Abstract:To investigate the activity and mechanism of sodium selenite (Na?SeO?) in inhibiting the KYSE-150 esophageal squamous cell carcinoma cells. Morphological observation, cell proliferation inhibition assay, wound healing assay, and Transwell assay were employed to evaluate the inhibitory effects of Na?SeO? on KYSE-150 cell proliferation and migration. Transcriptome sequencing was performed to identify the main mechanism mediating this inhibition. The effects of Na?SeO? on the contents of Reactive Oxygen Species (ROS), Fe2?, Malondialdehyde (MDA), and Glutathione (GSH) in cells were analyzed, and the impact on subcellular structures was observed by transmission electron microscopy. The results showed that Na?SeO? exhibited significant activity in inhibiting the proliferation and migration of KYSE-150 cells. After 24 h of high-concentration treatment, the proliferative activity was only 50.89% of that in the control group. Transwell assay results indicated that the number of cells passing through the chamber in the high-concentration group at 24 h of treatment was 15.38% of that in the control group; wound healing assay showed that the healing rate of the 10 μmol·L?1 group at 24 h was 34.22% of that in the control group. Transcriptome sequencing results revealed that differentially expressed genes were enriched in the ferroptosis signaling pathway. Cells exhibited iron-dependent ROS accumulation, with Fe2? and ROS levels in the highest concentration group reaching 2.57-fold and 15.81-fold those of the control group, respectively. Additionally, MDA content was increased (8.93-fold of the control group), while GSH content was decreased (0.39-fold of the control group), and subcellular structures showed a certain degree of damage. Whereas the anticancer effect of Na2SeO3 can be attenuated by Fer-1. In conclusion, Na?SeO? can induce imbalance of the intracellular redox system and damage to subcellular structures, thereby inhibiting the proliferation and migration of KYSE-150 cells via the ferroptosis pathway. This study provides an application prospect for the prevention and treatment of tumors.