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Global Translational Medicine                                         Mitochondria and ferroptotic cell death






























            Figure 2. The oxidative stress generation during ferroptosis.
            Abbreviations: DFO: Deferoxamine; DFP: Deferiprone; ETC: Electron transport chain; GPX4: Glutathione peroxidase 4; H O : Hydrogen peroxide; ISC:
                                                                                            2
                                                                                          2
            Iron-sulfur cluster; LH: Lipid; LIP: Labile iron pool; LOH: Lipid alcohols; LOO : Lipid peroxyl radical; LOOH: Lipid hydroperoxide; LOXs: Lipoxygenases;
                                                              •
            O : Superoxide; NOXs: nicotinamide-adenine dinucleotide phosphate oxidases; OH : Hydroxyl radicals; ROS: Reactive oxygen species; SOD: Superoxide
             •–
                                                                  •
             2
            dismutase.
            ferroptosis has important ramifications for both basic cell   of numerous illnesses is intimately linked to changes
            biology and medicinal research. Mitochondrial electron   in the structure and function of mitochondria, which
            transport chains (ETCs) drive proton motive force and   are essential for maintaining cellular homeostasis. As
            adenosine triphosphate (ATP) synthesis, preventing AMP-  extremely active organelles, mitochondria are regulated
            activated protein kinase activation induced by energy   by a number of mechanisms to ensure stability. While
            stress and thereby promoting ferroptosis. Furthermore,   essential mechanisms, including mitophagy, mitochondrial
            electron leakage from ETC complexes I and III produces   fusion, and fission, play a major role in dynamically
            superoxide (O ), which may promote polyunsaturated   maintaining mitochondrial homeostasis, dysregulation of
                        •–
                        2
            fatty  acid  peroxidation  and  subsequent  ferroptosis.   these processes can occur. Ferroptosis is closely associated
            Glutaminolysis and the tricarboxylic acid (TCA) cycle   with mitophagy, as well as the mitotic fission and fusion
            in mitochondria further promote ferroptosis by driving   of mitochondria. Investigating the dynamic regulation of
            ETC activities  (Figure 3). In addition to ATP production,   mitochondrial activities during ferroptosis is crucial for a
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            mitochondria efficiently regulate cellular redox state and   better understanding of illness development. To advance
            iron homeostasis, both of which have been proposed as   a thorough comprehension of ferroptosis and offer a
            mediators of ferroptotic signaling pathways. Prior studies   comparable reference for the treatment of associated
            regarding the role of mitochondria in ferroptotic cell death   disorders,  we  have  methodically  summarized  alterations
            highlight the need for further study to achieve a clearer   in ferroptosis, mitochondrial fission and fusion, and
            understanding  of  the  pathophysiology  of  ferroptosis.    mitophagy in this article. 9
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            Given that mitochondria are known to function during   Numerous clinical diseases, such as ischemic tissue
            oxidative stress and other cell death processes, exploring   damage, infection, dementia, and cancer, are linked to
            their potential functionality during iron overload-induced   ferroptosis, a mode of cell death characterized by iron-
            ferroptotic cell death is a logical next step.     dependent  lipid  peroxidation.  The  cellular  machinery
            2. Relationship between mitochondria and           governing  ferroptosis  integrates  multiple  pro-survival  or
            ferroptosis                                        pro-death signals from subcellular organelles and then
                                                               “decides”  whether  to  initiate  this  lethal  process.  Various
            Studies demonstrating that mitochondrial malfunction   organelles,  such  as  the nucleus, lysosomes,  endoplasmic
            and damage exacerbate oxidative stress, subsequently   reticulum, lipid droplets, peroxisomes, Golgi apparatus,
            causing ferroptosis, suggest a strong relationship between   and mitochondria, play crucial roles in the initiation or
            ferroptosis and mitochondrial function. The development   prevention of ferroptosis. 5


            Volume 3 Issue 2 (2024)                         3                        https://doi.org/10.36922/gtm.2208
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