Integrating TWAS, chemical-genomic networks, and experimental models: melatonin as a ferroptosis inhibitor in

Ruoyang Feng1, Yirixiati Aihaiti2,3, Hui Yu2,3

  • 1Department of Orthopedics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.

Clinical Rheumatology
|December 1, 2025
PubMed
Abstract

Insights

Melatonin shows promise for osteoarthritis (OA) treatment by inhibiting ferroptosis and inflammation. This study used computational and experimental methods to confirm melatonin

Area of Science:

  • Biochemistry and Molecular Biology
  • Pharmacology
  • Genetics

Background:

  • Osteoarthritis (OA) is a degenerative joint disease with limited therapeutic options.
  • The molecular mechanisms underlying OA pathogenesis are not fully understood.
  • Current OA treatments lack efficacy and target specific pathways.

Purpose of the Study:

  • To identify potential therapeutic agents for OA using computational approaches.
  • To investigate the therapeutic potential of melatonin in OA.
  • To elucidate the molecular mechanisms of melatonin action in OA.

Main Methods:

  • Transcriptome-wide association studies (TWAS), chemical-genomic enrichment analysis (CGSEA), and network pharmacology were employed.
  • Molecular docking was used to assess melatonin's binding affinity to ferroptosis-related proteins.
  • In vitro experiments using SW1353 chondrocytes validated melatonin's effects on IL-1β-induced ferroptosis, extracellular matrix degradation, and inflammation.

Main Results:

  • Melatonin demonstrated strong binding affinity to ferroptosis-related proteins (e.g., GPX4, SLC7A11).
  • Melatonin reversed IL-1β-induced ferroptosis in chondrocytes by restoring SLC7A11/GPX4 expression, reducing ROS, and inhibiting P53 activation.
  • Melatonin mitigated extracellular matrix degradation and inflammatory responses in chondrocytes.

Conclusions:

  • Melatonin alleviates OA progression by inhibiting ferroptosis and inflammation, presenting a novel therapeutic strategy.
  • This study integrates computational and experimental validation to support melatonin's clinical potential in OA.
  • Melatonin's mechanism involves restoring ferroptosis-related gene expression and modulating inflammatory pathways.