Ferroptosis: A Double-Edged Sword in Gastrointestinal Disease

Int J Mol Sci. 2021 Nov 17;22(22):12403. doi: 10.3390/ijms222212403.

Abstract

Ferroptosis is a novel form of regulated cell death (RCD) that is typically accompanied by iron accumulation and lipid peroxidation. In contrast to apoptosis, autophagy, and necroptosis, ferroptosis has unique biological processes and pathophysiological characteristics. Since it was first proposed in 2012, ferroptosis has attracted attention worldwide. Ferroptosis is involved in the progression of multiple diseases and could be a novel therapeutic target in the future. Recently, tremendous progress has been made regarding ferroptosis and gastrointestinal diseases, including intestinal ischemia/reperfusion (I/R) injury, inflammatory bowel disease (IBD), gastric cancer (GC), and colorectal cancer (CRC). In this review, we summarize the recent progress on ferroptosis and its interaction with gastrointestinal diseases. Understanding the role of ferroptosis in gastrointestinal disease pathogenesis could provide novel therapeutic targets for clinical treatment.

Keywords: colorectal cancer; ferroptosis; gastric cancer; inflammatory bowel disease; ischemia/reperfusion injury.

Publication types

  • Review

MeSH terms

  • Animals
  • Colorectal Neoplasms / diet therapy
  • Colorectal Neoplasms / metabolism*
  • Feeding Behavior
  • Ferroptosis* / drug effects
  • Humans
  • Inflammatory Bowel Diseases / diet therapy
  • Inflammatory Bowel Diseases / metabolism*
  • Iron / metabolism
  • Lipid Peroxidation
  • Phospholipids / metabolism
  • Phytochemicals / pharmacology
  • Phytochemicals / therapeutic use
  • Phytotherapy / methods
  • Reperfusion Injury / diet therapy
  • Reperfusion Injury / metabolism*
  • Stomach Neoplasms / diet therapy
  • Stomach Neoplasms / metabolism*
  • Treatment Outcome

Substances

  • Phospholipids
  • Phytochemicals
  • Iron