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Global Translational Medicine                                         Mitochondria and ferroptotic cell death






























            Figure 3. The crosstalk of cellular bioenergetic pathway in mitochondria. Figure adapted with modification from Gan. 7
            Abbreviations:  αKG: Alpha-ketoglutarate; ACC: Acetyl-CoA carboxylase; ADP: Adenosine diphosphate; AMPK: AMP-activated protein kinase;
            ATP: Adenosine triphosphate; C: Cytochrome C; CoA: Coenzyme; FADH2: Flavin adenine dinucleotide; H O : Hydrogen peroxide; NADH: Reduced
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            nicotinamide adenine dinucleotide; OH : Hydroxyl radicals; Pi: Inorganic phosphate; PUFA: Polyunsaturated fatty acid; Q: Ubiquinol; SOD2: Superoxide
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            dismutase 2; TCA: Tricarboxylic acid.
              Compared to other controlled cell death processes,   form of H O -induced cell death. It has been observed that
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            including apoptosis, autophagy, necrosis, and pyroptosis,   cells lacking mitochondrial DNA exhibit elevated levels
            ferroptosis, an iron-dependent cell death process, clearly   of lipid peroxidation levels and heightened sensitivity to
            differs in terms of morphology, biochemistry, and   H O . In addition, aquaporin proteins (AQP 3, 5, and 8)
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            genetics. Characteristics such as condensed mitochondrial   have been found to interact with nicotinamide-adenine
            membrane density, reduced volume compared to normal   dinucleotide phosphate oxidase 2, regulating extracellular
            mitochondria,  and  the  presence  of  decreased  or  absent   H O  permeability and thus influencing ferroptosis. By
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            mitochondrial cristae and ruptured outer membranes   reducing  Fe  levels and upregulating  the mitochondrial
            are prominent features of ferroptosis. As the primary   quality control protein prohibitin 2, which subsequently
            organelle in iron utilization, as well as in catabolic   decreases AQP expression, mitochondrial transfer into
            and anabolic pathways, mitochondria play a major   these cells has been shown to reduce their susceptibility to
            role in iron metabolism, substance metabolism, and   H O -induced cytotoxicity. These results imply that H O
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            energy metabolism. Ferroptotic sensitivity is affected   therapy holds potential as an effective cancer treatment
            by interference from important regulators of iron   approach by modulating these pathways. 10
            homeostasis (ferritin, mitoferrin1/2, and NEET proteins),   The availability of cysteine, obtained through system
            mitochondrial lipid metabolism (acyl-coenzyme [CoA]   Xc or the trans-sulfuration route, as well as the production
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            syntheses family member 2 and citrate synthase [CS]),   of glutathione (GSH) and the appropriate operation of
            Gln metabolism, and other signaling pathways. Targeted   GPX4, are necessary for the prevention of iron-dependent
            stimulation of ferroptosis emerges as a potential treatment   lipid peroxidation and ferroptosis. Ferroptosis has been
            approach for numerous oxidative stress conditions, such   linked to neurodegeneration and ischemia/reperfusion
            as neurodegenerative disorders, ischemia-reperfusion   injuries in animal models, yet its exact function in normal
            injury,  and traumatic  spinal  cord  injury.  Nonetheless,   physiological processes remains unclear. Recent research
            the relevance of ferroptosis and mitochondria remains   suggests that interferon-gamma generated by CD8  T cells
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            subject to debate. In this article, we methodically clarify   and the tumor suppressors p53 and BAP1 regulate system
            how the morphological traits and metabolic control   Xc . - 11
            of mitochondria relate to the regulation of ferroptosis   Reduced GSH activity and impaired GSH peroxidase-4
            (Figure 4). 4
                                                               (GPX4)  defense  serve  as  two  biochemical  markers  of
              The role of hydrogen peroxide (H O ) in triggering   ferroptosis, indicating a compromised antioxidant system.
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            ferroptosis is vital. Studies have classified ferroptosis as a   Recent research has demonstrated that oxidative glutamate
            Volume 3 Issue 2 (2024)                         4                        https://doi.org/10.36922/gtm.2208
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