School of Basic Medical Sciences and Clinical Pharmacy, China Pharmaceutical University, Mailbox 207, Tongjiaxiang 24, Nanjing, Jiangsu, 210009, People's Republic of China.
The Pennsylvania State University, State College, PA, 16801, USA.
Cell Mol Neurobiol. 2024 Feb 23;44(1):25. doi: 10.1007/s10571-024-01457-6.
Ferroptosis is an iron-dependent form of programmed cell death (PCD) and ischemic stroke (IS) has been confirmed to be closely related to ferroptosis. The mechanisms of ferroptosis were summarized into three interrelated aspects: iron metabolism, lipid peroxide metabolism, as well as glutathione and amino acid metabolism. What's more, the causal relationship between ferroptosis and IS has been elucidated by several processes. The disruption of the blood-brain barrier, the release of excitatory amino acids, and the inflammatory response after ischemic stroke all lead to the disorder of iron metabolism and the antioxidant system. Based on these statements, we reviewed the reported effects of compounds and drugs treating IS by modulating key molecules in ferroptosis. Through detailed analysis of the roles of these key molecules, we have also more clearly demonstrated the essential effect of ferroptosis in the occurrence of IS so as to provide new targets and ideas for the therapeutic targets of IS.
铁死亡是一种依赖于铁的程序性细胞死亡(PCD)形式,缺血性脑卒中(IS)已被证实与铁死亡密切相关。铁死亡的机制被总结为三个相互关联的方面:铁代谢、脂质过氧化物代谢以及谷胱甘肽和氨基酸代谢。更重要的是,铁死亡与 IS 之间的因果关系已经通过几个过程得到了阐明。缺血性脑卒中后血脑屏障的破坏、兴奋性氨基酸的释放以及炎症反应都会导致铁代谢和抗氧化系统的紊乱。基于这些说法,我们综述了通过调节铁死亡关键分子来治疗 IS 的化合物和药物的报道效果。通过对这些关键分子的作用进行详细分析,我们也更清楚地展示了铁死亡在 IS 发生中的重要作用,从而为 IS 的治疗靶点提供了新的目标和思路。
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