Department of Orthopedics, the First Affiliated Hospital of Soochow University, Orthopedic Institute, Soochow University, 188 Shizi Road, Suzhou, Jiangsu 215006, P. R. China.
Sci Adv. 2024 Aug 16;10(33):eado7249. doi: 10.1126/sciadv.ado7249.
Ferroptosis, caused by disorders of iron metabolism, plays a critical role in various diseases, making the regulation of iron metabolism essential for tissue repair. In our analysis of degenerated intervertebral disc tissue, we observe a positive correlation between the concentration of extracellular iron ions (ex-iron) and the severity of ferroptosis in intervertebral disc degeneration (IVDD). Hence, inspired by magnets attracting metals, we combine polyether F127 diacrylate (FDA) with tannin (TA) to construct a magnetically attracting hydrogel (FDA-TA). This hydrogel demonstrates the capability to adsorb ex-iron and remodel the iron metabolism of cells. Furthermore, it exhibits good toughness and self-healing properties. Notably, it can activate the PI3K-AKT pathway to inhibit nuclear receptor coactivator 4-mediated ferritinophagy under ex-iron enrichment conditions. The curative effect and related mechanism are further confirmed in vivo. Consequently, on the basis of the pathological mechanism, a targeted hydrogel is designed to reshape iron metabolism, offering insights for tissue repair.
铁死亡是由铁代谢紊乱引起的,在各种疾病中发挥着关键作用,因此调节铁代谢对于组织修复至关重要。在对退变椎间盘组织的分析中,我们观察到细胞外铁离子(ex-iron)浓度与椎间盘退变(IVDD)中铁死亡的严重程度呈正相关。受磁铁吸引金属的启发,我们将聚醚 F127 二丙烯酸酯(FDA)与单宁(TA)结合,构建了一种具有磁性吸引力的水凝胶(FDA-TA)。这种水凝胶具有吸附 ex-iron 和重塑细胞铁代谢的能力。此外,它还表现出良好的韧性和自修复特性。值得注意的是,它可以在 ex-iron 富集的条件下激活 PI3K-AKT 通路,抑制核受体共激活因子 4 介导的铁蛋白自噬。在体内进一步验证了其疗效和相关机制。因此,基于病理机制,设计了一种靶向水凝胶来重塑铁代谢,为组织修复提供了新的思路。