Abstract Circular RNAs (circRNAs) play pivotal roles in bladder cancer (BCa) tumorigenesis, metastasis, and chemoresistance, but their functional involvement in cisplatin-induced ferroptosis remains poorly defined. Herein, we identified circSOD2 as a significantly upregulated circRNA in cisplatin-resistant BCa cell lines and clinical specimens via RNA sequencing. Functional assays demonstrated that circSOD2 overexpression enhanced BCa cell proliferation and cisplatin resistance in vitro (CCK-8, colony formation, and ferroptosis detection assays) and in vivo (xenograft mouse models). Mechanistically, ribosome profiling and Western blot analyses confirmed the protein-coding potential of circSOD2, which translates into a novel 149-amino acid peptide (SOD2-149aa). Co-immunoprecipitation (Co-IP) and glutathione S-transferase (GST) pull-down assays verified that SOD2-149aa directly binds to the RING domain of tripartite motif 26 (TRIM26), a ubiquitin E3 ligase. This interaction activates TRIM26-mediated K63-linked polyubiquitination of glutathione peroxidase 4 (GPX4) — a key anti-ferroptotic enzyme — at lysine residue 148, thereby preventing GPX4 proteasomal degradation and enhancing its protein stability. Stabilized GPX4 efficiently scavenges lipid reactive oxygen species (ROS) and reduces iron-dependent lipid peroxidation, ultimately mitigating cisplatin-induced ferroptosis and conferring cisplatin resistance in BCa. Conversely, circSOD2 silencing or SOD2-149aa knockout abrogated TRIM26-GPX4 interaction, diminished GPX4 stability, and restored BCa cell sensitivity to cisplatin. Collectively, our findings uncover a novel circRNA-encoded peptide that regulates ferroptosis and chemoresistance via the TRIM26-GPX4 axis, highlighting circSOD2/SOD2-149aa as a promising prognostic biomarker and therapeutic target for overcoming cisplatin resistance in BCa. Citation Format: Shanqi Guo, Zhihong Lv, Nan Wang, Xingkang Jiang. A novel 149-amino acid protein encoded by circSOD2 inhibits ferroptosis and promotes cisplatin resistance in bladder cancer abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2026; Part 1 (Regular Abstracts); 2026 Apr 17-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(7 Suppl):Abstract nr 7050.
Guo et al. (Fri,) studied this question.