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一种治疗脑出血的新策略:铁死亡。

A new strategy for the treatment of intracerebral hemorrhage: Ferroptosis.

机构信息

School of Medicine, Yan'an University, Yan'an, China.

School of Medicine, Yan'an University, Yan'an, China; College of Physical Education, Yan'an University, Yan'an, China.

出版信息

Exp Neurol. 2024 Dec;382:114961. doi: 10.1016/j.expneurol.2024.114961. Epub 2024 Sep 15.

Abstract

Intracerebral hemorrhage, is a cerebrovascular disease with high morbidity, mortality, and disability. Due to the lack of effective clinical treatments, the development of new drugs to treat intracerebral hemorrhage is necessary. In recent years, ferroptosis has been found to play an important role in the pathophysiological process of intracerebral hemorrhage, which can be treated by inhibiting ferroptosis and thus intracerebral hemorrhage. This article aims to explain the mechanism of ferroptosis and its relationship to intracerebral hemorrhage. In the meantime, it briefly discusses the molecules identified to alleviate intracerebral hemorrhage by inhibiting ferroptosis, along with other clinical agents that are expected to treat intracerebral hemorrhage through this mechanism. In addition, a brief overview of the morphological alterations of different forms of cell death and their role in ICH is provided. Finally, the challenges that may arise in translating ferroptosis inhibitors from basic research to clinical use are presented. This article serves as a reference and provides insights to aid in the treatment of intracerebral hemorrhage in the clinic.

摘要

脑出血是一种具有高发病率、高死亡率和高致残率的脑血管疾病。由于缺乏有效的临床治疗方法,因此需要开发治疗脑出血的新药。近年来,铁死亡被发现在脑出血的病理生理过程中发挥着重要作用,可以通过抑制铁死亡来治疗脑出血。本文旨在解释铁死亡的机制及其与脑出血的关系。同时,简要讨论了通过抑制铁死亡来减轻脑出血的已鉴定分子,以及其他预计通过这种机制治疗脑出血的临床药物。此外,还简要概述了不同形式细胞死亡的形态改变及其在 ICH 中的作用。最后,提出了将铁死亡抑制剂从基础研究转化为临床应用可能面临的挑战。本文旨在提供参考并为临床治疗脑出血提供见解。

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