Related Experiment Video
Updated: Jan 8, 2026

Mouse Footpad Inoculation Model to Study Viral-Induced Neuroinflammatory Responses
Published on: June 14, 2020
Basic Science and Pathogenesis
Carmen J Narvaez1, JoEllen Welsh2
1SUNY Albany, RENSSELAER, NY, USA.
Background:
Ferroptosis (iron-mediated phospholipid peroxidation) has been implicated in neuronal loss associated with Alzheimer's disease (AD). Glutathione Peroxidase-4 (GPX4) mitigates ferroptosis in healthy neurons, but the activity of this pathway declines with age. Menaquinone-4 (MK4), a natural form of vitamin K, can be enzymatically reduced by FSP1, VKORC1 and VKORC1L1 to generate the potent ferroptosis suppressor MK4-H. We hypothesize that vitamin K suppression of ferroptosis becomes critical to neuronal survival as GPX4 and its substrate glutathione decline in aging brain. In these studies we examined whether MK4 acts as a ferroptosis suppressor in murine-derived HT22 neuronal cells grown as adherent monolayers or as neurospheres.
Method:
HT22 cells were acutely exposed to MK4 (≤1µM) in the presence/absence of ferroptosis inducers RSL3 and FIN56 (GPX4 inhibitors), sulfasalazine (xCT inhibitor) and glutamate (NMDAR agonist). Cell density, imaging, flow cytometry and Western blotting were used to assess survival, morphology, ferroptosis-specific phospholipid peroxidation (Liperfluo) and subcellular expression of FSP1, VKORC1 and VKORC1L1. Sensitivity to RSL3 was also assessed in HT22 cells after differentiation in neurobasal media supplemented with N2, Gln, EGF, bFGF and B27 lacking antioxidants, and when cultured as neurospheres under low attachment conditions.
Result:
Ferroptosis was induced in HT22 cells at concentrations of RSL3 as low as 0.01µM (65% reduction in cell density within 20hrs). MK4 (0.05µM) abrogated RSL3 mediated cell loss and phospholipid peroxidation as measured by Liperfluo. Similar protective effects of MK4 were observed in neurospheres and in differentiated HT22 cells. MK4 also protected HT22 cells from sulfasalazine, glutamate and FIN56 which induce ferroptosis via mechanisms distinct from RSL3. GPX4 was detected in both cytosolic (CYT) and non-nuclear membrane (NNM) fractions of HT22 cells, indicating that it mediates cellular-wide protection against ferroptosis. FSP1 was strongly expressed in the CYTO fraction whereas VKORC1 and VKORC1L1 were only detected in the NNM fraction.
Conclusion:
MK4 (vitamin K2) promotes survival of both proliferating and differentiated HT22 cells via suppression of ferroptosis induced by multiple pathways. GPX4 and the MK4 metabolizing enzymes (FSP1, VKORC1, VKORC1L1) are expressed in HT22 cells and likely cooperate to suppress ferroptosis in distinct cellular compartments.
Insights
Menaquinone-4 (MK4), a form of vitamin K2, protects against ferroptosis, a cell death pathway implicated in Alzheimer's disease. This study shows MK4 enhances neuronal survival by suppressing ferroptosis in HT22 cells.
Area of Science:
- Neuroscience
- Cell Biology
- Biochemistry
Background:
- Ferroptosis, an iron-dependent cell death, contributes to neuronal loss in Alzheimer's disease (AD).
- Glutathione Peroxidase-4 (GPX4) normally prevents ferroptosis, but its activity decreases with age.
- Menaquinone-4 (MK4), a vitamin K2 form, can suppress ferroptosis via enzymatic reduction to MK4-H.
Purpose of the Study:
- To investigate if MK4 suppresses ferroptosis in HT22 neuronal cells.
- To determine MK4's efficacy in both proliferating and differentiated neuronal models.
Main Methods:
- HT22 cells were treated with ferroptosis inducers (RSL3, FIN56, sulfasalazine, glutamate) with or without MK4.
- Cell viability, morphology, and lipid peroxidation (Liperfluo) were assessed.
- Expression of GPX4 and MK4-metabolizing enzymes (FSP1, VKORC1, VKORC1L1) was analyzed via Western blotting.
Main Results:
- MK4 (0.05µM) significantly reduced cell death and lipid peroxidation induced by RSL3.
- MK4 demonstrated protective effects in neurospheres and differentiated HT22 cells.
- MK4 also protected against ferroptosis induced by sulfasalazine, glutamate, and FIN56, indicating broad efficacy.
Conclusions:
- MK4 (vitamin K2) effectively suppresses ferroptosis across multiple induction pathways in HT22 cells.
- GPX4 and MK4-metabolizing enzymes are expressed in HT22 cells, suggesting a cooperative role in ferroptosis suppression.
- MK4 holds potential for promoting neuronal survival in conditions involving ferroptosis.
Related Concept Videos
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Urinary Tract Infection II: Pathophysiology
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
Pneumonia II: Pathophysiology
Stages of Infection
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...

