Ferroptosis in pain: evidence, challenges, and opportunities

Qianqian Yan1,2, Fang Wang1, Mengyuan Liu3

  • 1Department of Nephrology, Institute of Kidney Diseases, West China Hospital of Sichuan University, Chengdu, China.

Frontiers in Immunology
|September 19, 2025
PubMed

Insights

Targeting ferroptosis, a cell death pathway involving iron and lipid peroxidation, shows promise for treating pain. Understanding ferroptosis mechanisms could lead to new pain therapies with fewer side effects.

Area of Science:

  • Biomedical Science
  • Cell Biology
  • Pain Research

Background:

  • Pain affects over 20% of the global population, posing significant health and economic burdens.
  • Current pain therapies have limited efficacy and troublesome side effects due to incomplete understanding of pain mechanisms.
  • Ferroptosis, a regulated cell death characterized by iron accumulation and lipid peroxidation, is increasingly implicated in pain development.

Purpose of the Study:

  • To review the underlying mechanisms of ferroptosis in pain.
  • To summarize recent findings on targeted ferroptosis therapies for painful diseases.
  • To explore the potential of modulating ferroptosis for novel pain management strategies.

Main Methods:

  • Literature review of ferroptosis mechanisms.
  • Analysis of studies linking ferroptosis to pain pathways.
  • Summary of therapeutic agents targeting ferroptosis in pain.

Main Results:

  • Ferroptosis, involving mitochondrial dysfunction, oxidative stress, iron, and lipid peroxidation, plays a role in pain.
  • Several substances have shown efficacy in relieving pain by modulating ferroptosis.
  • Targeting lipid peroxidation and iron accumulation offers a therapeutic avenue.

Conclusions:

  • Ferroptosis is a key player in the pathogenesis of pain.
  • Modulating ferroptosis presents a promising therapeutic strategy for painful diseases.
  • Targeting ferroptosis could lead to more effective and safer pain treatments.