Mitochondrial IRF3 drives pulmonary fibrosis by impairing mitophagy and triggering ferroptosis

Zhang Jiashu1, Liu Jingbao2, Fang Hua3

  • 1Respiratory and Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China; Key Laboratory of Hepatosplenic Surgery, Ministry of Education, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.

Cellular Signalling
|April 3, 2026
PubMed
Abstract

Insights

Mitochondrial IRF3 links inflammation to ferroptosis in pulmonary fibrosis by impairing mitophagy. Targeting this IRF3-mitophagy-ferroptosis axis offers a novel therapeutic strategy for this lethal lung disease.

Area of Science:

  • Cellular Biology
  • Molecular Medicine
  • Pathology

Background:

  • Pulmonary fibrosis (PF) is a fatal lung disease with limited treatment options.
  • The role of inflammation in triggering oxidative cell death in epithelial cells in PF is not fully understood.
  • The cGAS-STING pathway is implicated in PF, but the non-canonical functions of its effector IRF3 remain largely unexplored.

Purpose of the Study:

  • To investigate the role of activated IRF3 in mitochondria.
  • To determine if IRF3 disrupts mitochondrial quality control and promotes ferroptosis.
  • To establish a link between inflammation, mitophagy, and ferroptosis in the pathogenesis of PF.

Main Methods:

  • Utilized a bleomycin-induced mouse PF model and TGF-β-stimulated A549 cells.
  • Performed molecular analyses, imaging, mitophagy flux assays, and ferroptosis marker measurements.
  • Intervened with H151, si-IRF3, Ferrostatin-1, and Mdivi-1 to assess pathway modulation.

Main Results:

  • Phosphorylated IRF3 translocated to mitochondria in PF, impairing mitophagy by interacting with PINK1.
  • This mitochondrial dysfunction triggered ferroptosis, indicated by altered key markers and mitochondrial damage.
  • IRF3 inhibition or STING pathway blockade restored mitophagy and reduced ferroptosis in vitro and in vivo, with H151 treatment alleviating PF.

Conclusions:

  • Mitochondrial IRF3 acts as a crucial integrator of cGAS-STING signaling, mitophagic dysfunction, and ferroptosis in PF.
  • This pathway represents a novel mechanism driving disease progression.
  • Targeting mitochondrial IRF3 presents a promising therapeutic avenue for pulmonary fibrosis.

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