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Zinc attenuates ferroptosis and promotes functional recovery in contusion spinal cord injury by activating Nrf2/GPX4 defense pathway

Open access
Ge, Ming‐hao, Tian, He, Mao, Liang, Li, Dao‐yong, Lin, Jia‐quan, Hu, Heng‐shuo, Huang, Shuo‐cheng, Zhang, Chuan‐jie, Mei, Xi‐fan·2021·CNS Neuroscience & Therapeutics

Abstract

Aim: Spinal cord injury (SCI) involves multiple pathological processes. Ferroptosis has been shown to play a critical role in the injury process. We wanted to explore whether zinc can inhibit ferroptosis, reduce inflammation, and then exert a neuroprotective effect. Methods: The Alice method was used to establish a spinal cord injury model. The Basso Mouse Scale (BMS), Nissl staining, hematoxylin‐eosin staining, and immunofluorescence analysis were used to investigate the protective effect of zinc on neurons on spinal cord neurons and the recovery of motor function. The regulation of the nuclear factor E2/heme oxygenase‐1 (NRF2/HO‐1) pathway was assessed, the levels of essential ferroptosis proteins were measured, and the changes in mitochondria were confirmed by transmission electron microscopy and 5,5′,6,6′‐tetrachloro‐1,1′,3,3′‐tetraethyl‐imidacarbocyanine iodide (JC‐1) staining. In vitro experiments using VSC4.1 (spinal cord anterior horn motor neuroma cell line), 4‐hydroxynonenal (4HNE), reactive oxygen species (ROS), superoxide dismutase (SOD), malondialdehyde (MDA), glutathione (GSH), lipid peroxides, and finally the levels of inflammatory factors were detected to assess the effect of zinc. Results: Zinc reversed behavioral and structural changes after SCI. Zinc increased the expression of NRF2/HO‐1, thereby increasing the content of glutathione peroxidase 4 (GPX4), SOD, and GHS and reducing the levels of lipid peroxides, MDA, and ROS. Zinc also rescued injured mitochondria and effectively reduced spinal cord injury and the levels of inflammatory factors, and the NRF2 inhibitor Brusatol reversed the effects of zinc. Conclusion: Zinc promoted the degradation of oxidative stress products and lipid peroxides through the NRF2/HO‐1 and GPX4 signaling pathways to inhibit ferroptosis in neurons.

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Metadata

Authors
Ge, M., Tian, H., Mao, L., Li, D., Lin, J., Hu, H., Huang, S., Zhang, C., & Mei, X.
Venue
CNS Neuroscience & Therapeutics
Publisher
Wiley
Published
2021-05-05
Volume
27
Issue
9
Pages
1023-1040
ISSN
  • 1755-5930 (ISSN-L)
  • 1755-5949
OpenAlex
W3158010667
Cited by
267
References
47
FWCI
24.22
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Zinc attenuates ferroptosis and promotes functional recovery in contusion spinal cord injury by activating Nrf2/GPX4 defense pathway. https://app.cochat.ai/papers/10.1111/cns.13657
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Ge, M., Tian, H., Mao, L., Li, D., Lin, J., Hu, H., Huang, S., Zhang, C., & Mei, X. (2021). Zinc attenuates ferroptosis and promotes functional recovery in contusion spinal cord injury by activating Nrf2/GPX4 defense pathway. CNS Neuroscience & Therapeutics. https://doi.org/10.1111/cns.13657

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