Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Cardiovascular Research Institute of Wuhan University, Wuhan, China.
Bioengineered. 2021 Dec;12(2):9367-9376. doi: 10.1080/21655979.2021.2001913.
Cardiac dysfunction is a common complication of sepsis, and is attributed to severe inflammatory responses. Ferroptosis is reported to be involved in sepsis-induced cardiac inflammation. Therefore, we speculated that ferrostatin-1 (Fer-1), a ferroptosis inhibitor, improves cardiac dysfunction caused by sepsis. An intraperitoneal injection of lipopolysaccharide (LPS) was performed to induce a rat cardiac dysfunction model. Echocardiography, cardiac histopathology, biochemical and western blot results were analyzed. Twelve hours after the LPS injection, LPS-treated rats exhibited deteriorating cardiac systolic function, increased levels of cardiac injury markers and levels of ferroptosis markers prostaglandin endoperoxide synthase 2 (PTGS2). Additionally, LPS increased iron deposition in the myocardium, with downregulating ferroportin (FPN, SLC40A1) and transferrin receptor (TfR)expression, and upregulating ferritin light chain (FTL) and ferritin heavy chain (FTH1) expression. Meanwhile, LPS also increased lipid peroxidation in the rat heart by decreasing the expression of glutathione peroxidase 4 (GPX4). Moreover, the expression of inflammatory cytokines, such as tumor necrosis-alpha (TNF-α), interleukin-1 (IL-1β), and interleukin-6 (IL-6), and inflammatory cell infiltration were also increased following LPS challenge. Finally, the abovementioned adverse effects of LPS were relieved by Fer-1 except for TfR expression. Mechanistically, Fer-1 significantly reduced the levels of toll-like receptor 4 (TLR4), phospho-nuclear factor kappa B (NF-κB), and phospho-inhibitor of kappa Bα (IκBα) in LPS-treated rats. In summary, these findings imply that Fer-1 improved sepsis-induced cardiac dysfunction at least partially via the TLR4/NF-κB signaling pathway.
心脏功能障碍是脓毒症的常见并发症,其与严重的炎症反应有关。铁死亡被报道参与了脓毒症引起的心脏炎症。因此,我们推测铁死亡抑制剂 ferrostatin-1(Fer-1)可以改善脓毒症引起的心脏功能障碍。通过腹腔注射脂多糖(LPS)诱导大鼠心脏功能障碍模型。分析超声心动图、心脏组织病理学、生化和 Western blot 结果。LPS 注射 12 小时后,LPS 处理的大鼠表现出心脏收缩功能恶化,心脏损伤标志物水平升高,铁死亡标志物前列腺素内过氧化物合酶 2(PTGS2)水平升高。此外,LPS 增加了心肌中铁的沉积,下调了铁蛋白转运蛋白(FPN,SLC40A1)和转铁蛋白受体(TfR)的表达,上调了铁蛋白轻链(FTL)和铁蛋白重链(FTH1)的表达。同时,LPS 通过降低谷胱甘肽过氧化物酶 4(GPX4)的表达,也增加了大鼠心脏中的脂质过氧化。此外,LPS 刺激后肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1β)和白细胞介素-6(IL-6)等炎症细胞因子的表达和炎症细胞浸润也增加。最后,Fer-1 缓解了 LPS 的上述不利影响,但不能缓解 TfR 的表达。机制上,Fer-1 显著降低了 LPS 处理大鼠中 toll 样受体 4(TLR4)、磷酸核因子 kappa B(NF-κB)和磷酸抑制因子 kappa Bα(IκBα)的水平。综上所述,这些发现表明 Fer-1 通过 TLR4/NF-κB 信号通路至少部分改善了脓毒症引起的心脏功能障碍。
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