Ferrostatin-1 alleviates experimental cerebral malaria by regulating immune cell functions and brain endothelial

Shijie Yao1, Xiaoliang Zhou2, Ting Liao2

  • 1Department of Immunology, College of Basic Medical Sciences, China Medical University, Shenyang, Liaoning, China; National Clinical Research Center for Laboratory Medicine, Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, China.

Insights

Ferrostatin-1 (Fer-1) treatment mitigates cerebral malaria (CM) by targeting ferroptosis, a cell death pathway. This antioxidant drug improves immune responses and protects the blood-brain barrier (BBB), offering a new therapeutic strategy for CM.

Area of Science:

  • Neuroscience
  • Immunology
  • Pathology

Background:

  • Cerebral malaria (CM) is a severe Plasmodium falciparum complication involving immune dysregulation and blood-brain barrier (BBB) damage.
  • Iron metabolic dysfunction, lipid peroxidation, and ferroptosis are implicated in CM pathogenesis.
  • Plasmodium berghei ANKA (PbA) infection in mice serves as a model for studying CM.

Purpose of the Study:

  • To investigate the role of iron metabolism and ferroptosis in a murine model of cerebral malaria.
  • To evaluate the therapeutic potential of Ferrostatin-1 (Fer-1), an inhibitor of ferroptosis, in mitigating CM pathology.

Main Methods:

  • Induction of CM in mice using Plasmodium berghei ANKA (PbA) infection.
  • Assessment of iron metabolism, lipid peroxidation, and ferroptosis markers (TFRC, ACSL4, SLC7A11, GPX4).
  • Treatment with Ferrostatin-1 (Fer-1) and evaluation of its effects on parasitemia, survival, neurological symptoms, BBB integrity, immune cell function, and inflammatory markers.

Main Results:

  • PbA infection induced iron dysregulation, increased lipid peroxidation, and ferroptosis in spleen and brain tissues.
  • Fer-1 treatment reduced iron accumulation, lipid peroxidation, decreased parasitemia, extended survival, and improved neurological and BBB integrity.
  • Fer-1 modulated dendritic cell and macrophage function, promoted Th1 and Treg cell responses, inhibited ferroptosis in brain endothelial cells, and reduced neuroinflammation and CD8+ T cell infiltration.

Conclusions:

  • Ferrostatin-1 (Fer-1) alleviates cerebral malaria pathology through a dual mechanism involving immune activation and endothelial protection.
  • Targeting ferroptosis with Fer-1 represents a promising therapeutic strategy for preventing and treating cerebral malaria.