A study in Cell Death Discovery reveals miR-139-5p's key role in triggering ferroptosis in glioma by targeting HMG-CoA reductase.miR-139-5p regulates ferroptosis by suppressing HMG-CoA reductase, impacting mevalonate pathway and lipid metabolism in glioma cells.The study highlights miR-139-5p as an endogenous activator of ferroptotic cell death, offering a potential anti-cancer strategy.Overexpression of miR-139-5p inhibits glioma cell proliferation and invasion while attenuating tumor growth by inducing ferroptosis.HMG-CoA reductase downregulation mimics statin effects, suggesting a targeted local therapeutic approach against gliomas.miR-139-5p downregulation of HMG-CoA reductase disrupts supply of isoprenoids, intensifying oxidative stress and promoting ferroptosis.The study underscores the potential of microRNA-based therapeutics and combinational regimens for glioma treatment.Findings emphasize miR-139-5p's broader implications in cancer biology, highlighting targeting lipid metabolism and ferroptosis in precision oncology.Advanced molecular biology techniques and preclinical models validate miR-139-5p's role in glioma progression and ferroptosis induction.The study's insights pave the way for transformative molecular therapies targeting glioma metabolism and cell fate decisions.