Deep mutational scanning of human FDX1 (3,740 variants across 183 residues in ABC1 and HEK293T cells) identified D136 and D139 on Ξ±-helix 3 as critical for both cuproptosis sensitivity and DLAT lipoylation; charge-reversal mutants (D136R/D139R) abolish cellular function while retaining in vitro enzymatic activity, implicating an electrostatic partner interface β with DLD emerging as the likely upstream reductase over FDXR .
FDX1 levels are not static: in gastric cancer, copper stress lactylates METTL16 at K229, increasing m6A modification of FDX1 mRNA (METTL16-FDX1 mRNA correlation r=0.5084, TMA r=0.4662, both p<0.0001; SIRT2-FDX1 correlation r=-0.4536, p=0.0062), and elesclomol+AGK2 suppressed xenograft volume (p=0.0013) and weight (p=0.00027) . FDX1-dependent cuproptosis is anchored to the lipoylation pathway (LIAS, LIPT1, DLAT, DLD, PDHA1/PDHB) and is selectively lethal in high-mitochondrial-metabolism tumors .
No supplied source involves COF-Tpy-Se-Cu, oncolytic adenovirus, or radiation-fraction scheduling. The hypothesis therefore stacks three unevidenced premises onto an evidenced core (FDX1-lipoylation-cuproptosis axis). Key unknowns: whether the COF delivers bioavailable Cu and preserves the FDX1-D136/D139 interface; whether adenoviral infection or radiation shifts METTL16/SIRT2 balance or DLD activity (both plausibly radiation- and redox-sensitive, but untested here); and whether fraction spacing changes intracellular Cu flux faster than FDX1 protein turnover. Counterfactual risk: FDX1-independent copper death and pan-cancer context-dependence (FDX1 is prognostic in opposite directions across cancers, e.g., HR=2.2 in ACC vs HR=0.56 in KIRC) undermine any universal prediction .
Disproof test: if radioresistant tumors treated with COF-Tpy-Se-Cu + radiation show identical FDX1 stabilization and DLAT oligomerization regardless of virus-before vs virus-after fraction timing, the scheduling hypothesis is falsified and the effect, if any, is dose- rather than sequence-determined.
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