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Ferroptosis targeting: A novel therapeutic regimen in diabetic cardiomyopathy
1Department of Endocrinology, The Affiliated Hospital of Chifeng University, Chifeng 024005,China.
Insights
Diabetic cardiomyopathy (DCM) involves heart dysfunction due to diabetes mellitus (DM). Ferroptosis, a cell death process, significantly contributes to DCM, offering a new therapeutic target.
Area of Science:
- Cardiovascular Research
- Metabolic Diseases
- Cell Death Mechanisms
Background:
- Diabetic cardiomyopathy (DCM) is a major complication of diabetes mellitus (DM), causing myocardial dysfunction and remodeling.
- The underlying molecular mechanisms of DCM remain poorly understood, necessitating novel therapeutic approaches.
- Ferroptosis, an iron-dependent regulated cell death involving lipid peroxidation, has emerged as a key player in DCM pathogenesis.
Purpose of the Study:
- To review the molecular mechanisms of ferroptosis in the context of diabetic cardiomyopathy.
- To explore the role of ferroptosis regulation in the progression of DCM.
- To highlight emerging ferroptosis-inhibiting agents as potential therapeutic strategies for DCM.
Main Methods:
- Literature review of studies on ferroptosis and diabetic cardiomyopathy.
- Analysis of molecular pathways involved in ferroptosis and iron homeostasis in DCM.
- Evaluation of pharmacological agents targeting ferroptosis for cardioprotective effects in DCM models.
Main Results:
- Ferroptosis is critically involved in the development and progression of diabetic cardiomyopathy.
- Dysregulated iron homeostasis and lipid peroxidation are key features of ferroptosis in DCM.
- Several agents inhibiting ferroptosis have demonstrated significant cardioprotective effects in DCM models.
Conclusions:
- Ferroptosis is a crucial mechanism contributing to diabetic cardiomyopathy.
- Targeting ferroptosis pathways presents a promising novel therapeutic strategy for DCM.
- Pharmacological inhibition of ferroptosis holds potential for preventing and treating DCM.
Abstract:
Diabetic cardiomyopathy (DCM), one of major complication of diabetes mellitus (DM), is characterized by progressive myocardial dysfunction that occurs independently of coronary artery disease and hypertension and is accompanied by pathological cardiac remodeling. Despite its clinical significance, the molecular mechanisms driving DCM pathogenesis remain poorly understood, and current preventive and therapeutic strategies remain suboptimal. Recent advances have implicated ferroptosis, a distinct form of iron-dependent regulated cell death characterized by lipid peroxidation and dysregulated iron homeostasis, as a critical contributor to DCM development. Notably, several pharmacological agents have shown cardioprotective efficacy in DCM models by suppressing ferroptosis. In this review, we summarized the core molecular mechanisms of ferroptosis, focusing on its role in DCM pathogenesis and ferroptosis regulation during DCM progression. We then highlighted emerging therapeutic agents with ferroptosis-inhibiting activity and reviewed their beneficial pharmacological effects against DCM. Ultimately, this review underscores the potential of pharmacologically inhibiting ferroptosis as a novel therapeutic strategy for DCM.
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