Jiao Dan-Li, Ma Bing-Zhe, Zhao Chen, Liu Shi-Min
School of Acupuncture-Moxibustion and Tuina, Shanghai University of Chinese Medicine, Shanghai 201203, China .
Zhonghua Nan Ke Xue. 2022 Nov;28(11):1044-1048.
Ferroptosis is a new type of cell death found in recent years, which is characterized by iron overload, excessive accumulation of lipid peroxide and destruction of mitochondrial structure. Testicular spermatogenic dysfunction (TSD) is an important factor affecting the health and quality of life of middle-aged and elderly men. Studies show that ferroptosis plays an important role in the development and progression of TSD, mainly involved in the mechanisms of abnormal iron metabolism, lipid peroxidation, oxidative stress response and mitochondrial damage. It is believed that ferroptosis can induce a series of symptoms, such as sperm quality and quantity reduction and spermatogenesis disorder. Therefore, inhibiting the development of ferroptosis can provide a new basis for the study of the mechanisms of the disease. This review focuses on the concept and characteristics of ferroptosis and the advances in the studies of the its mechanism in regulating TSD, with the purpose of introducing the clinical application prospect of targeted inhibition of ferroptosis in the prevention and treatment of TSD and expanding the ideas for the treatment of TSD and other male reproductive diseases.
铁死亡是近年来发现的一种新型细胞死亡方式,其特征为铁过载、脂质过氧化物过度积累以及线粒体结构破坏。睾丸生精功能障碍(TSD)是影响中老年男性健康和生活质量的重要因素。研究表明,铁死亡在TSD的发生和发展中起重要作用,主要涉及铁代谢异常、脂质过氧化、氧化应激反应及线粒体损伤等机制。据信,铁死亡可诱发一系列症状,如精子质量和数量下降以及生精障碍。因此,抑制铁死亡的发展可为该疾病机制的研究提供新依据。本综述重点关注铁死亡的概念和特征及其调控TSD机制的研究进展,旨在介绍靶向抑制铁死亡在TSD防治中的临床应用前景,拓展TSD及其他男性生殖疾病的治疗思路。