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Published on: March 15, 2024
Ferroptosis and Acute Kidney Injury (AKI): Molecular Mechanisms and Therapeutic Potentials
Qi Feng1,2,3, Xiaoyue Yu1,2,3, Yingjin Qiao4
1Research Institute of Nephrology, Zhengzhou University, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Abstract:
Acute kidney injury (AKI), a common and serious clinical kidney syndrome with high incidence and mortality, is caused by multiple pathogenic factors, such as ischemia, nephrotoxic drugs, oxidative stress, inflammation, and urinary tract obstruction. Cell death, which is divided into several types, is critical for normal growth and development and maintaining dynamic balance. Ferroptosis, an iron-dependent nonapoptotic type of cell death, is characterized by iron overload, reactive oxygen species accumulation, and lipid peroxidation. Recently, growing evidence demonstrated the important role of ferroptosis in the development of various kidney diseases, including renal clear cell carcinoma, diabetic nephropathy, and AKI. However, the exact mechanism of ferroptosis participating in the initiation and progression of AKI has not been fully revealed. Herein, we aim to systematically discuss the definition of ferroptosis, the associated mechanisms and key regulators, and pharmacological progress and summarize the most recent discoveries about the role and mechanism of ferroptosis in AKI development. We further conclude its potential therapeutic strategies in AKI.
Insights
Ferroptosis, a cell death type, is increasingly linked to acute kidney injury (AKI). Understanding ferroptosis mechanisms in AKI offers potential new therapeutic strategies for kidney disease.
Area of Science:
- Nephrology
- Cell Biology
- Biochemistry
Background:
- Acute kidney injury (AKI) is a critical clinical syndrome with high mortality, stemming from diverse factors like ischemia and toxins.
- Cell death, including ferroptosis (an iron-dependent process), plays a vital role in kidney disease progression.
- Ferroptosis, marked by iron overload and lipid peroxidation, is implicated in various kidney conditions, but its precise role in AKI requires elucidation.
Purpose of the Study:
- To systematically review the definition, mechanisms, and regulators of ferroptosis.
- To summarize recent discoveries on ferroptosis's role and mechanisms in AKI development.
- To explore potential therapeutic strategies targeting ferroptosis for AKI.
Main Methods:
- Literature review of ferroptosis and AKI.
- Analysis of mechanisms and key regulators of ferroptosis.
- Synthesis of current research on ferroptosis in kidney injury.
Main Results:
- Ferroptosis is an iron-dependent cell death pathway involving lipid peroxidation and reactive oxygen species.
- Growing evidence links ferroptosis to the pathogenesis of AKI.
- Key regulators and molecular mechanisms of ferroptosis in AKI are being identified.
Conclusions:
- Ferroptosis is a significant contributor to AKI development and progression.
- Targeting ferroptosis presents promising therapeutic avenues for AKI treatment.
- Further research is needed to fully elucidate ferroptosis pathways in AKI for clinical application.
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