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Updated: Oct 29, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Insight into Crosstalk between Ferroptosis and Necroptosis: Novel Therapeutics in Ischemic Stroke
Yue Zhou1, Jun Liao2, Zhigang Mei1,3
1College of Integrated Traditional Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China.
Abstract:
Ferroptosis is a nonapoptotic form of cell death characterized by iron-dependent accumulation of lipid hydroperoxides to lethal levels. Necroptosis, an alternative form of programmed necrosis, is regulated by receptor-interacting protein (RIP) 1 activation and by RIP3 and mixed-lineage kinase domain-like (MLKL) phosphorylation. Ferroptosis and necroptosis both play important roles in the pathological progress in ischemic stroke, which is a complex brain disease regulated by several cell death pathways. In the past few years, increasing evidence has suggested that the crosstalk occurs between necroptosis and ferroptosis in ischemic stroke. However, the potential links between ferroptosis and necroptosis in ischemic stroke have not been elucidated yet. Hence, in this review, we overview and analyze the mechanism underlying the crosstalk between necroptosis and ferroptosis in ischemic stroke. And we find that iron overload, one mechanism of ferroptosis, leads to mitochondrial permeability transition pore (MPTP) opening, which aggravates RIP1 phosphorylation and contributes to necroptosis. In addition, heat shock protein 90 (HSP90) induces necroptosis and ferroptosis by promoting RIP1 phosphorylation and suppressing glutathione peroxidase 4 (GPX4) activation. In this work, we try to deliver a new perspective in the exploration of novel therapeutic targets for the treatment of ischemic stroke.
Insights
Ferroptosis and necroptosis are cell death pathways involved in ischemic stroke. This review details their crosstalk, revealing how iron overload and HSP90 contribute to both, offering new therapeutic targets for stroke treatment.
Area of Science:
- Neuroscience
- Cell Biology
- Pathology
Background:
- Ferroptosis and necroptosis are distinct programmed cell death pathways.
- Both ferroptosis and necroptosis are implicated in the pathology of ischemic stroke.
- Evidence suggests crosstalk between ferroptosis and necroptosis in ischemic stroke.
Purpose of the Study:
- To review and analyze the mechanisms underlying the crosstalk between necroptosis and ferroptosis in ischemic stroke.
- To elucidate the potential links between these two cell death pathways in the context of ischemic stroke.
- To provide a new perspective on potential therapeutic targets for ischemic stroke.
Main Methods:
- Literature review and analysis of existing research on ferroptosis and necroptosis in ischemic stroke.
- Examination of molecular mechanisms connecting ferroptosis and necroptosis.
- Identification of key molecular players involved in the crosstalk.
Main Results:
- Iron overload, a mechanism of ferroptosis, can lead to mitochondrial permeability transition pore (MPTP) opening, exacerbating RIP1 phosphorylation and promoting necroptosis.
- Heat shock protein 90 (HSP90) can induce both necroptosis and ferroptosis by promoting RIP1 phosphorylation and inhibiting glutathione peroxidase 4 (GPX4) activation.
- The crosstalk between ferroptosis and necroptosis is mediated by shared molecular pathways and signaling molecules.
Conclusions:
- Understanding the crosstalk between ferroptosis and necroptosis is crucial for comprehending ischemic stroke pathology.
- Targeting the interplay between these cell death pathways, particularly involving iron metabolism and HSP90, may offer novel therapeutic strategies for ischemic stroke.
- Further research into these mechanisms could lead to the development of innovative treatments for ischemic stroke.
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