Cited by 402Ferroptosis and cancer prognosisIron Metabolism and DisordersNeurological diseases and metabolism

Molecular mechanisms of ferroptosis and their involvement in brain diseases

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Costa, Inês, Barbosa, Daniel José, Benfeito, Sofia, Silva, Vera, Chavarria, Daniel, Borges, Fernanda, Remião, Fernando, Silva, Renata·2023·Pharmacology & Therapeutics

Abstract

Ferroptosis is a type of regulated cell death characterized by intracellular accumulation of iron and reactive oxygen species, inhibition of system Xc-, glutathione depletion, nicotinamide adenine dinucleotide phosphate oxidation and lipid peroxidation. Since its discovery and characterization in 2012, many efforts have been made to reveal the underlying mechanisms, modulating compounds, and its involvement in disease pathways. Ferroptosis inducers include erastin, sorafenib, sulfasalazine and glutamate, which, by inhibiting system Xc-, prevent the import of cysteine into the cells. RSL3, statins, Ml162 and Ml210 induce ferroptosis by inhibiting glutathione peroxidase 4 (GPX4), which is responsible for preventing the formation of lipid peroxides, and FIN56 and withaferin trigger GPX4 degradation. On the other side, ferroptosis inhibitors include ferrostatin-1, liproxstatin-1, α-tocopherol, zileuton, FSP1, CoQ10 and BH4, which interrupt the lipid peroxidation cascade. Additionally, deferoxamine, deferiprone and N-acetylcysteine, by targeting other cellular pathways, have also been classified as ferroptosis inhibitors. Increased evidence has established the involvement of ferroptosis in distinct brain diseases, including Alzheimer's, Parkinson's and Huntington's diseases, amyotrophic lateral sclerosis, multiple sclerosis, and Friedreich's ataxia. Thus, a deep understanding of how ferroptosis contributes to these diseases, and how it can be modulated, can open a new window of op…

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Crossref · 10.1016/j.pharmthera.2023.108373

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Authors
Costa, I., Barbosa, D. J., Benfeito, S., Silva, V., Chavarria, D., Borges, F., Remião, F., & Silva, R.
Affiliations
Universidade do Porto (PT)
Corresponding author
  • Costa, Inês
  • Benfeito, Sofia
  • Silva, Renata
Venue
Pharmacology & Therapeutics
Publisher
Elsevier BV
Published
2023-04
Volume
244
Pages
108373
ISSN
0163-7258 (ISSN-L)
OpenAlex
W4323349858
Cited by
402
References
29
Citations by year
2026: 114 · 2025: 154 · 2024: 104 · 2023: 30
FWCI
17.87
Type
journal article
Language
en
Open access
Locations
  • Pharmacology & Therapeutics (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Fundação para a Ciência e a Tecnologia (UIDB/00081/2020, LA/P/0140/2020, UIDB/04378/2020, LA/P/0056/2020, UIDP/04378/2020)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
  • Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
  • Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
Keywords
ferroptosis, regulated cell death, brain disorders, lipid peroxidation, system xc-, GPX4, ferroptosis inducers, ferroptosis inhibitors, erastin, RSL3, statins, glutamate, Alzheimer's disease, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, multiple sclerosis, Friedreich's ataxia, RAS mutations, brain tumors
MeSH terms
Ferroptosis, Brain Diseases, Humans, Lipid Peroxidation, Cell Death, Reactive Oxygen Species

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