Xu Qiang, Zhu Chongying, Li Lin, Li Jiayong, An Zihao, Tang Chao
National Clinical Research Center for Child Health of the Children's Hospital Zhejiang University School of Medicine Hangzhou China.
The Department of Obstetrics and Gynecology Ruijin Hospital, Shanghai Jiaotong University School of Medicine Shanghai China.
MedComm (2020). 2025 Aug 15;6(8):e70296. doi: 10.1002/mco2.70296. eCollection 2025 Aug.
Currently, there are many diseases worldwide that seriously affect women's health. Among these, gestational disorders and female cancers such as ovarian cancer are particularly notable for their high morbidity and mortality rates. Over the past decade, ferroptosis, a distinct form of programmed cell death primarily driven by iron-dependent phospholipid peroxidation, has been implicated in the pathogenesis of various female-related diseases. Despite many studies individually reporting that ferroptosis plays a crucial pathogenic role in common female disorders, there has yet to be a systematic overview addressing the mechanisms linking ferroptosis with women's health and disease. Thus, we herein provide a comprehensive review of the relationship between cellular pathways of ferroptosis and women's health and disease and describe the current progress of targeted therapy for ferroptosis. Following a succinct introduction to the disease, we summarize the regulatory role of ferroptosis in women's health and its implications for disease progression, with the aim of facilitating a clearer understanding of the relationship between ferroptosis and women's health. Finally, we discuss the emerging challenges and opportunities presented by various agonists or inhibitors targeting ferroptosis as potential therapeutic strategies for female-related diseases, providing additional protective approaches contributing to female health.
目前,全球有许多疾病严重影响女性健康。其中,妊娠相关疾病和卵巢癌等女性癌症因其高发病率和死亡率而尤为显著。在过去十年中,铁死亡作为一种主要由铁依赖性磷脂过氧化驱动的独特程序性细胞死亡形式,已被认为与各种女性相关疾病的发病机制有关。尽管许多研究分别报道铁死亡在常见女性疾病中起着关键的致病作用,但尚未有系统的综述阐述铁死亡与女性健康和疾病之间的联系机制。因此,我们在此全面综述铁死亡细胞途径与女性健康和疾病之间的关系,并描述铁死亡靶向治疗的当前进展。在简要介绍疾病之后,我们总结铁死亡在女性健康中的调节作用及其对疾病进展的影响,旨在更清晰地理解铁死亡与女性健康之间的关系。最后,我们讨论针对铁死亡的各种激动剂或抑制剂作为女性相关疾病潜在治疗策略所带来的新挑战和机遇,提供有助于女性健康的额外保护方法。