Mechanisms of the RGS12-GPX4-ACSL4 signaling axis in regulating ferroptosis during myocardial ischemia-reperfusion

Congna Zi1, Zhiwei Zhang2, Tao Zhang1

  • 1Department of Anesthesiology, the First Affiliated Hospital of Hebei North University, Zhangjiakou 075061, China.

Journal of Anesthesia and Translational Medicine
|July 8, 2026
PubMed

Insights

Regulator of RGS12 influences ferroptosis in myocardial ischemia-reperfusion injury (MIRI). Its deletion reduces ferroptosis, while overexpression worsens it, impacting treatment outcomes.

Area of Science:

  • Cardiology
  • Cell Death Research
  • Molecular Biology

Background:

  • Acute myocardial infarction (AMI) is a major global health concern.
  • Myocardial ischemia-reperfusion injury (MIRI) complicates reperfusion therapy for AMI.
  • Ferroptosis, a form of programmed cell death, is increasingly implicated in MIRI progression.

Purpose of the Study:

  • To review the molecular mechanisms by which Regulator of RGS12 affects ferroptosis in MIRI.
  • To elucidate the role of RGS12 in regulating key ferroptosis mediators GPX4 and ACSL4.
  • To understand how RGS12 influences iron metabolism signaling in the context of MIRI.

Main Methods:

  • Literature review of studies on MIRI, ferroptosis, and Regulator of RGS12.
  • Analysis of research investigating GPX4 and ACSL4 as ferroptosis regulators.
  • Examination of studies linking RGS12 to iron metabolism and cell death pathways.

Main Results:

  • Regulator of RGS12 plays a significant role in MIRI.
  • Deletion of RGS12 decreases ferroptosis in cardiomyocytes; overexpression increases it.
  • RGS12 influences ferroptosis by modulating the expression of GPX4 and ACSL4.

Conclusions:

  • Regulator of RGS12 is a key factor in ferroptosis during MIRI.
  • Targeting RGS12 may offer a novel therapeutic strategy for MIRI.
  • Further research into RGS12's role in iron metabolism is warranted for MIRI treatment.