Salvianic acid A ameliorates ox-LDL-induced ferroptosis in vascular endothelial cells by regulating TFRC

Shiwen Lu1, Lifei Yu

  • 1Department of Cardiology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Medicine
|November 20, 2025
PubMed

Insights

Salvianic acid A (SAA) protects against atherosclerosis (AS) by inhibiting ferroptosis in human aortic endothelial cells (HAECs). SAA treatment reversed ox-LDL-induced cell damage and regulated iron metabolism and oxidative stress markers.

Area of Science:

  • Cardiovascular biology
  • Cellular pathology
  • Pharmacology

Background:

  • Atherosclerosis (AS) is a chronic inflammatory disease linked to cardiovascular diseases.
  • Endothelial cell dysfunction is a key feature of AS.
  • Ferroptosis, an iron-dependent cell death, plays a role in AS pathogenesis.

Purpose of the Study:

  • To investigate the effect of Salvianic acid A (SAA) on ferroptosis in human aortic endothelial cells (HAECs) under AS conditions.
  • To elucidate the underlying mechanisms of SAA's action in an in vitro AS model.

Main Methods:

  • Human aortic endothelial cells (HAECs) were treated with oxidized low-density lipoprotein (ox-LDL) to induce an AS model.
  • Cell viability was assessed using CCK8 and PI staining.
  • Ferroptosis markers including iron content, reactive oxygen species (ROS), and malondialdehyde were measured.
  • Protein expression (RAS, GPX4) and transferrin receptor (TFRC) mRNA levels were analyzed via Western blotting and RT-qPCR.

Main Results:

  • Ox-LDL exposure decreased HAEC viability, increased cell death, iron content, ROS, and malondialdehyde levels.
  • Ox-LDL treatment reduced GPX4 expression and increased RAS protein levels.
  • SAA treatment rescued cell viability and reversed the ox-LDL-induced ferroptosis markers.
  • SAA administration decreased TFRC levels in ox-LDL-treated cells, and TFRC overexpression counteracted SAA's protective effects.

Conclusions:

  • Salvianic acid A (SAA) ameliorates atherosclerosis by inhibiting ferroptosis in human aortic endothelial cells.
  • SAA exerts its protective effects by modulating iron metabolism and oxidative stress, partly through the regulation of TFRC.
  • These findings offer novel insights into the therapeutic potential of SAA for AS treatment.