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铁死亡在缺血性脑卒中发病机制中的新作用:新的治疗靶点?

Emerging Role of Ferroptosis in the Pathogenesis of Ischemic Stroke: A New Therapeutic Target?

机构信息

Department of Neurology, 85024Shengjing Hospital of China Medical University, Shenyang, China.

Department of Neurology and Neuroscience Center, 117971The First Hospital of Jilin University, Changchun, China.

出版信息

ASN Neuro. 2021 Jan-Dec;13:17590914211037505. doi: 10.1177/17590914211037505.

Abstract

Ischemic stroke is one of the main causes of high morbidity, mortality, and disability worldwide; however, the treatment methods are limited and do not always achieve satisfactory results. The pathogenesis of ischemic stroke is complex, defined by multiple mechanisms; among them, programmed death of neuronal cells plays a significant role. Ferroptosis is a novel type of regulated cell death characterized by iron redistribution or accumulation and increased lipid peroxidation in the membrane. Ferroptosis is implicated in many pathological conditions, such as cancer, neurodegenerative diseases, and ischemia-reperfusion injury. In this review, we summarize current research findings on ferroptosis, including possible molecular mechanisms and therapeutic applications of ferroptosis regulators, with a focus on the involvement of ferroptosis in the pathogenesis and treatment of ischemic stroke. Understanding the role of ferroptosis in ischemic stroke will throw some light on the development of methods for diagnosis, treatment, and prevention of this devastating disease.

摘要

缺血性脑卒中是全球范围内高发病率、高死亡率和高致残率的主要原因之一;然而,治疗方法有限,并不总能取得满意的效果。缺血性脑卒中的发病机制复杂,由多种机制共同定义;其中,神经元细胞程序性死亡起着重要作用。铁死亡是一种新型的细胞死亡方式,其特征是铁重新分布或积累,以及膜内脂质过氧化增加。铁死亡与许多病理状况有关,如癌症、神经退行性疾病和缺血再灌注损伤。在这篇综述中,我们总结了铁死亡的最新研究发现,包括铁死亡调节剂的可能分子机制和治疗应用,重点介绍了铁死亡在缺血性脑卒中发病机制和治疗中的作用。了解铁死亡在缺血性脑卒中中的作用,将为这一毁灭性疾病的诊断、治疗和预防方法的发展提供一些思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9b8/8424725/712c3f40417f/10.1177_17590914211037505-fig1.jpg

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