20-Deoxyingenol alleviates ferroptosis by activating transcription factor EB in spinal cord injury

Pan Wang1,2,3, Tangyue Li4, Xin Zhang1,3

  • 1Department of Neurosurgery, Cheeloo College of Medicine, Qilu Hospital.

Neuroreport
|March 23, 2026
PubMed
Abstract

Insights

20-deoxyingenol (20-DOI) shows therapeutic potential for spinal cord injury (SCI) by inhibiting ferroptosis. This natural compound activates Transcription Factor EB (TFEB), improving motor function and neuronal survival in SCI models.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pharmacology

Background:

  • Spinal cord injury (SCI) remains a significant clinical challenge with limited effective treatments.
  • Ferroptosis, a form of regulated cell death, plays a critical role in the secondary injury phase following SCI.
  • Investigating novel therapeutic strategies targeting ferroptosis is crucial for improving SCI outcomes.

Purpose of the Study:

  • To evaluate the therapeutic potential of 20-deoxyingenol (20-DOI), a natural diterpene, in the context of spinal cord injury.
  • To elucidate the mechanism by which 20-DOI exerts its protective effects, particularly its role in inhibiting ferroptosis.
  • To assess the involvement of Transcription Factor EB (TFEB) in mediating the neuroprotective effects of 20-DOI.

Main Methods:

  • In vitro studies utilized ventral spinal cord 4.1 motor neurons challenged with oxidative stress or ferroptosis inducers.
  • In vivo experiments employed a mouse model of spinal cord injury to assess functional recovery and neuropathology.
  • Key cellular processes including viability, proliferation, autophagy, lysosomal function, and ferroptosis markers were analyzed, alongside TFEB manipulation.

Main Results:

  • 20-DOI treatment significantly restored motor neuron viability and proliferation in vitro.
  • 20-DOI suppressed ferroptosis by reducing lipid peroxidation and reactive oxygen species, while preserving mitochondrial function.
  • In vivo, 20-DOI administration improved motor function, preserved neuronal integrity, and attenuated ferroptosis markers in a mouse SCI model, dependent on TFEB activation.

Conclusions:

  • 20-deoxyingenol (20-DOI) demonstrates significant neuroprotective effects in spinal cord injury models.
  • The therapeutic benefits of 20-DOI are mediated through the activation of Transcription Factor EB (TFEB), leading to the inhibition of ferroptosis.
  • 20-DOI represents a promising therapeutic candidate for spinal cord injury, with TFEB as a key molecular target.

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