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Global Translational Medicine                                   Influence of ferroptosis in neurological diseases












































            Figure 6. Hub genes from the modules of Parkinson’s disease protein–protein interaction networks (PD-PPIN) that are regulated by ferroptotic transcription
            factors (FerrTFs). The figure represents only the modules from PD-PPIN that contains hub genes that might be regulated by FerrTFs.

            (METH)-mediated neuronal apoptosis . Three unique   induction  of ferroptosis, which  could  contribute to
                                            [55]
            FerrTFs for AD – HNF4A, XBP1, and MAPK14 – were    enhanced neurodegeneration. Further analysis of the
            found to target three AD DEGs – CEACAM1, GAD1, and   cluster containing  APOE [Cluster 4] (Figure  5) revealed
            IL18, respectively. HNF4A has been identified as a blood   its functional enrichment in GO BP – “lipid homeostasis.”
            biomarker for neurodegenerative disease , and in our   As  previously mentioned, disruption  of  lipid  homeostasis
                                              [56]
            study, it increased the expression of  CEACAM1, which   is the hallmark of AD . Moreover, 3 of the 5 target genes
                                                                                [8]
            has earlier been reported to cause blood–brain barrier   (TGs) for the HNF4A, one of the FerrTFs, were found in
            dysfunction . We also identified three unique FerrTFs for   this cluster. HNF4A is a well-known blood biomarker for
                     [57]
            PD – IFNG, TRIB3, and ZEB1 – that control 4 PD DEGs.   neurodegenerative disease . In the single-cell RNA-seq
                                                                                    [56]
            ZEB1 has been linked to neuroinflammation in CNS   study of AD by Mathys et al. , HNF4A was significantly
                                                                                      [60]
            disorders . Thus, FerrTFs regulate the progression of both   expressed in excitatory neurons (log FC = 0.42) and has
                   [58]
                                                                                            2
            AD and PD by influencing the expression of several DEGs.  been shown to induce ferroptosis in hepatocarcinoma cells
                                                                                               [47]
              We also observed that the FerrTFs regulate a significant   by binding to histone acetyltransferases. . In addition, 2
            number of hub genes from clusters in both AD-PPIN and   TGs of HNF4A, namely APOE1 and LIPC, were found to be
            PD-PPIN. In our study, we found that ATF4 regulates the   upregulated in excitatory neurons of the AD brain (log FC:
                                                                                                          2
                                                                                    [60]
            expression of  APOE in AD  (Figure  5).  APOE has been   0.25 and 0.40, respectively) . HNF4A also downregulates
            identified as the main genetic marker for AD risk . In   the expression of hubs ABCG5 and ABCG8 (log FC: -0.70
                                                     [59]
                                                                                                     2
                                                                                   [60]
            the  single-cell RNA-seq  study of AD  by Mathys  et  al. ,   and  -0.30, respectively)  from cluster 11, which is
                                                        [60]
            APOE was significantly upregulated in excitatory neurons   functionally enriched  for lipid homeostasis.  ABCG5  and
                                                                                                           [62]
            (log FC = 0.32). Strikingly, APOE has also been reported to   ABCG8 are important proteins for cholesterol efflux .
               2
            influence iron homeostasis in the brain . The upregulation   These findings suggest a close association between lipid
                                          [61]
            of  APOE in the brain during AD may be linked to the   metabolism and ferroptosis. Existing literature also supports
            Volume 2 Issue 3 (2023)                         8                        https://doi.org/10.36922/gtm.0318
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