Ferroptosis as a novel therapeutic target for cardiovascular disease

Theranostics. 2021 Jan 1;11(7):3052-3059. doi: 10.7150/thno.54113. eCollection 2021.

Abstract

Cell death is an important component of the pathophysiology of cardiovascular disease. An understanding of how cardiomyocytes die, and why regeneration of cells in the heart is limited, is a critical area of study. Ferroptosis is a form of regulated cell death that is characterized by iron overload, leading to accumulation of lethal levels of lipid hydroperoxides. The metabolism of iron, lipids, amino acids and glutathione tightly controls the initiation and execution of ferroptosis. Emerging evidence shows that ferroptosis is closely associated with the occurrence and progression of various diseases. In recent years, ferroptosis has been found to play critical roles in cardiomyopathy, myocardial infarction, ischemia/reperfusion injury, and heart failure. This article reviews the mechanisms by which ferroptosis is initiated and controlled and discusses ferroptosis as a novel therapeutic target for various cardiovascular diseases.

Keywords: cardiomyopathy; ferroptosis; heart failure; ischemia/reperfusion injury; myocardial infarction.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cardiomyopathies / metabolism
  • Cardiovascular Diseases / metabolism
  • Cardiovascular Diseases / therapy*
  • Cell Death / physiology
  • Ferroptosis / drug effects
  • Ferroptosis / physiology*
  • Glutathione / metabolism
  • Humans
  • Iron / metabolism
  • Lipid Peroxidation
  • Lipid Peroxides
  • Myocardial Infarction / metabolism
  • Myocardial Reperfusion Injury
  • Myocytes, Cardiac / metabolism*
  • Reactive Oxygen Species / metabolism

Substances

  • Lipid Peroxides
  • Reactive Oxygen Species
  • Iron
  • Glutathione