Zhong Xianmei, Zhang Xue, Zhu Yuxuan, Zheng Xi
Department of Pharmacy, Personalized Drug Research and Therapy Key Laboratory of Sichuan Province, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610072, China.
Department of Pharmacy, Nanbu People's Hospital, Nanbu, 637300, China.
J Mol Med (Berl). 2025 Sep 3. doi: 10.1007/s00109-025-02591-4.
Modern medicine has achieved groundbreaking advancements in disease diagnosis and treatment, yet significant challenges remain in managing conditions such as age-related diseases, tumors, autoimmune disorders, and neurological conditions. Conventional drug therapies often suffer from inadequate targeting, severe toxic side effects, and limited therapeutic efficacy, leading to adverse clinical outcomes such as disease recurrence and organ dysfunction. In recent years, mesenchymal stem cells (MSCs) have demonstrated transformative potential in regenerative medicine and disease therapy. Leveraging their multipotent differentiation potential, immunomodulatory properties, and paracrine functions, MSCs offer innovative strategies by enhancing tissue repair and microenvironmental homeostasis. Notably, ferroptosis-a newly identified form of regulated cell death-has emerged as a critical research frontier. MSCs and their exosomes exhibit a remarkable ability to modulate ferroptosis by regulating iron ions and lipid peroxide levels. This review provides an in-depth analysis of the molecular pathways through which MSCs influence ferroptosis. Additionally, it explores recent advances in ferroptosis regulation in transplanted MSCs, shedding light on their clinical applicability. In summary, this work underscores the therapeutic promise of MSCs in treating ferroptosis-associated diseases.
现代医学在疾病诊断和治疗方面取得了突破性进展,但在管理诸如与年龄相关的疾病、肿瘤、自身免疫性疾病和神经系统疾病等病症方面仍面临重大挑战。传统药物疗法往往存在靶向不足、严重的毒副作用和有限的治疗效果,导致疾病复发和器官功能障碍等不良临床结果。近年来,间充质干细胞(MSCs)在再生医学和疾病治疗中展现出变革性潜力。利用其多能分化潜能、免疫调节特性和旁分泌功能,MSCs通过增强组织修复和微环境稳态提供了创新策略。值得注意的是,铁死亡——一种新发现的程序性细胞死亡形式——已成为一个关键的研究前沿。MSCs及其外泌体通过调节铁离子和脂质过氧化物水平,展现出显著的调节铁死亡的能力。本综述深入分析了MSCs影响铁死亡的分子途径。此外,还探讨了移植的MSCs中铁死亡调节的最新进展,阐明了它们的临床适用性。总之,这项工作强调了MSCs在治疗与铁死亡相关疾病方面的治疗前景。