
Assistant Professor
Georgia Cancer Center, Department of Medicine, Medical College of Georgia
Assistant Professor, Department of Pediatrics, Division of Hematology/Oncology
Jump to: Research SummaryImpact on Georgia patientsResearch FocusResearch InterestsPublicationsTeam
The Xingguo Zhu Lab
Health Sciences Campus
GCC - M. Bert Storey Research Building
1410 Laney Walker Blvd., CN-4125B1
Lab: CN-4125
(706) 721-6301
Lab: (706) 721-6302
The Zhu laboratory is interested in the function of transcription factor NRF2, a master regulator for the oxidative stress response, in physiological and pathophysiological conditions, including sickle cell disease (SCD) and liver tumors. The research focus of the lab is to understand how NRF2 mediates gene expression and how this regulatory mechanism could be exploited to achieve therapeutic goals.

Dr. Zhu pursues a dual mission with direct relevance to Georgia patients: understanding the mechanisms that drive liver cancer, and developing better treatments for sickle cell disease.
His discovery that liver tumors systematically suppress a cellular self-destruction pathway called ferroptosis—essentially building a molecular shield against iron-dependent cell death—is opening new therapeutic avenues for a cancer where Georgia ranks in the top 15 states nationally.
His parallel work on the NRF2 pathway in sickle cell disease, a condition concentrated in Georgia's African American communities, is identifying novel small-molecule approaches that could improve the lives of patients across the state.
Multi-omics study of liver tumors
Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer and the third leading cause of cancer death worldwide. As the primary organ of numerous metabolic processes, the liver undergoes profound metabolic dysregulation during HCC development compared to normal hepatocytes. Key metabolic processes from glucose, fatty acid, energy generation, nucleotide, and amino acid metabolisms, are significantly altered in the disease. These alterations enhance the tumor’s ability to thrive, proliferate, and metastasize. Moreover, aberrantly produced metabolites engaged in crosstalk with other regulatory signals, influencing genomic stability, transcription regulation, and protein synthesis.
By integrating transcriptomic, epigenetic, and metabolic profiling, we identified aberrant regulation of ferroptosis, an iron-mediated programmed cell death, in both human and animal HCC models, compared to non-tumor liver tissues. This revealed a metabolic landscape enriched in anti-ferroptotic activity, suggesting systematic reprogramming of ferroptosis defense in HCC. Currently, our lab specifically focuses on the identification of critical metabolites that present ferroptosis induction effect in liver tumor treatment.
NRF2 functions in Sickle Cell Disease
Using human erythroid primary cells and an NRF2 knockout SCD mouse model, research in our lab will determine the important role of NRF2 in developmentally regulated hemoglobin switching during SCD development. Major research focus includes: 1) the role of NRF2 in the regulation of globin gene expression and switching. 2) Studies of the deleterious effect for downregulated NRF2 in SCD patient’s erythroid progenitor cells. 3) Using the NRF2 knockout SCD mouse model to determine the essential function of NRF2 on SCD pathophysiology. 4) explore small chemical compounds with NRF2 induction activity in SCD treatment. To achieve these objectives, the laboratory has successfully applied multiple molecular biotechnologies to extensively reveal the detailed molecular mechanism for NRF2 in human globin gene regulation, γ- to β-globin gene switching and their relevant for the treatment of SCD.
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​ IFN-γ/JAK/STAT axis awakens the delta force of hemoglobinPace, B. S. & Zhu, X., Mar 5 2026, In: Blood. 147, 10, p. 1014-1015 2 p.Research output: Contribution to journal › Editorial › peer-review |
​ Transsulfuration pathway activation attenuates oxidative stress and ferroptosis in sickle primary erythroblasts and transgenic miceXi, C., Pang, J., Xue, W., Cui, Y., Jiang, N., Zhi, W., Shi, H., Horuzsko, A., Pace, B. S. & Zhu, X., Dec 2025, In: Communications Biology. 8, 1, 15.Research output: Contribution to journal › Article › peer-review |
​ Innovations in Drug Discovery for Sickle Cell Disease Targeting Oxidative Stress and NRF2 Activation—A Short ReviewStarlard-Davenport, A., Palani, C. D., Zhu, X. & Pace, B. S., May 2025, In: International journal of molecular sciences. 26, 9, 4192.Research output: Contribution to journal › Review article › peer-review |
​ Simvastatin-Mediated Nrf2 Activation Induces Fetal Hemoglobin and Antioxidant Enzyme Expression to Ameliorate the Phenotype of Sickle Cell DiseaseXi, C., Palani, C., Takezaki, M., Shi, H., Horuzsko, A., Pace, B. S. & Zhu, X., Mar 2024, In: Antioxidants. 13, 3, 337.Research output: Contribution to journal › Article › peer-review |
​ Bach1 inhibitor HPP-D mediates γ-globin gene activation in sickle erythroid progenitorsPalani, C. D., Zhu, X., Alagar, M., Attucks, O. C. & Pace, B. S., Jan 2024, In: Blood Cells, Molecules, and Diseases. 104, 102792.Research output: Contribution to journal › Article › peer-review |
​ Targeting TREM1 augments antitumor T cell immunity by inhibiting myeloid-derived suppressor cells and restraining anti–PD-1 resistanceAjith, A., Mamouni, K., Horuzsko, D. D., Musa, A., Dzutsev, A. K., Fang, J. R., Chadli, A., Zhu, X., Lebedyeva, I., Trinchieri, G. & Horuzsko, A., Nov 1 2023, In: Journal of Clinical Investigation. 133, 21, e167951.Research output: Contribution to journal › Article › peer-review |
​ Nrf2 Drives Hepatocellular Carcinoma Progression through Acetyl-CoA-Mediated Metabolic and Epigenetic Regulatory NetworksXi, C., Pang, J., Barrett, A., Horuzsko, A., Ande, S., Mivechi, N. F. & Zhu, X., Oct 1 2023, In: Molecular Cancer Research. 21, 10, p. 1079-1092 14 p.Research output: Contribution to journal › Article › peer-review |
​ Nrf2 sensitizes ferroptosis through L-2-hydroxyglutarate–mediated chromatin modifications in sickle cell diseaseXi, C., Pang, J., Zhi, W., Chang, C. S. S., Siddaramappa, U., Shi, H., Horuzsko, A., Pace, B. S. & Zhu, X., Jul 27 2023, In: Blood. 142, 4, p. 382-396 15 p.Research output: Contribution to journal › Article › peer-review |
​ Novel histone deacetylase inhibitor CT-101 induces γ-globin gene expression in sickle erythroid progenitors with targeted epigenetic effectsJunker, L. H., Li, B., Zhu, X., Koti, S., Cerbone, R. E., Hendrick, C. L., Sangerman, J., Perrine, S. & Pace, B. S., Mar 2022, In: Blood Cells, Molecules, and Diseases. 93, 102626.Research output: Contribution to journal › Article › peer-review |
​ NRF2 mediates γ-globin gene regulation through epigenetic modifications in a β-YAC transgenic mouse modelZhu, X., Xi, C., Ward, A., Takezaki, M., Shi, H., Peterson, K. R. & Pace, B. S., Sep 1 2020, In: Experimental Biology and Medicine. 245, 15, p. 1308-1318 11 p.Research output: Contribution to journal › Article › peer-review |
​ Conjugate prodrug AN-233 induces fetal hemoglobin expression in sickle erythroid progenitors and β-YAC transgenic miceOseghale, A. R., Zhu, X., Li, B., Peterson, K. R., Nudelman, A., Rephaeli, A., Xu, H. & Pace, B. S., Nov 2019, In: Blood Cells, Molecules, and Diseases. 79, 102345.Research output: Contribution to journal › Article › peer-review |
​ Feature article: δ-Aminolevulinate induces fetal hemoglobin expression by enhancing cellular heme biosynthesisLiu, L., Zhu, X., Yu, A., Ward, C. M. & Pace, B. S., Oct 1 2019, In: Experimental Biology and Medicine. 244, 14, p. 1220-1232 13 p.Research output: Contribution to journal › Article › peer-review |
​ MIR-144-mediated NRF2 gene silencing inhibits fetal hemoglobin expression in sickle cell diseaseLi, B., Zhu, X., Ward, C. M., Starlard-Davenport, A., Takezaki, M., Berry, A., Ward, A., Wilder, C., Neunert, C., Kutlar, A. & Pace, B. S., Feb 2019, In: Experimental Hematology. 70, p. 85-96.e5Research output: Contribution to journal › Article › peer-review |
​ Mechanisms of NRF2 activation to mediate fetal hemoglobin induction and protection against oxidative stress in sickle cell diseaseZhu, X., Oseghale, A. R., Nicole, L. H., Li, B. & Pace, B. S., Feb 1 2019, In: Experimental Biology and Medicine. 244, 2, p. 171-182 12 p.Research output: Contribution to journal › Review article › peer-review |
​ Fetal hemoglobin induction in sickle erythroid progenitors using a synthetic zinc finger DNA-binding domainLi, B., Zhu, X., Hossain, M. A., Guy, C. R., Xu, H., Bungert, J. & Pace, B. S., Aug 31 2018, In: Haematologica. 103, 9, p. e384-e387Research output: Contribution to journal › Letter › peer-review |
​ Loss of NRF2 function exacerbates the pathophysiology of sickle cell disease in a transgenic mouse modelZhu, X., Xi, C., Thomas, B. & Pace, B. S., Feb 1 2018, In: Blood. 131, 5, p. 558-562 5 p.Research output: Contribution to journal › Article › peer-review |
​ Hydroxyurea differentially modulates activator and repressors of γ-globin gene in erythroblasts of responsive and non-responsive patients with sickle cell disease in correlation with index of hydroxyurea responsivenessZhu, X., Hu, T., Ho, M. H., Wang, Y., Yu, M., Patel, N., Pi, W., Choi, J.-H., Xu, H., Ganapathy, V., Kutlar, F., Kutlar, A. & Tuan Lo, D., Nov 30 2017, In: Haematologica. 102, 12, p. 1995-2004 10 p.Research output: Contribution to journal › Article › peer-review |
​ NRF2 mediates γ-globin gene regulation and fetal hemoglobin induction in human erythroid progenitorsZhu, X., Li, B. & Pace, B. S., Jul 31 2017, In: Haematologica. 102, 8, p. e285-e288Research output: Contribution to journal › Letter › peer-review |
​ Hypermethylated LTR retrotransposon exhibits enhancer activityHu, T., Zhu, X., Pi, W., Yu, M., Shi, H. & Tuan Lo, D., Mar 4 2017, In: Epigenetics. 12, 3, p. 226-237 12 p.Research output: Contribution to journal › Article › peer-review |
​ Long non-coding RNAs transcribed by ERV-9 LTR retrotransposon act in cis to modulate long-range LTR enhancer functionHu, T., Pi, W., Zhu, X., Yu, M., Ha, H., Shi, H., Choi, J.-H. & Tuan Lo, D., 2017, In: Nucleic Acids Research. 45, 8, p. 4479-4492 14 p.Research output: Contribution to journal › Article › peer-review |
​ NF-Y Recruits Both Transcription Activator and Repressor to Modulate Tissue- and Developmental Stage-Specific Expression of Human γ-Globin GeneZhu, X., Wang, Y., Pi, W., Liu, H., Wickrema, A. & Tuan Lo, D., Oct 10 2012, In: PloS one. 7, 10, e47175.Research output: Contribution to journal › Article › peer-review |
​ Long-range function of an intergenic retrotransposonPi, W., Zhu, X., Wu, M., Wang, Y., Fulzele, S. T., Eroglu, A., Ling, J. & Tuan Lo, D., Jul 20 2010, In: Proceedings of the National Academy of Sciences of the United States of America. 107, 29, p. 12992-12997 6 p.Research output: Contribution to journal › Article › peer-review |
​ Evaluation of Glu11 and Gly8 of the H5N1 influenza hemagglutinin fusion peptide in membrane fusion using pseudotype virus and reverse geneticsSu, Y., Zhu, X., Wang, Y., Wu, M. & Tien, P., Feb 1 2008, In: Archives of Virology. 153, 2, p. 247-257 11 p.Research output: Contribution to journal › Article › peer-review |
​ A facilitated tracking and transcription mechanism of long-range enhancer functionZhu, X., Ling, J., Zhang, L., Pi, W., Wu, M. & Tuan Lo, D., Aug 2007, In: Nucleic Acids Research. 35, 16, p. 5532-5544 13 p.Research output: Contribution to journal › Article › peer-review |
​ The long terminal repeat (LTR) of ERV-9 human endogenous retrovirus binds to NF-Y in the assembly of an active LTR enhancer complex NF-Y/MZF1/GATA-2Yu, X., Zhu, X., Pi, W., Ling, J., Ko, L., Takeda, Y. & Tuan, D., Oct 21 2005, In: Journal of Biological Chemistry. 280, 42, p. 35184-35194 11 p.Research output: Contribution to journal › Article › peer-review |
​ Binding of trans-acting protein AngCP to the CCAAT-containing motifs in Aspergillus niger glaA promoterZhu, X., Qiu, R., Liu, L. & Tang, G., Apr 2004, In: Progress in Natural Science. 14, 4, p. 338-343 6 p.Research output: Contribution to journal › Article › peer-review |
​ The synergetic effects of two CCAAT boxes in Aspergillus niger glaA gene promoter on activation of PglaA transcriptionZhu, X., Wang, H. M., Qiu, R., Liu, L., Dong, Z. & Tang, G., 2004, In: Science in China, Series C: Life Sciences. 47, 2, p. 139-147 9 p.Research output: Contribution to journal › Article › peer-review |
​ Improving heterologous gene expression in Aspergillus niger by introducing multiple copies of protein-binding sequence containing CCAAT to the promoterLiu, L., Liu, J., Qiu, R. X., Zhu, X., Dong, Z. Y. & Tang, G. M., 2003, In: Letters in Applied Microbiology. 36, 6, p. 358-361 4 p.Research output: Contribution to journal › Article › peer-review |
​ Construction of recipient strain of expression-secretion system in filamentous fungiLiu, L., Liu, J., Qiu, R. X., Zhu, X. & Tang, G. M., Nov 2002, In: Sheng wu gong cheng xue bao = Chinese journal of biotechnology. 18, 6, p. 667-670 4 p.Research output: Contribution to journal › Article › peer-review |
​ Detection of a protein, AngCP, which binds specifically to the three upstream regions of glaA gene in A. niger T21Qiu, R., Zhu, X., Liu, L. & Tang, G., 2002, In: Science in China, Series C: Life Sciences. 45, 5, p. 527-537 11 p.Research output: Contribution to journal › Article › peer-review |

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