Xie Chenyu, Wu Nan, Guo Jiaojiao, Ma Liangliang, Zhang Congcong
Department of Rehabilitation, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Rehabilitation Medicine College, Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Front Neurosci. 2025 May 12;19:1591417. doi: 10.3389/fnins.2025.1591417. eCollection 2025.
Neurological disorders represent a major global health concern owing to their intricate pathological processes. Ferroptosis, defined as a form of cell death that is reliant on iron, has been closely linked to various neurological conditions. The fundamental process underlying ferroptosis is defined by the excessive buildup of iron ions, which initiates lipid peroxidation processes leading to cellular demise. Neurons, as highly metabolically active cells, are susceptible to oxidative stress, and imbalances in iron metabolism can directly initiate the ferroptosis process. In neurodegenerative disorders like Alzheimer's disease and Parkinson's disease, ferroptosis driven by iron accumulation represents a fundamental pathological connection. Although the connection between ferroptosis and neurological diseases is clear, clinical application still faces challenges, such as precise regulation of iron metabolism, development of specific drugs, and assessment of efficacy. The limited comprehension of the ferroptosis mechanism hinders the development of personalized treatment approaches. Consequently, subsequent investigations must tackle these obstacles to facilitate the clinical application of ferroptosis-associated therapies in neurological disorders. This article provides a comprehensive overview of the most recent advancements regarding the underlying mechanisms of ferroptosis. Subsequently, the study investigates the mechanistic contributions of ferroptosis within the nervous system. In conclusion, we evaluate and deliberate on targeted therapeutic strategies associated with ferroptosis and neurological disorders.
由于其复杂的病理过程,神经系统疾病是全球主要的健康问题。铁死亡被定义为一种依赖铁的细胞死亡形式,它与各种神经系统疾病密切相关。铁死亡的基本过程是由铁离子的过度积累所定义的,铁离子的过度积累引发脂质过氧化过程,导致细胞死亡。神经元作为高代谢活性细胞,易受氧化应激影响,铁代谢失衡可直接引发铁死亡过程。在阿尔茨海默病和帕金森病等神经退行性疾病中,铁积累驱动的铁死亡代表了一种基本的病理联系。尽管铁死亡与神经系统疾病之间的联系很明显,但临床应用仍面临挑战,如铁代谢的精确调节、特定药物的开发以及疗效评估。对铁死亡机制的有限理解阻碍了个性化治疗方法的发展。因此,后续研究必须克服这些障碍,以促进铁死亡相关疗法在神经系统疾病中的临床应用。本文全面概述了铁死亡潜在机制的最新进展。随后,该研究探讨了铁死亡在神经系统中的作用机制。最后,我们评估并讨论了与铁死亡和神经系统疾病相关的靶向治疗策略。
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