Xu Wenting, Deng Huimin, Hu Song, Zhang Yiguo, Zheng Li, Liu Meiyun, Chen Yuanli, Wei Juan, Yang Hao, Lv Xin
Department of Anesthesiology, Fuyang Hospital of Anhui Medical University, Fuyang, Anhui, 236000, People's Republic of China.
Department of Anesthesiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, 200433, People's Republic of China.
J Inflamm Res. 2021 May 20;14:2079-2090. doi: 10.2147/JIR.S307081. eCollection 2021.
Ferroptosis is a new type of programmed cell death characterized by intracellular iron accumulation and lipid peroxidation that leads to oxidative stress and cell death. The metabolism of iron, lipids, and amino acids and multiple signalling pathways precisely regulate the process of ferroptosis. Emerging evidence has demonstrated that ferroptosis participates in the occurrence and progression of various pathological conditions and diseases, such as infections, neurodegeneration, tissue ischaemia-reperfusion injury and immune diseases. Recent studies have also indicated that ferroptosis plays a critical role in the pathogenesis of acute lung injury, chronic obstructive pulmonary disease, pulmonary fibrosis, pulmonary infection and asthma. Herein, we summarize the latest knowledge on the regulatory mechanism of ferroptosis and its association with iron, lipid and amino acid metabolism as well as several signalling pathways. Furthermore, we review the contribution of ferroptosis to the pathogenesis of lung diseases and discuss ferroptosis as a novel therapeutic target for various lung diseases.
铁死亡是一种新型的程序性细胞死亡,其特征是细胞内铁积累和脂质过氧化,导致氧化应激和细胞死亡。铁、脂质和氨基酸的代谢以及多种信号通路精确调节铁死亡过程。新出现的证据表明,铁死亡参与各种病理状况和疾病的发生和发展,如感染、神经退行性变、组织缺血再灌注损伤和免疫疾病。最近的研究还表明,铁死亡在急性肺损伤、慢性阻塞性肺疾病、肺纤维化、肺部感染和哮喘的发病机制中起关键作用。在此,我们总结了关于铁死亡调节机制及其与铁、脂质和氨基酸代谢以及几种信号通路关联的最新知识。此外,我们回顾了铁死亡对肺部疾病发病机制的贡献,并讨论了铁死亡作为各种肺部疾病的新型治疗靶点。