Prabhune Nupura Manish, Ameen Bilal, Prabhu Sudharshan
Department of Cellular and Molecular Biology, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Apr;398(4):3527-3555. doi: 10.1007/s00210-024-03640-4. Epub 2024 Nov 27.
Ferroptosis, a regulated form of cell death, is characterized by iron accumulation that results in the production of reactive oxygen species. This further causes lipid peroxidation and damage to the cellular components, eventually culminating into oxidative stress. Recent studies have highlighted the pivotal role of ferroptosis in the pathophysiological development and progression of various diseases such as β-thalassemia, hemochromatosis, and neurodegenerative disorders like AD and PD. Extensive efforts are in progress to understand the molecular mechanisms governing the role of ferroptosis in these conditions, and chelation therapy stands out as a potential approach to mitigate ferroptosis and its related implications in their development. There are currently both synthetic and natural iron chelators that are being researched for their potential as ferroptosis inhibitors. While synthetic chelators are relatively well-established and studied, their short plasma half-life and toxic side effects necessitate the exploration and identification of natural products that can act as efficient and safe iron chelators. In this review, we comprehensively discuss both synthetic and natural iron chelators as potential therapeutic strategies against ferroptosis-induced pathologies.
铁死亡是一种受调控的细胞死亡形式,其特征是铁积累,进而导致活性氧的产生。这进一步引发脂质过氧化和细胞成分损伤,最终导致氧化应激。最近的研究突出了铁死亡在各种疾病(如β地中海贫血、血色素沉着症以及像阿尔茨海默病和帕金森病这样的神经退行性疾病)的病理生理发展和进程中的关键作用。人们正在进行广泛的努力来了解在这些情况下控制铁死亡作用的分子机制,而螯合疗法作为减轻铁死亡及其在疾病发展中的相关影响的一种潜在方法脱颖而出。目前,合成和天然铁螯合剂都在作为铁死亡抑制剂的潜力方面进行研究。虽然合成螯合剂相对成熟且已被研究,但它们较短的血浆半衰期和毒副作用使得有必要探索和鉴定能够作为高效且安全的铁螯合剂的天然产物。在本综述中,我们全面讨论了合成和天然铁螯合剂作为对抗铁死亡诱导的病理状况的潜在治疗策略。