases exhibit chemoresistance.
  • The GPX4 axis is the most consistently supported mechanism for overcoming chemoresistance.
  • Ferroptosis induction may circumvent chemoresistance in TNBC.
  • Recent studies show TNBC cells are more vulnerable to ferroptosis-inducing agents.

Guideline-Based Recommendations

Diagnosis

  • Assess the presence of triple-negative breast cancer (TNBC) through receptor status.

Management

  • Consider ferroptosis modulation as a strategy in chemotherapy-resistant TNBC.

Monitoring & Follow-up

  • Evaluate treatment response and resistance mechanisms in TNBC patients undergoing chemotherapy.

Risks

  • Potential for increased oxidative stress and cellular damage if ferroptosis is improperly regulated.

Patient & Prescribing Data

Patients with chemotherapy-resistant triple-negative breast cancer.

Incorporating ferroptosis inducers may enhance treatment efficacy in resistant cases.

Clinical Best Practices

  • Utilize GPX4 modulation as a therapeutic target in drug-resistant breast cancer.
  • Conduct in vivo validation for new therapeutic strategies targeting ferroptosis.

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