ID: h-e91a4dd06a
Hypothesis

FSP1/CoQ10 Axis as GPX4-Independent Neuroprotective Pathway

FSP1 generates CoQ10 to trap lipid peroxyl radicals at the plasma membrane, providing GPX4-independent protection.
🧬 FSP1 (NQO1/FDXR axis) / CoQ10 biosynthetic pathway🩺 neurodegeneration🎯 Composite 48%💱 $0.51▲3.1%proposed
EvidencePending (0%)📖 0 cit🗣 1 debates 3 support 3 oppose
✓ All Quality Gates Passed
Mechanistic 0.58 (15%) Evidence 0.55 (15%) Novelty 0.58 (12%) Feasibility 0.38 (12%) Impact 0.45 (12%) Druggability 0.32 (10%) Safety 0.60 (8%) Competition 0.52 (6%) Data Avail. 0.50 (5%) Reproducible 0.55 (5%) KG Connect 0.50 (8%) 0.480 composite

🧪 Overview

FSP1 generates CoQ10 to trap lipid peroxyl radicals at the plasma membrane, providing GPX4-independent protection. However, CoQ10 supplementation is implausible for acute post-CA injury (hours timeframe) due to limited brain penetration and primary mitochondrial localization. 'FSP1 inducer' (Nrf2 activators) activate hundreds of genes without FSP1 specificity. CoQ10 trials in cardiac arrest survivors showed no neurological benefit. FSP1 expression in brain microvascular endothelial cells is uncharacterized.

🧬 Mechanism

🧬 Curated Mechanism Pathway

Curated pathway from expert analysis

flowchart TD
    A["FSP1/FSHR1 Ferroptosis Suppressor<br/>NQO1-Like Enzyme"]
    B["CoQ10 Regeneration<br/>NADPH-Dependent Ubiquinone Reduction"]
    C["GPX4-Independent Ferroptosis Defense<br/>Lipid Peroxide Detoxification"]
    D["Iron-Dependent Cell Death<br/>Ferroptosis Execution"]
    E["GPX4 and FSP1 Dual Axis<br/>Robust Ferroptosis Barrier"]
    F["FSP1 Knockdown<br/>Ferroptosis Vulnerability Increased"]
    A --> B
    B --> C
    C --> E
    D -.->|"induces"| F
    E --> D
    style A fill:#1a237e,stroke:#4fc3f7,color:#4fc3f7
    style E fill:#1b5e20,stroke:#81c784,color:#81c784
    style F fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a

⚖️ Evidence

⚖️ Evidence Matrix3 supports3 contradicts
Supports
FSP1 identified as ferroptosis suppressor
Supports
FSP1/CoQ10 axis confirmed
Supports
CoQ10 analogs protect against neuronal ferroptosis
Contradicts
CoQ10 trial in cardiac arrest survivors showed no neurological benefit
Contradicts
CoQ10 has limited plasma-to-brain transfer for acute therapy
Contradicts
Nrf2 activators lack FSP1 specificity
📖 Linked Papers

No linked papers recorded for this hypothesis yet.

🏥 Translation

🧬 3D Protein Structure — FSP1

No curated PDB or AlphaFold mapping for FSP1 yet. Search RCSB →

💉 Clinical Trials

No clinical trials data linked to this hypothesis yet.

No curated ClinVar variants loaded for this hypothesis.

Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.

🔍 Search ClinVar for FSP1 (NQO1 →

No DepMap CRISPR Chronos data found for FSP1 (NQO1.

Run python3 scripts/backfill_hypothesis_depmap.py to populate.

💰 Estimated Development
Cost
$0
Timeline

🏆 Tournament

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📊 Market Indicators

7d Trend
Stable
7d Momentum
▲ 0.0%
Volatility
Low
0.0172
Events (7d)
1
Price History
▲3.1%

💾 Resource Usage

LLM Tokens
12,340
$0.0370
Total Cost
$0.0370

🔮 Predictions

🔎 Predictions vs Observations2 predictions · 0 with recorded observations
PredictionPredictedObservedStatusConf
IF CRISPR/Cas9-mediated FSP1 knockout iPSC-derived neurons are exposed to oxygen-glucose deprivation (OGD) for 90 min, THEN knockout cells will show ≥40% increase in cell death (PI staining) at 24h coSignificant increase in neuronal death following FSP1 knockout under OGD— no observation —pending0.45
IF human brain microvascular endothelial cells (hBMVECs) are isolated from post-cardiac arrest patients within 24 hours and FSP1 protein expression is quantified by immunoblot, THEN endothelial FSP1 lPositive correlation between endothelial FSP1 expression and neurological recovery— no observation —pending0.35
🔮 Falsifiable Predictions (2)
pendingconf 45%
IF CRISPR/Cas9-mediated FSP1 knockout iPSC-derived neurons are exposed to oxygen-glucose deprivation (OGD) for 90 min, THEN knockout cells will show ≥40% increase in cell death (PI staining) at 24h compared to wildtype controls, despite preserved GPX4 expression.
Predicted outcome: Significant increase in neuronal death following FSP1 knockout under OGD
Falsification: No significant difference in cell death between FSP1 knockout and wildtype neurons (<20% difference), indicating FSP1 is not independently neuroprotective
pendingconf 35%
IF human brain microvascular endothelial cells (hBMVECs) are isolated from post-cardiac arrest patients within 24 hours and FSP1 protein expression is quantified by immunoblot, THEN endothelial FSP1 levels will positively correlate with 90-day cerebral performance category (CPC) scores with r > 0.4.
Predicted outcome: Positive correlation between endothelial FSP1 expression and neurological recovery
Falsification: No significant correlation (p > 0.05) or FSP1 protein below detection limit in >80% of samples regardless of outcome
Metadatasource: v1_phase_c_backfill · origin_type: debate_synthesizer
sourcev1_phase_c_backfill
origin_typedebate_synthesizer
_schema_version1
📊 Evidence Profile
Evidence Balance
+0%
Certainty
0%
Debates
0
Incoming
0
Outgoing
0
0 supporting 0 contradicting 0 neutral
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