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Stabilizing MARCH7 as a ferro-guardian against ferroptosis
Cell Online nowApril 27, 2026
Highlights
• Multi-omics analysis identifies MARCH7 as a master regulator of ferroptosis
• MARCH7 degrades NCOA4 by K48 ubiquitination to reduce the labile iron pool
• MARCH7 inhibits iron uptake by restricting TFR1 translocation by K63 ubiquitination
• Stabilization of MARCH7 by EmodAn inhibits ferroptosis in vitro and in vivo
Summary
Ferroptosis is an iron-dependent form of regulated cell death. However, the critical regulators that restrain iron overload to suppress ferroptosis remain undefined. Utilizing multi-omics, we identify the E3 ubiquitin ligase membrane-associated RING-CH 7 (MARCH7) as a non-redundant, dual suppressor of ferroptosis via direct regulation of intracellular iron homeostasis. Mechanistically, MARCH7 ubiquitylates nuclear receptor coactivator 4 (NCOA4) at residue Lys42 by K48-linked ubiquitination, promoting NCOA4 proteasomal degradation and reducing the labile iron pool. Concomitantly, MARCH7 modifies transferrin receptor 1 (TFR1) at residue Lys53 by K63 ubiquitination, restricting its plasma membrane translocation and thereby inhibiting cellular iron uptake. Through high-content screening, we further identify emodinanthrone (EmodAn) as a specific MARCH7 stabilizer with a strong cardioprotective effect in rodent models by blocking ferroptosis. In conclusion, our findings define an iron homeostasis regulatory hub for ferroptosis and suggest that stabilizing MARCH7 is a promising therapeutic strategy to protect against ferroptosis- or iron-overload-induced diseases.

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