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Related Concept Videos

Cellular Injury I: Introduction01:00

Cellular Injury I: Introduction

Cellular injury occurs when a cell cannot maintain homeostasis or adapt to stressors such as hypoxia, toxins, or trauma. Depending on severity and duration, injury may be reversible, allowing recovery, or irreversible, leading to cell death.General Mechanisms of Cell InjuryAlthough causes vary, most cellular injuries arise from a few key mechanisms that disrupt essential functions and often amplify one another. Cell survival depends on the extent and balance of these disturbances.ATP depletion...
Cellular Injury IV: Necrosis01:16

Cellular Injury IV: Necrosis

Necrosis is a form of irreversible cell death caused by severe injury such as ischemia, toxins, or trauma. Unlike programmed cell death, it is an uncontrolled, pathological process that typically provokes inflammation in surrounding tissues.Pathophysiologic ChangesNecrosis begins when cells sustain critical damage, leading to swelling of organelles, particularly mitochondria, and rapid ATP depletion. As energy levels decline, membrane ion pumps fail, leading to calcium influx and eventually,...
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...

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Related Experiment Video

Updated: Jul 2, 2026

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury
07:23

Improved Rodent Model of Myocardial Ischemia and Reperfusion Injury

Published on: March 7, 2022

Interplay between ischemia-reperfusion and metabolic reprogramming.

Lei Duan1, Hui Ao1, Lizhou Song2

  • 1Department of Anesthesiology, Xi'an Aerospace Hospital Affiliated of Northwest University, Xi'an City, Shaanxi Province, China.

Apoptosis : an International Journal on Programmed Cell Death
|July 1, 2026
PubMed
Summary
This summary is machine-generated.

Ischemia-reperfusion injury (IRI) involves metabolic reprogramming, where cells actively regulate injury initiation, amplification, and resolution. Understanding these metabolic shifts offers new therapeutic strategies and biomarkers for organ protection.

Keywords:
BiomarkersImmunometabolismIschemia–reperfusion injuryMetabolic reprogrammingMitochondrial homeostasisOxidative stress

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Area of Science:

  • Biochemistry
  • Pathology
  • Organ Injury

Background:

  • Ischemia-reperfusion injury (IRI) is a common pathological process linked to acute organ damage.
  • IRI involves metabolic changes during ischemia (low oxygen) and reperfusion (blood flow restoration).
  • Mitochondrial dysfunction, oxidative stress, and inflammation are key features of IRI.

Purpose of the Study:

  • To summarize the bidirectional interactions between IRI and metabolic reprogramming.
  • To organize current evidence around key metabolic pathways including glucose, lipid, amino acid, and TCA cycle metabolism.
  • To highlight metabolic events during different IRI stages and their role in cell death and resolution.

Main Methods:

  • Review of current scientific evidence on IRI and metabolic reprogramming.
  • Conceptual organization of metabolic topics: glucose, lipid, amino acid, and TCA cycle metabolism.
  • Focus on metabolic events during ischemic and reperfusion phases, including cell death pathways.

Main Results:

  • Metabolic reprogramming is an active regulatory process in IRI, not just a passive response.
  • Key metabolic events include succinate accumulation, ROS generation, and altered mitochondrial function.
  • Metabolic changes influence immunometabolism, cell death (apoptosis, ferroptosis, pyroptosis), and post-translational modifications.

Conclusions:

  • A time-staged, cell death-centered metabolomic framework can identify clinical biomarkers for IRI.
  • Understanding metabolic reprogramming provides insights into therapeutic intervention windows for IRI.
  • Metabolic reprogramming actively controls IRI initiation, amplification, and resolution, offering novel therapeutic targets.