Zhou Pengsi, Liu Mengxue, Lv Tao
Department of Cardiology, The Affiliated Hospital of Chifeng University, Chifeng 024005, China.
Department of Cardiology, The Affiliated Hospital of Chifeng University, Chifeng 024005, China.
Tissue Cell. 2025 Aug;95:102930. doi: 10.1016/j.tice.2025.102930. Epub 2025 Apr 25.
Sepsis-induced cardiac dysfunction, usually termed sepsis-induced cardiomyopathy or septic cardiomyopathy(SCM), is developed in approximately 70 % of the patients with sepsis, making it is a major concern for sepsis patients. However, the pathogenesis of SCM remain incompletely understood. Ferroptosis, a newly identified mechanism of regulated cell death, characterized by a decline in antioxidant capacity, iron accumulation, and lipid peroxidation(LPO), is involved in sepsis and SCM. Moreover, ferroptosis inhibitors confer a novel therapeutic regimen in SCM. In this Review, we first summarizes the core mechanism of ferroptosis, with an emphasis on how best to interpret ferroptosis leads to the genesis of SCM. We then highlights our focus on the emerging different types of therapeutic ferroptosis inhibitors and summarizes their pharmacological beneficial effect to treat SCM. This review highlights a novel potential therapeutic strategy for SCM by pharmacologically inhibiting ferroptosis.
脓毒症诱导的心脏功能障碍,通常称为脓毒症诱导的心肌病或脓毒性心肌病(SCM),约70%的脓毒症患者会出现这种情况,这使其成为脓毒症患者的主要关注点。然而,SCM的发病机制仍未完全明确。铁死亡是一种新发现的程序性细胞死亡机制,其特征是抗氧化能力下降、铁蓄积和脂质过氧化(LPO),与脓毒症和SCM有关。此外,铁死亡抑制剂为SCM提供了一种新的治疗方案。在本综述中,我们首先总结了铁死亡的核心机制,重点在于如何最好地解释铁死亡导致SCM发生的过程。然后,我们重点介绍了新兴的不同类型的治疗性铁死亡抑制剂,并总结了它们治疗SCM的药理学有益作用。本综述强调了通过药理学抑制铁死亡为SCM提供一种新的潜在治疗策略。