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GPX4 (Glutathione Peroxidase 4)
GPX4 (Glutathione Peroxidase 4)
<div class="infobox">
<table>
<tr><td><strong>Gene</strong></td><td>GPX4</td></tr>
<tr><td><strong>UniProt</strong></td><td><a href="https://www.uniprot.org/uniprot/P36969">P36969</a></td></tr>
<tr><td><strong>Molecular Weight</strong></td><td>22 kDa</td></tr>
<tr><td><strong>Subcellular Localization</strong></td><td>Cytosol, Mitochondria, Nucleus</td></tr>
<tr><td><strong>PDB Structures</strong></td><td><a href="https://www.rcsb.org/structure/5L71">5L71</a>, <a href="https://www.rcsb.org/structure/2OBI">2OBI</a></td></tr>
<tr><td><strong>Aliases</strong></td><td>Phospholipid Hydroperoxide Glutathione Peroxidase, PHGPx</td></tr>
<tr>
<td class="label">Associated Diseases</td>
<td><a href="/wiki/als" style="color:#ef9a9a">ALS</a>, <a href="/wiki/alzheimer" style="color:#ef9a9a">ALZHEIMER</a>, <a href="/wiki/alzheimer's-disease" style="color:#ef9a9a">ALZHEIMER'S DISEASE</a>, <a href="/wiki/aging" style="color:#ef9a9a">Aging</a>, <a href="/wiki/als" style="color:#ef9a9a">Als</a></td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">1277 edges</a></td>
</tr>
</table>
</div>
Overview
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GPX4 (Glutathione Peroxidase 4)
<div class="infobox">
<table>
<tr><td><strong>Gene</strong></td><td>GPX4</td></tr>
<tr><td><strong>UniProt</strong></td><td><a href="https://www.uniprot.org/uniprot/P36969">P36969</a></td></tr>
<tr><td><strong>Molecular Weight</strong></td><td>22 kDa</td></tr>
<tr><td><strong>Subcellular Localization</strong></td><td>Cytosol, Mitochondria, Nucleus</td></tr>
<tr><td><strong>PDB Structures</strong></td><td><a href="https://www.rcsb.org/structure/5L71">5L71</a>, <a href="https://www.rcsb.org/structure/2OBI">2OBI</a></td></tr>
<tr><td><strong>Aliases</strong></td><td>Phospholipid Hydroperoxide Glutathione Peroxidase, PHGPx</td></tr>
<tr>
<td class="label">Associated Diseases</td>
<td><a href="/wiki/als" style="color:#ef9a9a">ALS</a>, <a href="/wiki/alzheimer" style="color:#ef9a9a">ALZHEIMER</a>, <a href="/wiki/alzheimer's-disease" style="color:#ef9a9a">ALZHEIMER'S DISEASE</a>, <a href="/wiki/aging" style="color:#ef9a9a">Aging</a>, <a href="/wiki/als" style="color:#ef9a9a">Als</a></td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">1277 edges</a></td>
</tr>
</table>
</div>
Overview
GPX4 (Glutathione Peroxidase 4), also known as phospholipid hydroperoxide glutathione peroxidase (PHGPx), is a unique member of the glutathione peroxidase family that directly reduces lipid hydroperoxides in cellular membranes. Unlike other GPX enzymes that require free hydrogen peroxide, GPX4 can reduce complex lipid hydroperoxides embedded within phospholipid bilayers, making it the master regulator of [ferroptosis](/entities/ferroptosis)—a regulated cell death pathway driven by iron-dependent lipid peroxidation.[@friedmann2014]
Structure and Domains
GPX4 is a 197-amino acid protein with a molecular weight of approximately 22 kDa. Unlike other selenoproteins, GPX4 contains a selenocysteine (Sec) residue at its active site (position 46 in humans), which is encoded by an in-frame UGA codon that normally signals translation termination.[@ingold2018]
Key structural features:
- Active site selenocysteine: Essential for the high catalytic efficiency of lipid hydroperoxide reduction
- Three functional isoforms: Cytosolic (cGPX4), mitochondrial (mGPX4), and nuclear (nGPX4), generated from alternative translation initiation sites
- SECIS element: A stem-loop structure in the 3' UTR required for selenocysteine incorporation
The crystal structure reveals a compact globular protein with the selenocysteine positioned in a surface-accessible pocket that accommodates phospholipid substrates.[@scheerer2007]
Normal Function
GPX4 serves as the primary defense against lipid peroxidation in cellular membranes:[@brigeliusfloh2013]
The catalytic cycle involves:
GPX4-SeH + LOOH → GPX4-SeOH + LOH
GPX4-SeOH + GSH → GPX4-SeSG + H2O
GPX4-SeSG + GSH → GPX4-SeH + GSSG
Role in Neurodegeneration
Ferroptosis and Neurodegeneration
GPX4 dysfunction is increasingly recognized as central to neurodegenerative diseases through ferroptosis:[@stockwell2017]
Alzheimer's Disease:
- GPX4 expression is reduced in AD brain tissue
- Lipid peroxidation markers are elevated in AD patients and correlate with cognitive decline
- [Aβ](/proteins/amyloid-beta) oligomers can trigger ferroptosis by depleting glutathione
- GPX4 haplodeficiency accelerates Aβ pathology in mouse models[@hambright2017]
- Iron accumulation in the substantia nigra creates conditions favorable for ferroptosis
- [α-Synuclein](/proteins/alpha-synuclein) aggregates can sequester GPX4, impairing its function
- GPX4 activators protect dopaminergic [neurons](/entities/neurons) in PD models
- GPX4 deficiency sensitizes neurons to ferroptotic death[@do2021]
- GPX4 levels are decreased in spinal motor neurons of ALS patients
- SOD1 mutations increase susceptibility to ferroptosis
- GPX4 overexpression extends survival in ALS mouse models
- Ferroptosis contributes to oligodendrocyte death in MS lesions
- GPX4 expression is reduced in active demyelinating lesions
Molecular Mechanisms
The ferroptosis pathway involves several key players that intersect with GPX4:[@jiang2021]
Therapeutic Targeting
GPX4 Activation Strategies
Several approaches are being explored to enhance GPX4 function:[@chen2021]
| Strategy | Mechanism | Status |
|----------|-----------|--------|
| Selenocysteine supplementation | Supports GPX4 synthesis | Preclinical |
| GPX4 mimetics | Small molecule antioxidants | Research phase |
| Gene therapy | GPX4 overexpression | Preclinical models |
| GSH precursors (NAC, GSH-EE) | Provides cofactor | Clinical use |
Ferroptosis Inhibitors
Indirect approaches to support GPX4 function:[@zilka2017]
- Deferoxamine: Iron chelator that reduces lipid peroxidation
- Liproxstatin-1: Direct ferroptosis inhibitor
- Ferrostatin-1: Lipid radical scavenger
- Vitamin E: Lipid-soluble antioxidant
System Xc- Modulators
- Dimethyl fumarate: Activates NRF2, increases GSH synthesis
- Sulfasalazine: Inhibits System Xc- (caution: may promote ferroptosis)
Protein Interactions
| Interacting Partner | Function | Relevance |
|---------------------|----------|-----------|
| Glutathione (GSH) | Essential cofactor | Substrate for peroxide reduction |
| FSP1/AIFM2 | Parallel ferroptosis suppressor | Redundant protection pathway |
| NRF2 | Transcription factor | Regulates GPX4 expression |
| Ferroportin | Iron exporter | Reduces labile iron pool |
| ACSL4 | Fatty acid metabolism | Generates PUFA-PL substrates |
Key Publications
See Also
- [Ferroptosis](/mechanisms/ferroptosis)
- [FSP1/AIFM2](/proteins/fsp1)
- [Ferritin Heavy Chain](/proteins/ferritin-h)
- [NRF2](/proteins/nrf2)
- [Iron Metabolism in Neurodegeneration](/mechanisms/iron-metabolism-neurodegeneration)
- [Glutathione System](/mechanisms/glutathione-system)
References
Pathway Diagram
The following diagram shows key molecular relationships for GPX4 (Glutathione Peroxidase 4) based on knowledge graph edges:
Related Hypotheses
From the [SciDEX Exchange](/exchange) — scored by multi-agent debate
- [Senescence-Induced Lipid Peroxidation Spreading](/hypothesis/h-7957bb2a) — <span style="color:#ffd54f;font-weight:600">0.54</span> · Target: GPX4/SLC7A11
Pathway Diagram
The following diagram shows the key molecular relationships involving GPX4 (Glutathione Peroxidase 4) discovered through SciDEX knowledge graph analysis:
▸Metadataorigin_type: v1_polymorphic_backfill
| slug | proteins-gpx4 |
| kg_node_id | GPX4 |
| entity_type | protein |
| origin_type | v1_polymorphic_backfill |
| source_table | wiki_pages |
| wiki_page_id | wp-b4776afbf0da |
| __merged_from | {'merged_at': '2026-05-13', 'unprefixed_id': 'proteins-gpx4'} |
| _schema_version | 1 |
No provenance edges found
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