新冠病毒感染中的铁死亡与多器官并发症:机制与潜在疗法

Ferroptosis and multi-organ complications in COVID-19: mechanisms and potential therapies.

作者信息

Li Qi, Chen Zeyuan, Zhou Xiaoshi, Li Guolin, Zhang Changji, Yang Yong

机构信息

Department of Pharmacy, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Personalized Drug Therapy Key Laboratory of Sichuan Province, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Front Genet. 2023 May 26;14:1187985. doi: 10.3389/fgene.2023.1187985. eCollection 2023.

Abstract

COVID-19 is an infectious disease caused by SARS-CoV-2, with respiratory symptoms as primary manifestations. It can progress to severe illness, leading to respiratory failure and multiple organ dysfunction. Recovered patients may experience persistent neurological, respiratory, or cardiovascular symptoms. Mitigating the multi-organ complications of COVID-19 has been highlighted as a crucial part of fighting the epidemic. Ferroptosis is a type of cell death linked to altered iron metabolism, glutathione depletion, glutathione peroxidase 4 (GPX4) inactivation, and increased oxidative stress. Cell death can prevent virus replication, but uncontrolled cell death can also harm the body. COVID-19 patients with multi-organ complications often exhibit factors related to ferroptosis, suggesting a possible connection. Ferroptosis inhibitors can resist SARS-CoV-2 infection from damaging vital organs and potentially reduce COVID-19 complications. In this paper, we outline the molecular mechanisms of ferroptosis and, based on this, discuss multi-organ complications in COVID-19, then explore the potential of ferroptosis inhibitors as a supplementary intervention for COVID-19. This paper will provide a reference for the possible treatment of SARS-CoV-2 infected disease to reduce the severity of COVID-19 and its subsequent impact.

摘要

新型冠状病毒肺炎(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的一种传染病,主要表现为呼吸道症状。它可进展为重症疾病,导致呼吸衰竭和多器官功能障碍。康复患者可能会出现持续的神经、呼吸或心血管症状。减轻COVID-19的多器官并发症已被视为抗击疫情的关键部分。铁死亡是一种与铁代谢改变、谷胱甘肽耗竭、谷胱甘肽过氧化物酶4(GPX4)失活及氧化应激增加相关的细胞死亡类型。细胞死亡可阻止病毒复制,但不受控制的细胞死亡也会损害机体。出现多器官并发症的COVID-19患者常表现出与铁死亡相关的因素,提示可能存在关联。铁死亡抑制剂可抵抗SARS-CoV-2感染对重要器官的损害,并有可能减少COVID-19并发症。在本文中,我们概述了铁死亡的分子机制,并据此讨论COVID-19中的多器官并发症,进而探讨铁死亡抑制剂作为COVID-19辅助干预措施的潜力。本文将为SARS-CoV-2感染疾病的可能治疗提供参考,以降低COVID-19的严重程度及其后续影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e65/10250669/bf702fd91997/fgene-14-1187985-g001.jpg

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