Ferroptosis Overview and Key Regulators

Ferroptosis
Specificities
Iron dependence: Iron catalyzes ROS production.
Oxidative stress: Produced ROS lead to lipid peroxidation, resulting in membrane damage, which is one of the core events of ferroptosis.
Non-apoptotic: The whole process does not depend on caspase regulation.
Indicators
Iron metabolism: Iron entry involves DMT1, iron storage involves FTH1, and iron release involves ferroportin.
Lipid peroxidation: The Fenton reaction catalyzed by iron produces ROS, leading to lipid peroxidation.
GPX4 inhibitionGPX4 uses GSH to reduce lipid peroxides, and its inhibition is a critical step in ferroptosis.
Inhibitors and Inducers
Inducers: RSL3, Erastin, IFN-γ, Statins
Lipid peroxidation inhibitors: Ferrostatins, vitamin E
Iron chelators: DFO, DFP
Related Genes and Proteins
Iron metabolism: DMT1, FTH, Ferroportin
Lipid metabolism: LOX, PLA2
Antioxidant system: GPX4, FSP-1, SOD, PRDX6
Mechanisms of Resistance to Ferroptosis
Antioxidant defense: 7-DHC effectively protects (phospho)lipids from autoxidation due to its superior reactivity with peroxyl radicals.
Regulation of iron metabolism: Upregulation of Par-4 promotes ferritinophagy increasing free iron release.
Regulation of sensitivity: Lysosomal cystine governs ferroptosis sensitivity in cancer via the cysteine stress response.
Organella Relations to Ferroptosis
Mitochondria: Overexpression of cytosolic STARD7 increases cellular resistance to ferroptosis and reduces the availability of coenzyme Q in mitochondria.
Lysosome: Lysosomal protein prosaposin (PSAP), the knockdown of which caused the formation of lipofuscin which traps iron, generating reactive oxygen species and triggering ferroptosis.
Therapeutic Approaches
Cancer treatment: Recent studies have shown that in cancer treatment, especially in eradicating resistance to conventional therapies. When there is resistance to malignant tumors, ferroptosis may be triggered.
Neuroprotection: Parkinson's disease and Alzheimer's disease, where iron accumulation and lipid peroxidation occur. Ferroptosis inhibitors may improve the symptoms and prognosis of the disease.
Aging: Senescence is known to drive iron accumulation and promote ferroptosis. However, recent research on iron dynamics reveals that senescence can also lead to functional iron deficiency, conferring resistance to ferroptosis. 

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